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On April 17, 2020, Shalala was appointed by House Speaker Nancy Pelosi to serve on the COVID-19 Congressional Oversight Commission to oversee the implementation of the CARES Act.

Shalala was sworn in as a member of the 116th United States Congress on January 3, 2019. She is the oldest freshman member of the House.

On December 18, 2019, Shalala voted to impeach President Donald J. Trump.

When Shalala ran for the US Congress in 2018, her candidacy was opposed by local environmentalists for her part in the sale of the UM pine rocklands site. Cully Waggoner, VP of the Pine Rocklands Commission, stated, ""She can't be trusted, and now she is running for Congress. How much more damage can she inflict on Miami?" Al Sunshine, a former TV news reporter and member of the Miami Pine Rocklands Coalition, wrote, "we want to let her know what WE THINK of her actions to sell off the UM South Campus to be bulldozed for more urban sprawl...For years we tried reaching out to her on this issue. For years, she ignored us."

In March 2018, Shalala declared her candidacy in the Democratic primary for Florida's 27th congressional district. The district voted overwhelmingly for Clinton in the 2016 presidential election, but its House seat was held by 30-year incumbent Republican Ileana Ros-Lehtinen.

In an interview with WFOR-TV, Shalala stated that she supported universal healthcare coverage, but opposed a Medicare For All single-payer healthcare system because she believed that individuals who liked their current employment-based healthcare plans should be able to keep them. On August 28, 2018, Shalala won the Democratic five-candidate primary over state Representative David Richardson. The outcome of the race was substantially closer than polling predicted, which had her leading consistently by double digits. She won with 31.9 percent of the vote, vs. 27.5% for Richardson.

Shalala left the Clinton Foundation in April 2017 to return to her full-time teaching position at UM; she was replaced by her former HHS deputy Kevin Thurm.

Shalala led the Clinton Foundation during the 2016 presidential election, in which Hillary Clinton was a leading candidate and the propriety of the foundation's activity came under scrutiny. In a September 14, 2016, interview on MSNBC, Shalala admitted that there was “no question” that donors to the Clinton Foundation had been given “courtesy appointments” in the State Department while Hillary Clinton ran that department. Shalala oversaw the termination of the Clinton Global Initiative during her tenure as CEO, as well as other reductions in operations intended to avoid conflicts of interest if Clinton won the election. She resisted calls by The Washington Post and USA Today to shut down the foundation entirely, arguing that "there are human beings around the world who would be affected by these decisions."

In 2015, Shalala took a leave of absence from her tenured professorship at UM to volunteer for the Clinton Foundation. She followed her tenure as president of the University of Miami with being named chief executive officer of the Foundation. According to The New York Times, Chelsea Clinton helped persuade Shalala to leave the Miami position, move to New York and head the foundation. Shalala maintained a home in Miami and taught part-time at UM while heading the foundation in New York.

Following a September 2015 Clinton Global Initiative event held at the Sheraton New York, Shalala fell ill. It was subsequently reported by a foundation statement that she had suffered a stroke. As of early 2018, she claimed to have "totally recovered."

On September 8, 2014, Shalala announced that she would be stepping down at the end of the 2014–2015 academic year.

Shalala next served as chancellor of the University of Wisconsin–Madison (1988–1993). At the time of her chancellorship, the university included 42,000 students, employed 16,500 people, and had an annual budget of $1 billion. She was the first woman to lead a Big Ten Conference school, and only the second woman in the country to head a major research university.

In 2013, the University of Miami sold 88 acres of undeveloped Pine Rocklands, one of the last remnants of the imperiled habitat in Miami Dade County outside of Everglades National Park, to Ram Realty Services, for $22 million. The Miami New Times described this amount as "a complete steal for the developer in light of the relative worth of nearby property." Also in 2013, Ram Realty and Lennar Corp, worked on at least one project together in North Carolina.

After the end of the Clinton administration in 2001, Shalala became president of the University of Miami (UM). She created a UM fundraising campaign called "Momentum," designed to raise UM's endowment from approximately $750 million to $1 billion; the goal was later increased to $1.25 billion by the end of 2007. In February 2012, the University of Miami announced Momentum2: The Breakthrough Campaign for the University of Miami, with $906 million already raised at the time of the public launch. On October 26, 2012, UM announced that Momentum2 hit the $1 billion mark, on track to reach the fundraising goal of $1.6 billion in 2016.

On January 20, 2012, the Chronicle of Higher Education reported that Shalala had been paid almost a half-million dollars in 2010 to serve on the boards of three companies, two of which were run by UM trustees. She served on the board of Lennar Corp,, a development company, from 2001-2012. When she left Lennar, the company reported it was to avoid a "conflict of interest." Lennar's CEO, Stuart Miller, had joined the UM Board of Trustees in 2002. Shalala rejoined Lennar in 2017 after she was no longer President of the University.

On June 19, 2008, Shalala was awarded the Presidential Medal of Freedom by President George W. Bush. In 2010 she received the Nelson Mandela Award for Health and Human Rights. She was inducted into the National Women's Hall of Fame in Seneca Falls, New York in 2011. In 2014, she was recognized by the Harry S Truman Library and Museum with the Harry S Truman Legacy of Leadership Award. In 2019, Shalala was announced as one of the members of the inaugural class of the Government Hall of Fame.

In the fall of 2007, Shalala was inducted into UM's Iron Arrow Honor Society.

On March 6, 2007, President George W. Bush named Shalala and Bob Dole to head a presidential commission called the President's Commission On Care for America's Returning Wounded Warriors. The commission was formed in response to a growing outcry over the care of wounded outpatient soldiers.

Shalala faced some criticism for her response to a nationally publicized custodial workers' strike at the University of Miami, which lasted from February 28, 2006, until May 1, 2006. Critics called UM's custodial workers among the lowest paid university-based custodians in the nation and alleged they were not earning a living wage. The strike prompted Shalala to raise wages. Shalala was also criticized for living in luxury while the custodians did not have health insurance. Shalala criticized union organizer's tactics, including a sit-in that she said prevented students from attending classes.

Shalala served as President of the University of Miami, a private university in Coral Gables, Florida, from 2001 through 2015. Previously she was the President of Hunter College from 1980 until 1988 and chancellor of the University of Wisconsin–Madison from 1988 to 1993. Shalala also served as Trustee Professor of Political Science and Health Policy at the University of Miami, and was President of the Clinton Foundation from 2015 to 2017. She was elected to the U.S. House of Representatives in the 2018 election, in a district which includes just over half of Miami as well as many of its eastern suburbs.

Shalala is currently serving on the Board of Directors of the United States Soccer Federation. Shalala served as a member of the board of directors of Lennar Corporation from 2001–2012. She served on the board of directors of Gannett Company from 2001 to 2011, retiring because of age limits. The Chronicle of Higher Education has reported on the conflict of interest of Shalala sitting on boards of property development companies.

Shalala served in this role for all eight years of his administration, becoming the nation's longest-serving HHS secretary. In 1996, Shalala was the designated survivor during Clinton's State of the Union address.

Following a year serving as chair of the Children's Defense Fund (1992–1993), Shalala was nominated in 1992 by President-elect Bill Clinton for the position of United States Secretary of Health and Human Services. The Washington Post labeled her "one of the most controversial Clinton Cabinet nominees". Her nomination went before the Senate Finance Committee in January 1993. At the start of her tenure, the Department of Health and Human Services employed 125,000 people and had a budget of $539 billion.

In 1985, Shalala became a founding member of EMILY's List, a political action committee that seeks to elect pro-choice Democratic women to office. Shalala served from 2001–2007 on the board of the Albert Shanker Institute, a small, three-member staff organization named for the former head of the American Federation of Teachers. She is an honorary board member of the American Iranian Council, an organization that seeks to promote closer U.S. relations with Iran. She served on the board of directors for Gannett Company.

Shalala's first experience with academic administration came on October 8, 1980, when she became the tenth president of Hunter College, serving in this capacity until 1988.

Shalala began her teaching career as a political science professor at Baruch College (part of the City University of New York), where she also was a member of the American Federation of Teachers union. In 1972, Shalala became a professor of politics and education at Teachers College, Columbia University, a post she held until 1979. In 1975, Shalala became the only woman on the Municipal Assistance Corporation, a group tasked with saving New York City from a financial crisis. Concurrently, from 1977 to 1980, she served as the assistant secretary for policy development and research at the U.S. Department of Housing and Urban Development during the Carter Administration.

Shalala attended West Technical High School where she was the editor of the school newspaper. She received a bachelor's degree in 1962 from Western College for Women. From 1962 to 1964, she was among the first volunteers to serve in the Peace Corps. Her placement took her to Iran where she worked with other volunteers to construct an agricultural college. In 1970, she earned a Ph.D. from the Maxwell School of Citizenship and Public Affairs at Syracuse University in Syracuse, New York.

Shalala ran against Republican candidate Maria Elvira Salazar, a popular anchorwoman for Miami Telemundo outlet WSCV, in the general election. Shalala's campaign emphasized her experience and sought to tie Salazar to President Donald Trump, who was unpopular in the district. The race proved closer than expected, in part because Shalala does not speak Spanish; the 27th district is over 63 percent Latino. As late as a month before the election, polls showed Shalala either behind or practically tied with Salazar. However, Shalala won the election at the age of 77, making her the second-oldest freshman Representative in history after James B. Bowler who was elected at the age of 78 in 1953. Her victory returned the seat to the Democrats for the first time since the death of longtime congressman Claude Pepper in 1989.

Donna Edna Shalala (Arabic: دونا إدنا شلالا ‎; /ʃ ə ˈ l eɪ l ə / shə-LAY -lə; born February 14, 1941) is an American politician and academic serving as the U.S. Representative for Florida's 27th congressional district since 2019. A member of the Democratic Party, she previously served as the 18th United States Secretary of Health and Human Services under President Bill Clinton from 1993 to 2001.