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Watchdog asks HHS inspector general to examine Jackson ethics questions

A November 12 letter raises recusal and disclosure questions; ProPublica reports the inspector general would not say whether an investigation is underway.

By Mira Vale

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Campaign Legal Center asked the Department of Health and Human Services inspector general to examine whether Alicia Jackson complied with federal recusal and financial disclosure requirements in a letter dated November 12.

The letter identifies Jackson as director of the Advanced Research Projects Agency for Health. The watchdog questioned Jackson’s public participation in a 2025 HHS announcement about removing a warning from menopausal hormone therapy products. The group raised potential conflicts involving her interests in Evernow and investments held through her spouse’s private funds.

The organization also requested a review of whether financial interests in those funds were fully disclosed. Its letter asks the inspector general to determine whether Jackson should have recused herself or obtained a conflict waiver before participating in the matter.

ProPublica reported on November 13 that the inspector general’s office would neither confirm nor deny whether it was investigating Jackson. The outlet said HHS, Jackson, her spouse and his firm did not comment in response to its requests. It also reported that Jackson’s role, if any, in the Food and Drug Administration’s decision remains unclear.

What we don't know yet

  • Has the inspector general opened, or will it open, an investigation into the request?
  • Did Jackson obtain an applicable final conflict-of-interest waiver?
  • What role, if any, did Jackson have in the FDA policy decision?

Timeline

  1. Campaign Legal Center dated its letter requesting an inspector general investigation.

  2. ProPublica reported the request and the inspector general office’s response.

Sources cited

  1. Letter to HHS inspector general requesting an investigation of Alicia JacksonCampaign Legal Center · Primary source
  2. Ethics Watchdog Urges Investigation Into Top Health Official, Alleging Conflict of Interest Over Hormone Therapy PolicyProPublica · Nov 13, 2026 · No clear direction · Editorial record

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