Nomination and confirmation after swearing-in ceremony On July 8, 2009, President Barack Obama nominated Collins as director of the National Institutes of Health, and the Senate unanimously confirmed him for the post. He was sworn in by Health and Human Services Secretary
Kathleen Sebelius on August 17, 2009.
Science writer Jocelyn Kaiser opined that Collins was "known as a skilled administrator and excellent communicator", that Obama's nomination "did not come as a big surprise", and that the appointment "ignited a volley of flattering remarks from researchers and biomedical groups." She also wrote that Collins "does have his critics", some of them who were concerned with the new director's "outspoken Christian faith".
Washington Post staffer David Brown wrote that Collins's status as a "
born-again Christian ... may help him build bridges with those who view some gene-based research as a potential threat to religious values." Collins's appointment was welcomed by the
chief executive officer of the
American Association for the Advancement of Science, In October 2009, shortly after his appointment as NIH director, Collins stated in an interview in
The New York Times: "I have made it clear that I have no religious agenda for the N.I.H., and I think the vast majority of scientists have been reassured by that and have moved on." On October 1, 2009, in the second of his four appearances on
The Colbert Report, Collins discussed his leadership at the NIH and other topics such as
personalized medicine and
stem cell research. And, in November 2011, Collins was included on ''The New Republic's'' list of Washington's most powerful, least famous people. Collins appeared on the series finale of
The Colbert Report, participating in a
chorus with several other famous people singing "
We'll Meet Again". On June 6, 2017, President
Donald Trump announced his selection of Collins to continue to serve as the NIH Director. On 19 December 2017, Collins and the NIH lifted the Obama moratorium on
gain of function research because it was deemed to be "important in helping us identify, understand, and develop strategies and effective countermeasures against rapidly evolving pathogens that pose a threat to
public health." In October 2020, Collins criticized the
Great Barrington Declaration's "focused protection" herd immunity strategy, calling it "a fringe component of epidemiology. This is not mainstream science. It's dangerous. It fits into the political views of certain parts of our confused political establishment." In a private email to Fauci, Collins called the authors of the declaration "fringe epidemiologists" and said: "There needs to be a quick and devastating published take down of its premises."
The Wall Street Journal's
editorial board accused Collins of "work[ing] with the media to trash the Great Barrington Declaration" and of "Shut[ting] Down Covid Debate". On October 5, 2021, Collins announced that he would resign as NIH director by the end of the year. His last day was 19 December 2021.
Projects Collins was instrumental in establishing the
National Center for Advancing Translational Sciences (NCATS) on December 23, 2011. In January 2013, Collins created two senior scientific positions on
Big Data, as well as the diversity of the scientific workforce. Other projects he took on early in his tenure included increased support for
Alzheimer's disease research, which was announced in May 2012; the
Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Initiative, announced by President Obama and Collins on April 2, 2013, at the White House; and in February 2014 the Accelerating Medicines Partnership (AMP), a public-private partnership between NIH, the
U.S. Food and Drug Administration, 10 biopharmaceutical firms, and multiple non-profit organizations. In 2014, Collins worked with the larger biomedical research community to create principles and guidelines to foster rigor and reproducibility in preclinical research, including incorporating sex as a biological variable to ensure differences in treatment response between men and women are addressed. Beginning in 2014, the NIH provided multi-year grants to
EcoHealth Alliance, which studied bat coronaviruses, including genetically engineering bat coronaviruses called
WIV1, in collaboration with the
Wuhan Institute of Virology. All of Us seeks to extend precision medicine to all diseases by building a national research cohort of 1 million or more U.S. participants. In other precedent-setting actions during his time as NIH director, Collins announced in November 2015 that NIH will no longer support any biomedical research involving chimpanzees. In December 2015, Collins and other NIH leaders released a detailed plan that charted a course for NIH's efforts over the ensuing five years. The NIH-Wide Strategic Plan, Fiscal Years 2016-2020: Turning Discovery Into Health was aimed at ensuring the agency remains well positioned to capitalize on new opportunities for scientific exploration and to address new challenges for human health. In January 2016, President Obama announced a new initiative to galvanize the nation's research efforts against cancer. Fueled by an additional $680 million in the proposed fiscal year 2017 budget for NIH, the National Cancer Moonshot Initiative aims to accelerate progress toward the next generation of interventions to reduce cancer incidence and improve patient outcomes. In 2016, Collins instituted a number of clinical trial reforms to enhance protection of participants in research and improve reporting of research results in ClinicalTrials.gov. In 2017, Collins implemented the Next Generation Researchers Initiative to improve the odds for early investigators to win NIH grants. To support the Administration's Stop Opioid Abuse Initiative, Collins launched the NIH HEAL (Helping to End Addiction Long-term) Initiative in April 2018. The NIH HEAL Initiative bolsters research across NIH to improve treatments for opioid misuse and addiction and enhance pain management. Also in 2018, Collins launched an initiative to address sexual harassment in science and change a culture that sends messages to women and other underrepresented groups that they don't belong in biomedical research. In October 2021, NIH principal deputy director
Larry Tabak sent a letter to Kentucky Congressman
James Comer addressing NIH grants to EcoHealth Alliance. In 2023, the
Biden administration announced an initiative to eliminate
hepatitis C in the United States. Collins was the special advisor to President Biden on the hepatitis C elimination plan. Collins's wrote an op-ed in The New York Times on the elimination plan advocating that the U.S. commit the appropriate resources. == Acting science advisor ==