Trends in NIH funding for pediatric research, FY2020-FY2026

There were substantial changes in NIH policies regarding research funding in FY2025. This work examines NIH funding for pediatric research FY2020 through Q2FY2026 including the number and cost of awards, the number of first year (type 1) awards, the number of Notices of Funding Opportunity, and the topical focus of research awards. NIH funding for pediatric research declined >20% in the first two quarters FY2025-FY2026 with proportionally greater reductions in first year awards and Notices of Funding Opportunity. Changes were also noted in the topic prevalence of new awards consistent with 2025 guidelines identifying topics "not aligned with NIH priorities." These results suggest that pediat