Pilots for HIMS Reform

Federal Law Requires Ethics Oversight for Human Testing. Why Doesn’t Aviation Medicine? Across the federal government, programs involving human-subject testing must follow strict ethical safeguards under the Common Rule (45 C.F.R. Part 46). That means research involving people must be reviewed by an Institutional Review Board (IRB). So here’s a serious question: If federal programs collecting biological and medical data from individuals normally require independent ethics oversight… why doesn’t aviation medicine operate with the same visible structure of review? Our newest article explores the issue. Read here: pilotsforhimsreform.org/?page=irb-avia… #PilotsForHIMSReform #AviationMedicine #AviationSafety

Addiction Is Not a Disease — And the FAA’s HIMS Program May Be Built on a Flawed Assumption A growing body of research challenges the idea that addiction is always a lifelong disease. Yet that assumption increasingly drives how the FAA monitors pilots and air traffic controllers through the HIMS framework. The result? Some aviation professionals face years — even career-long monitoring — despite long-term sobriety and stability. A new P4HR analysis explores: • addiction science • natural recovery • why one-size-fits-all monitoring may be outdated • and how a modern system like AEROPath could improve aviation medicine Safety matters. But so does accurate science. Read the full article: pilotsforhimsreform.org/?page=addictio…

Inside the FAA’s Aeromedical Office: A pattern pilots are beginning to notice. Across multiple cases, aviation professionals report: • Favorable clinical evaluations • Indications of progress from FAA officials • Then… decisions changing without explanation. Pilots and air traffic controllers who complete years of monitoring are sometimes finding that advancement decisions are delayed, modified, or reversed. Why? Our latest article explores growing concerns that evidence-based medical recommendations may be overridden at the highest levels of the FAA’s aeromedical system. Transparency matters. Evidence matters. Aviation safety depends on both. Read the investigation: pilotsforhimsreform.org/?page=faa-aero… #Aviation #Pilots #ATC #FAAMedical #HIMS

Aeromedical Compass: Which Aeromedical Evaluators Can Pilots Trust? For decades, pilots have had little transparency about the aeromedical evaluators who can shape the course of their careers. Aviation medicine has enormous influence — yet almost no public accountability. That’s where Aeromedical Compass comes in. It’s an independent platform where aviation professionals can confidentially submit experiences with: • AMEs • HIMS AMEs • Aviation psychiatrists • Neuropsychologists • Other aeromedical evaluators Submissions are de-identified and reviewed for patterns, not isolated complaints. The goal is simple: Transparency. Highlight excellent providers. Identify concerning patterns. Help pilots navigate the aeromedical system with better information. But the platform only works if aviation professionals contribute data. If you’ve interacted with an aeromedical evaluator — even for a routine medical — consider submitting your experience. Submit anonymously: aeromedicalcompass.org #Aviation #Pilots #Aeromedical #AviationMedicine

Today we remember General Chuck Yeager — a pilot who redefined courage, discipline, and the very limits of human flight. Yeager didn’t just break the sound barrier. He broke the idea that limits should go unchallenged. From flying combat missions over Nazi-occupied Europe in the P-51 Mustang, to becoming an ace in a day, to strapping into the Bell X-1 and pushing humanity into the supersonic age, his life embodied the spirit of aviation at its purest: skill, integrity, and fearless pursuit of progress. Aviation advances because pilots are willing to question the impossible and push beyond it. That same spirit drives our mission today. We honor those who came before us by protecting the future of aviation — ensuring that the systems governing pilots are fair, transparent, and grounded in science, not fear or outdated thinking. The sky is quieter without him. But the sonic boom of his legacy will echo forever. Rest easy, General.

A message circulating in the aviation community alleges a senior figure in the FAA’s HIMS program warned physicians they could be dismissed if they receive >50% positive ratings on social media. If true, that raises serious questions. Why would doctors face consequences for positive feedback from the pilots they evaluate? HIMS Aeromedical Examiners play a critical role in determining whether pilots can return to work or remain grounded. Transparency about expectations placed on those physicians is essential. Pilots for HIMS Reform has published an article examining the issue and has formally sent a letter to Federal Air Surgeon Dr. Susan Northrup requesting clarification. Article: pilotsforhimsreform.org/?page=hims-ame… Letter: pilotsforhimsreform.org/documents/P4HR… #Aviation #FAA #HIMS

PMHC says they’re: “The only advocacy group dedicated to creating a modern aeromedical system.” That’s not accurate. Pilots for HIMS Reform exists. We’ve drafted comprehensive legislative reform. We’ve attempted collaboration. Exclusivity weakens reform. Collaboration strengthens it. Read our response 👇 pilotsforhimsreform.org/?page=pmhc-onl… #HIMSReform #AviationMentalHealth #PilotAdvocacy #ATC @PilotMHCampaign

Reform requires presence. In 2026, major aeromedical conferences will shape HIMS & FAA medical policy. If we’re serious about structural reform, we must be in the room. We’re building our 2026 Reform Capacity Fund ($50K goal) to support conference attendance & legislative engagement. Support here: pilotsforhimsreform.org/donate.html #P4HR #AviationReform

The P4HR White Papers Library is now live. All of our research, policy briefs, and reform frameworks are now centralized in one place — ready for legislators, media, and aviation leaders. Reform requires documentation. Access it here: pilotsforhimsreform.org/?page=white-pa… #P4HR #HIMS #AviationReform

AEROPath is not a “reform proposal.” It’s the replacement. For decades, the FAA’s HIMS system operated without clear statutory guardrails — built on policy, discretion, and institutional custom. That’s not how high-stakes oversight should work. The Pilots for HIMS Reform Act of 2026 installs: • Defined monitoring limits • Evidence-based standards • Independent oversight • Due process protections • Conflict-of-interest safeguards • A structured sunset of legacy HIMS HIMS evolved informally. AEROPath is grounded in law. That distinction matters. Structural reform > cosmetic reform. Read the full breakdown: 🔗 pilotsforhimsreform.org/?page=aeropath… Explore AEROPath: 🔗 pilotsforhimsreform.org/?page=aeropath… Review the legislation: 🔗 pilotsforhimsreform.org/files/P4HR%20A… We’re not asking for tweaks. We’re installing guardrails. #AEROPath #HIMSReform #AviationSafety #DueProcess #P4HR

🧵 Today, Pilots for HIMS Reform released our most comprehensive document yet: The P4HR White Paper Mission, Vision, and Strategic Direction (2026–2030) This is a blueprint for reform. Not rhetoric. For decades, the HIMS ecosystem has operated with: • Limited transparency • Indefinite monitoring structures • Minimal publicly verifiable outcome data • Discretionary enforcement mechanisms • Fear-based compliance dynamics A system that discourages early help-seeking does not improve safety. It weakens it. Our White Paper outlines: • A five-year legislative roadmap • The P4HR Act of 2026 • AEROPath — a structured alternative model • Independent data collection (HIMS Voices Project) • Provider transparency (Aeromedical Compass) • Oversight grounded in science, due process, and defined endpoints We are clear about one thing: Aviation safety and pilot well-being rise and fall together. Reform does not weaken oversight. Reform modernizes it. The next five years will determine whether aeromedical policy evolves with modern medical science — or remains anchored in legacy assumptions. Read the full White Paper here: pilotsforhimsreform.org/?page=p4hr-whi… #P4HR #HIMSReform #AviationSafety #PilotWellness #Transparency

@PilotMHCampaign announced $1M for HIMS in the new federal budget. What exactly is it for? Appropriated or authorized? Earmarked for what? Who controls it? When careers are involved, details matter. pilotsforhimsreform.org/?page=hims-1-m…

@PilotMHCampaign recently announced $1M secured in the federal budget for the HIMS program. Pilots deserve clarity: • Is this appropriated or authorized? • Where is the legislative language? • What is the $1M specifically earmarked for? • Who controls the spending? Transparency builds trust. Full breakdown: pilotsforhimsreform.org/?page=hims-1-m…

“Mental health reform” sounds promising — until you read the bill. We compared the Mental Health in Aviation Act with a comprehensive reform proposal. The difference is… not subtle. Full comparison: pilotsforhimsreform.org/?page=easy-bil… Bills referenced: congress.gov/bill/119th-con… pilotsforhimsreform.org/files/P4HR%20A…

When Silence Becomes the Statement Earlier this week, @PilotsForHIMSReform requested comment from @PilotMHCampaign prior to publishing an article about DC Advocacy Day 2026. We were told a response was coming. It’s now Sunday night. Three full days later — nothing. No clarification. No correction. No engagement. We’ve published a follow-up explaining why silence, especially in mental health advocacy, is not neutral. 📄 Read the follow-up: pilotsforhimsreform.org/?page=pmhc-sil… Transparency matters. Silence is still a choice. #PilotMentalHealth #HIMS #Aviation #Transparency

When Mental Health Advocacy Draws a Line in the Sand 🧵 On Tuesday, @PilotsForHIMSReform was informed that we were no longer welcome to attend the @PilotMHCampaign DC Advocacy Day 2026. What followed were conversations that revealed something deeply troubling about how “mental health advocacy” operates in aviation. 👇 Our new article documents: • The exclusion of P4HR from Advocacy Day 2026 • Direct conversations surrounding that decision • Experiences from pilots & air traffic controllers seeking help • How substance use disorder (SUD) remains stigmatized—even within advocacy organizations SUD is a diagnosable, treatable mental health condition. It is not a character flaw. It is not disqualifying from advocacy. Advocacy that requires silence, conformity, or “approved boundaries” isn’t advocacy at all. It’s gatekeeping. 📄 Read the full article: pilotsforhimsreform.org/?page=pmhc-adv… #PilotMentalHealth #HIMS #AviationSafety #MentalHealth

Transparency matters at all stages, at all times. P4HR has submitted a formal response to the FAA’s HIMS Program Support Services RFI — the process that shapes who runs HIMS, how it’s governed, and what safeguards exist. Our submission calls for: • reduced conflicts of interest • real data governance & auditability • outcome-based KPIs • broader advisory representation • clear accountability These aren’t abstract issues. HIMS decisions impact medical certification, careers, and safety culture. We’re publishing both the FAA RFI and our full submission so the people affected can see how decisions are made. 👉 Read it here: pilotsforhimsreform.org/?page=p4hr-faa… Transparency isn’t optional. It’s essential.

Nearly 900 strong — and growing. Across social platforms, private groups, and email subscribers, Pilots for HIMS Reform now connects with nearly 900 supporters. These aren’t vanity numbers. They represent aviation professionals and allies who are paying attention — many quietly, deliberately, and with good reason. We published a new article breaking down what this growth really means and what comes next for the movement: 👉 pilotsforhimsreform.org/?page=movement… This work has largely been sustained by leadership sacrifice alone — and that’s not sustainable. If transparency, fairness, and accountability in aviation medicine matter to you, support helps us keep showing up where it counts.

HIMS Articles — a centralized library of 80+ HIMS-related articles and reports, organized and easy to browse. 🔗 pilotsforhimsreform.org/?page=hims-art… #HIMS #AviationSafety #PilotAdvocacy #Transparency

HIMS reform ≠ anti-doctor. That framing misses the real issue. What we’re seeing across pilots and air traffic controllers is an educational and structural gap where roles, authority, and liability aren’t clearly defined — exposing participants and medical professionals alike. The P4HR Act explicitly protects clinicians: • Clearer guardrails • Defined roles • Reduced unintended liability • Alignment with modern medical standards After 50+ years without meaningful updates, reform isn’t radical — it’s responsible. Clarity is safety. Collaboration is reform. Read our latest article ⬇️ pilotsforhimsreform.org/?page=reform-r…