Executive Order 13461: Providing an Order of Succession Within the Department of Health and Human Services
President: George W. Bush
Listed eligible HHS officials who could act when the Secretary could not serve.
Status: In effect. Is Executive Order 13461 still in effect? Yes. Executive Order 13461 remains in effect. See Federal Register record.
What does Executive Order 13461 do?
The order listed the Deputy Secretary first, followed by General Counsel and other officials; acting holders were excluded merely by virtue of their acting post. The signed order remains the record of the 2008 list. This review did not establish its application to a particular vacancy or a later comprehensive replacement.
Before and after
Before the order
The Federal Vacancies Reform Act controls who may temporarily perform a vacant Senate-confirmed office.
After the order
The order listed the Deputy Secretary first, followed by General Counsel and other officials; acting holders were excluded merely by virtue of their acting post.
The signed order remains the record of the 2008 list. This review did not establish its application to a particular vacancy or a later comprehensive replacement.
What did the signed order change?
The Federal Vacancies Reform Act controls who may temporarily perform a vacant Senate-confirmed office. The order listed the Deputy Secretary first, followed by General Counsel and other officials; acting holders were excluded merely by virtue of their acting post.
What happened later?
Signed EO 13461 — succession and exceptions: The signed order remains the record of the 2008 list. This review did not establish its application to a particular vacancy or a later comprehensive replacement.
What does that evidence establish?
Statutory eligibility and presidential discretion constrain the list; it does not appoint any individual as Secretary. A succession list is not evidence that any listed person actually served. The signed order states the original requirements.
Who had to do what
| Agency / office | Action | Timing / position |
|---|---|---|
| Deputy Secretary of Health and Human Services | Act as HHS Secretary if eligible under the Federal Vacancies Reform Act; an acting holder does not qualify merely by holding this post. | Succession position 1; when the Secretary cannot serve. |
| General Counsel of the Department of Health and Human Services | Act as HHS Secretary if eligible under the Federal Vacancies Reform Act; an acting holder does not qualify merely by holding this post. | Succession position 2; when the Secretary cannot serve. |
| Assistant Secretary (Resources and Technology) | Act as HHS Secretary if eligible under the Federal Vacancies Reform Act; an acting holder does not qualify merely by holding this post. | Succession position 3; when the Secretary cannot serve. |
| Assistant Secretary (Planning and Evaluation) | Act as HHS Secretary if eligible under the Federal Vacancies Reform Act; an acting holder does not qualify merely by holding this post. | Succession position 4; when the Secretary cannot serve. |
| Administrator of the Centers for Medicare and Medicaid Services | Act as HHS Secretary if eligible under the Federal Vacancies Reform Act; an acting holder does not qualify merely by holding this post. | Succession position 5; when the Secretary cannot serve. |
| Commissioner of Food and Drugs | Act as HHS Secretary if eligible under the Federal Vacancies Reform Act; an acting holder does not qualify merely by holding this post. | Succession position 6; when the Secretary cannot serve. |
| Director of the National Institutes of Health | Act as HHS Secretary if eligible under the Federal Vacancies Reform Act; an acting holder does not qualify merely by holding this post. | Succession position 7; when the Secretary cannot serve. |
| Assistant Secretary for Family Support | Act as HHS Secretary if eligible under the Federal Vacancies Reform Act; an acting holder does not qualify merely by holding this post. | Succession position 8; when the Secretary cannot serve. |
| Other presidentially appointed HHS Assistant Secretaries | Act as HHS Secretary if eligible under the Federal Vacancies Reform Act; an acting holder does not qualify merely by holding this post. | Succession position 9; when the Secretary cannot serve; among these Assistant Secretaries, ordered by oath of office. |
| Director, Centers for Disease Control and Prevention | Act as HHS Secretary if eligible under the Federal Vacancies Reform Act; an acting holder does not qualify merely by holding this post. | Succession position 10; when the Secretary cannot serve. |
| Director, Region 4 | Act as HHS Secretary if eligible under the Federal Vacancies Reform Act; an acting holder does not qualify merely by holding this post. | Succession position 11; when the Secretary cannot serve. |
| President | May depart from the listed succession order consistently with the Federal Vacancies Reform Act. | When designating an acting Secretary. |
What happened next
EO 13461 signed.
The signed order remains the record of the 2008 list. This review did not establish its application to a particular vacancy or a later comprehensive replacement.
Legal and source detail
How it works legally
Statutory eligibility and presidential discretion constrain the list; it does not appoint any individual as Secretary.
Sources by type
If a source is unavailable, first check the cited publisher or another official repository. The cited publisher remains the authority.
Primary and official sources
Orders, laws, court records and official implementation material.
- GovInfo — official executive-order record (opens in a new tab) Official record
How we checked this
Last checked against the sources above on September 26, 2026. How we research →