The House Committee on Oversight and Government Reform has released a report titled “The Biden Autopen Presidency: Decline, Delusion, and Deception in the White House.” The report alleges that President Joe Biden’s advisors, political operatives, and personal physician concealed his mental and physical decline from the public. According to the committee, as Biden’s condition worsened, aides took over presidential authority and facilitated executive actions without his direct approval, including misuse of the autopen and failures in documenting decision-making.
Chairman James Comer (R-Ky.) sent letters to U.S. Attorney General Pam Bondi and the District of Columbia Board of Medicine. He requested a Department of Justice review of all executive actions taken during Biden’s presidency and further scrutiny of key aides—Dr. Kevin O’Connor, Annie Tomasini, and Anthony Bernal—who invoked their Fifth Amendment rights during the investigation. Comer also asked the D.C. Board of Medicine to review Dr. O’Connor’s actions for potential wrongdoing in his medical care for former President Biden.
“The Biden Autopen Presidency will go down as one of the biggest political scandals in U.S. history. As Americans saw President Biden’s decline with their own eyes, Biden’s inner circle sought to deceive the public, cover-up his decline, and took unauthorized executive actions with the autopen that are now invalid,” said Chairman James Comer (R-Ky.). “Our report reveals how key aides colluded to mislead the public and the extraordinary measures they took to sustain the appearance of presidential authority as Biden’s capacity to function independently diminished. Executive actions performed by Biden White House staff and signed by autopen are null and void. We are calling on the U.S. Department of Justice to conduct a thorough review of these executive actions and scrutinize key Biden aides who took the Fifth to hide their participation in the cover-up. The D.C. Board of Medicine must also review the actions taken by President Biden’s physician to hide his true condition. We have provided Americans with transparency about the Biden Autopen Presidency, and now there must be accountability.”
The committee based its findings on 14 depositions and transcribed interviews with key aides from President Biden’s administration. According to Republicans on the committee, Democratic members did not pursue extensive questioning regarding who was making decisions during much of Biden’s term.
Key points from the report include evidence suggesting significant efforts by senior officials to conceal President Biden’s cognitive state through scripted messaging, restricted access, controlled appearances, limiting media access, avoiding unscripted events, and consulting Hollywood figures for presentation strategies.
Testimony from senior officials such as Jeff Zients and Anita Dunn indicated that political advisors interfered with medical decisions about President Biden’s health evaluations; specifically rejecting cognitive testing requests for reelection considerations. Dr. Kevin O’Connor did not perform a cognitive assessment on President Biden; testimony suggested possible conflicts due to financial ties between Dr. O’Connor and the family.
Comer recommended that Dr. O’Connor be reviewed by medical authorities for any potential misconduct while serving as White House physician—including whether misleading reports were issued regarding President Biden’s health.
The report also details concerns about improper use of presidential authority by staff members through use or misuse of an autopen signature device without proper documentation or authorization—particularly related to pardons or commutations involving members of President Biden’s family near his term’s end.
Chairman Comer called for a comprehensive DOJ review into all executive actions under President Biden’s tenure as well as further scrutiny into aides who declined questions during committee proceedings.
James Comer currently serves in Congress representing Kentucky’s 1st district since 2016 after succeeding Ed Whitfield (source). He previously served in Kentucky’s House from 2001-2012 (source). Born in Carthage, Tennessee in 1972, Comer is now 50 years old and resides in Tompkinsville (source). He graduated from Western Kentucky University with a Bachelor of Science degree in 1993.
The full staff report along with supporting documents is available online.



