United States Deputy Secretary of Health and Human Services

The deputy secretary of health and human services (formerly the under secretary of health, education, and welfare, 1953–1979, and the under secretary of health and human services, 1979–1990) is the chief operating officer of the United States Department of Health and Human Services. The deputy secretary oversees all operations within the department, including overseeing Medicare, Medicaid, public health, medical research, food and drug safety, welfare, child and family services, disease prevention, Indian health, and mental health services. The most recent deputy secretary was Andrea Palm, who was confirmed by the United States Senate on May 11, 2021.

United States Deputy Secretary of Health and Human Services
Seal of the Department of Health and Human Services
Incumbent
Jim O'Neill
since June 9, 2025
United States Department of Health and Human Services
StyleMr. Deputy Secretary (informal)
The Honorable (formal)
Reports toUnited States Secretary of Health and Human Services
SeatHubert H. Humphrey Building, Washington, D.C.
AppointerThe president
with Senate advice and consent
Term lengthNo fixed term
PrecursorUnder Secretary of Health and Human Services
FormationAugust 1990
First holderConstance Horner
SalaryExecutive Schedule, level II
Websitewww.hhs.gov

The deputy secretary is also the regulatory policy officer for the department, overseeing the development and approval of all HHS regulations and significant guidance. In addition, the deputy secretary leads a number of initiatives at the department, including implementing the president's management agenda, combating bio-terrorism, and public health emergency preparedness. She also represents the secretary of health and human services on the board of the John F. Kennedy Center for the Performing Arts.

The deputy secretary is appointed by the president and confirmed by the Senate. The deputy secretary is paid at level II of the Executive Schedule. The deputy secretary is assisted by a principal associate deputy secretary of health and human services, two associate deputy secretaries, and three staff assistants. The position of deputy secretary was originally held by an under secretary until the position was retitled in August 1990. The position of under secretary had been in existence since the creation of the Department of Health, Education, and Welfare in 1953.

Health, Education, and Welfare

List of Assistant Secretaries

# Image Name Took office Left office President served under References
1 Jane Morrow Spaulding April 1953 January 1954 Dwight D. Eisenhower

List of Under Secretaries

# Image Name Took office Left office President served under References
1 Nelson Rockefeller June 1953 December 1954 Dwight D. Eisenhower
Vacant December 1954 September 1955
2 Herold Christian Hunt September 1955 February 1957
Vacant February 1957 April 1957
3 John Alanson Perkins April 1957 March 1958
Vacant March 7, 1958 March 18, 1958
4 Bertha Adkins March 1958 January 1961
5 Ivan Arnold Nestingen January 1961 May 1965 John F. Kennedy
Lyndon B. Johnson
6 Wilbur J. Cohen June 1965 May 1968
Vacant May 1968 July 1968
7 James H. McCrocklin July 1968 January 1969
Vacant January 1969 March 1969 Richard Nixon
8 John Veneman March 1969 January 1973
9 Frank Carlucci January 1973 January 1975
Gerald Ford
10 Marjorie Lynch November 1975 January 1977
Gerald Ford
11 Hale Champion January 1977 June 1979
Jimmy Carter

Health and Human Services

List of Under Secretaries

# Image Name Took office Left office President served under References
12 John A. Svahn March 1983 September 1983 Ronald Reagan
13 Charles D. Baker 1984 1985
14 Don M. Newman 1985 1989
15 Constance Horner 1989 August 1990 George H. W. Bush

List of Deputy Secretaries

# Image Name Took office Left office President served under References
15 Constance Horner August 1990 1991 George H. W. Bush
16 Kevin Moley 1991 1993
17 Walter Broadnax 1993 1996 Bill Clinton
18 Kevin Thurm 1996 2001
19 Claude Allen May 26, 2001 January 22, 2005 George W. Bush
20 Alex Azar January 22, 2005 February 4, 2007
Eric Hargan
(acting)
February 4, 2007 August 5, 2007
21 Tevi Troy August 5, 2007 January 20, 2009
22 Bill Corr May 6, 2009 April 2015 Barack Obama
Mary Wakefield
(acting)
April 2015 January 20, 2017
Colleen Barros
(acting)
January 20, 2017 October 6, 2017 Donald Trump
23 Eric Hargan October 6, 2017 January 20, 2021
24 Andrea Palm May 12, 2021 January 20, 2025 Joe Biden
25 Jim O'Neill June 9, 2025 Incumbent Donald Trump

Sources

  • Journal of physical education and recreation, Vol. 28, American Physical Education Association, 1957
  • The inauguration of James Henry McCrocklin as fourth president of Southwest Texas State Teachers College, Southwest Texas State Teachers College, 1964
  • A common thread of service, United States Department of Health, Education, and Welfare, 1970
  • Public Papers of the Presidents of the United States, Richard Nixon, 1973: Containing the Public Messages, Statements, and Speeches of the President, Government Printing Office, 1999, ISBN 978-0-16-058865-5
  • Bowling, Lawson (2005), Shapers of the great debate on the Great Society: a biographical dictionary, Greenwood Publishing Group, ISBN 978-0-313-31434-6
  • Derthick, Martha (1979), Policymaking for social security, Brookings Institution Press, ISBN 978-0-8157-1815-4
  • Kaplowitz, Craig Allan (2005), LULAC, Mexican Americans, and national policy, Texas A&M University Press, ISBN 978-1-58544-388-8
  • Mjagkij, Nina (2003), Portraits of African American life since 1865, Rowman & Littlefield, ISBN 978-0-8420-2967-4
  • Mossman, Jennifer (2001), Almanac of Famous People: A Comprehensive Reference Guide to More than 33,000 Famous and Infamous Newsmakers from Biblical Times to the Present, Vol. 1, Gale Research Co., ISBN 978-0-7876-4793-3
  • O'Dea Schenken, Suzanne (1999), From suffrage to the Senate: an encyclopedia of American women in politics, Vol. 2, ABC-CLIO, ISBN 978-0-87436-960-1
  • San Migel, Guadalupe (2004), Contested policy: the Rise and Fall of Federal Bilingual Education in the United States, 1960–2001, University of North Texas Press, ISBN 978-1-57441-171-3
  • Smith, Jessie Carney (1996), Notable Black American women, Book II, VNR AG, ISBN 978-0-8103-9177-2
  • Smith, W. Thomas (2003), Encyclopedia of the Central Intelligence Agency, Infobase Publishing, ISBN 978-0-8160-4666-9

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