FACT SHEET: Trump, Musk, & RFK Jr. Hollow Out HHS, Threatening Americans’ Health and Wellbeing
Trump carries out mass firings across HHS and subagencies today
ICYMI: Murray, Former Health Department Leaders, Sound Alarm on Trump and RFK Jr. Gutting HHS
ICYMI: Murray, DeLauro, Baldwin Demand Answers on RFK Jr.’s Plans to Gut HHS
Washington, D.C. – Today, U.S. Senator Patty Murray (D-WA), Vice Chair of the Senate Appropriations Committee and a senior member and former chair of the Senate Committee on Health, Education, Labor, and Pensions (HELP), responded to the Trump administration’s mass firings across the Department of Health and Human Services (HHS) and its many subagencies, which are responsible for protecting Americans’ health and delivering essential health and social services.
“Today, two billionaires are making good on their vow to take a wrecking ball to the Department of Health and Human Services and put Americans’ health and wellbeing at serious risk–and Republicans are letting them,” said Senator Murray. “These firings make a lot of sense if you believe measles spreading like wildfire is good–or think we should be slashing cancer research. While Republicans work to pass more tax breaks for billionaires, Trump, Musk, and RFK Jr. are ripping essential health services away from the American people and decimating our country’s ability to prevent outbreaks and keep families safe. There’s no two ways about it: this is the type of carelessness that gets people killed.”
Late last week, Secretary Robert F. Kennedy Jr. announced plans to unilaterally push out 20,000 HHS employees (a ~25% reduction) and to dramatically reorganize and hollow out the Department–in clear violation of annual spending laws, including the one that Congress passed and was signed into law just weeks ago.
On Monday, Senator Murray led a letter to Secretary Kennedy demanding more information about the sweeping, devastating plans–noting that if this administration is truly committed to transparency, as it claims to be, and is confident its drastic plans will protect Americans’ health, it should be eager to share basic information about them. Thus far, however, the administration has provided no additional details to Congress or the public about its mass firings and reorganization.
This morning, thousands of health officials woke up to emails notifying them that they were being fired. In addition to the mass firings, HHS says it will eliminate 5 of 10 regional offices, trim 28 divisions into 15, and consolidate and move essential functions to other agencies.
Since taking office, Trump, Musk, and RFK Jr. have taken a sweeping array of actions to halt HHS’ essential, lifesaving work and diminish its capacity to keep families healthy. It has systematically choked off lifesaving medical research, and just last week, Trump ripped away resources communities nationwide are using to address bird flu, measles, the fentanyl epidemic, the mental health crisis, and more.
FOOD AND DRUG ADMINISTRATION (FDA)
The FDA protects Americans' health by ensuring the safety and effectiveness of medicines, biologics, and medical devices–and regulating food, cosmetics, and tobacco products.
The Trump administration announced last week it will cut 3,500 employees at the FDA. It has now pushed out senior leaders across the agency focused on food, drug, and medical device policy, as well as the head of the Center for Tobacco Products and the head of the Center for Biologics Evaluation and Research. Among the thousands of FDA staff fired by the Trump administration are experts who manage the review of new applications for drugs, vaccines, and medical devices–which will delay approval of new, potentially life-changing products that patients are counting on. Others reportedly pushed out include veterinary medicine experts working on bird flu preparedness and response, the top Type 1 Diabetes expert, and regulatory staff focused on negotiations on User Fee Agreements that fund some of FDA’s work–among many others.
“Americans depend on the FDA every time they sit down for a meal or pick up a prescription–but that’s no matter: Trump and Musk are hollowing out the agency and putting their health at risk. Let’s be crystal clear: there’s nothing strategic about firing thousands of people who inspect our food and ensure our prescriptions and babies’ formula are safe. While they work overtime to pass more tax breaks for themselves, Trump, Musk, and RFK Jr. are insisting on senseless cuts to all but destroy FDA, jeopardizing Americans’ safety and leaving patients waiting longer for lifesaving drugs to get to market,” said Senator Murray.
CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)
CDC is charged with protecting the American people from health threats, including infectious diseases like measles and bird flu.
The Trump administration announced plans to force out 2,400 employees at CDC.
Today, scores of CDC staff woke up to emails notifying them they are being fired. This includes mass reductions in force across most CDC centers, which will prevent the critical work CDC is responsible for from being carried out. Staff were fired en mass across CDC offices for domestic violence prevention, Smoking and Health, HIV prevention, Tuberculosis elimination, disability and health, childhood lead poisoning, asthma control, among many others. Trump has even reportedly fired the entire team focused on assistive reproductive technology like IVF–despite his wild claims to be the “fertilization president.”
The Trump administration has also reportedly fired nearly two-thirds of the CDC National Institute for Occupational Safety and Health (NIOSH) staff, or nearly 900 people. The Trump administration is now, for example, apparently working to shutter the CDC NIOSH Spokane Research Laboratory in Washington state, firing dozens of workers today who study how to protect workers’ health and safety on the job, particularly those in fields like mining, the maritime industry, and firefighting, where workers face elevated risks.
“Decimating the CDC is a great way to make our communities less safe and less prepared to respond quickly and effectively when diseases–like measles and bird flu–put lives and livelihoods in danger. When the next pandemic hits and America is unprepared, it will be thanks to Donald Trump and Republicans destroying our public health infrastructure. Decimating the agency that helps prevent workplace injuries and illnesses is a slap in the face to workers across America–and will threaten the safety of firefighters, miners, construction and agricultural workers, and so many others while on the job,” said Senator Murray.
NATIONAL INSTITUTES OF HEALTH (NIH)
NIH is the nation’s premier biomedical research agency. Each year, NIH supports biomedical research that produces life-changing and, in many cases, lifesaving treatments and cures.
The Trump administration has already pushed out top experts, scientists, and senior leadership, well over 1,100 NIH employees, and systematically choked off billions of dollars in NIH funding for new treatments and cures for devastating diseases like Alzheimer’s and cancer.
Now, it is firing even more NIH scientists and staff–including veterans and more than 1,300 additional employees as of this afternoon–decimating the agency. President Trump and RFK Jr. are pushing out senior NIH leadership, including Institute and Center Directors at the Fogarty International Center (FIC), the National Institute of Allergy and Infectious Diseases (NIAID), the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), the National Human Genome Research Institute (NHGRI), the National Institute of Nursing Research (NINR), and the National Institute on Minority Health and Health Disparities (NIMHD).
“Since taking office, Trump has systematically worked to break the NIH–he’s taking patients’ hopes for new treatments and cures and throwing them right in the shredder. These sweeping firings at NIH will set back our efforts to discover medical breakthroughs that save lives by decades. And they won’t just delay research, they will halt clinical trials in their tracks and cut patients off from care,” said Senator Murray.
CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS)
CMS helps ensure over 100 million Americans have access to affordable, high-quality health insurance by overseeing Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), and Affordable Care Act marketplaces.
The agency has long been understaffed and under-resourced, including for essential functions like nursing home safety inspections and protecting Americans from surprise medical bills. Nonetheless, Trump and Musk are pushing even more people out–and jeopardizing Americans’ health care in doing so. Trump announced that 300 employees at CMS will be cut.
“The American people are looking to their leaders to make sure they can get quality, affordable health care–instead, two billionaires are gutting the very agency that helps over 100 million Americans get health care. Undercutting CMS is an attack on Americans’ health care–full stop. Firing the people who keep our systems running, who ensure long-term care facilities are safe, and prevent health care companies from ripping people off makes no sense and will hurt patients nationwide,” said Senator Murray.
INDIAN HEALTH SERVICE (IHS)
IHS is responsible for providing direct medical and public health services to members of federally recognized Tribes, and it is the principal federal health care provider and health advocate for Tribal communities across the country.
IHS is already struggling to provide quality health care to 2.8 million Americans who rely on its services, and the actions being taken by the Trump administration to freeze federal hiring, reduce office space, and reduce the HHS workforce that IHS relies on are making matters worse. Chronic understaffing continues to plague the IHS, and despite some hiring exemptions for doctors and nurses, quality health care can’t be delivered without sufficient administrative personnel at HHS and at IHS hospitals and health clinics.
Adding to the IHS’ staffing struggles, the Trump administration is arbitrarily canceling leases that house IHS administrative offices across all service areas and its medical supply warehouse, which stockpiles and distributes critical medical supplies to all IHS hospitals and health clinics. IHS needs more resources and staffing to fulfill its mission, not less.
“Trump and Musk are leaving the Indian Health Service and our Tribes in the dust–freezing hiring at an already-strapped agency, canceling leases it counts on, and now, gutting essential HHS functions that enable IHS to serve patients. They are breaking government with no idea of what they are doing and no regard for who gets hurt–all while they enrich themselves,” said Senator Murray.
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA)
SAMHSA is charged with improving services and support available to people across the country for substance use disorder and mental health. The agency plays a leading role in tackling the fentanyl and opioid crisis, and it oversees the 988 Suicide and Crisis Lifeline.
The Trump administration has announced plans to eliminate SAMHSA and collapse it into a new “Administration for a Healthy America.” But it has not provided any additional details on its illegal reorganization or how it will ensure SAMHSA’s statutorily-mandated, lifesaving functions would be carried out. Today, the Trump administration made more deep cuts to SAMHSA’s staff, which will result in the agency’s staffing levels being reduced by fifty percent since January–weakening the ability of communities to respond to the mental health and substance use crises.
“Just as we are finally starting to make progress getting opioid overdose deaths to trend down nationally, Trump and Musk have decided to scrap the agency responsible for our national response to the epidemic. These billionaires believe our country can afford to pay for more tax breaks for them but cannot afford to keep up the fight against the opioid epidemic. These chaotic, senseless moves will undermine federal support for all the work our communities on the frontlines are doing to tackle the opioid and mental health crises–and save lives,” said Senator Murray.
ADMINISTRATION FOR CHILDREN AND FAMILIES (ACF)
ACF is responsible for administering a variety of programs to help children and families thrive–including the primary federal child care grant program, Head Start, family violence prevention programs, and Low Income Energy Assistance Program (LIHEAP), among many others.
Today, the Trump administration made deep cuts to the staff responsible for carrying out these programs, threatening the services and essential oversight families count on. The administration also shuttered half of the regional offices for the Office of Head Start, which are charged with ensuring Head Start services delivered to families are high-quality, without any explanation of how it will fulfill its mission and continue serving children and families without these offices or staff. Trump also gutted the Office of Community Services, which administers the LIHEAP program to help low-income individuals and families afford to heat and cool their homes and administers the Community Services Block Grant program, which helps communities nationwide fight poverty.
“While the child care crisis crunches families’ budgets, Trump and Musk are focused on firing the very people who help make sure there are safe, affordable child care options available to families in every part of the country,” said Senator Murray. “Decimating this agency may well mean child care and Head Start centers don’t get the funding they need to keep their doors open, and shuttering regional offices will threaten families’ access to quality and reliable Head Start services. These firings will certainly risk kids’ safety–because that’s what happens when you get rid of the people who monitor centers’ care. These billionaires are ripping the rug out from under families just as they seek to give themselves more tax breaks.”
ADMINISTRATION FOR COMMUNITY LIVING (ACL)
ACL provides unique and critical support to help ensure seniors and Americans with disabilities can live independently and with the same opportunities as others in their communities. ACL programs improve access to health care and long-term care supports, fund essential services like congregate and home-delivered meals and respite care, and invest in essential research and innovation to better support seniors and Americans with disabilities.
The Trump administration announced plans to eliminate ACL in clear violation of annual appropriations law that explicitly funds ACL–and has provided no additional details on how its essential, statutorily-mandated functions will continue without interruptions that seriously hurt seniors and people with disabilities.
Today, Trump gutted ACL, firing scores of staff and leaving the administration of these critical programs in jeopardy.
“Trump and Musk are ripping the rug out from underneath seniors and Americans with disabilities by gutting the agency that helps them get the support they need to not only live independently, but also thrive in their communities,” said Senator Murray.
ADMINISTRATION FOR STRATEGIC PREPAREDNESS AND RESPONSE (ASPR)
ASPR leads our country’s medical and public health preparedness for, response to, and recovery from disasters and public health emergencies–coordinating planning and response for when fires erupt, pathogens like COVID or bird flu emerge, and so much more.
The Trump administration has announced that ASPR will be consolidated into CDC, and today laid off a number of staff, including staff for the Strategic National Stockpile.
“As bird flu rages and measles spreads across the country in an outbreak with little recent precedent, apparently Donald Trump thinks it’s a good idea to destroy the very agency tasked with leading our public health preparedness efforts. Firing this staff puts our economy and our families in serious danger,” said Senator Murray.
HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA)
HRSA is charged with improving access to care for vulnerable and underserved populations. The agency runs critical programs to bolster the nation’s health workforce, improve maternal and child health, support high-quality care in community health centers and Ryan White HIV/AIDS clinics, address rural health needs, modernize the nation’s organ transplant system, and more.
The Trump administration has announced it plans to eliminate HRSA and collapse it into a new “Administration for a Healthy America” but has not provided any additional details on how this reorganization might work and how it will ensure HRSA’s statutorily-mandated functions will be carried out.
Today, the Trump administration reportedly fired hundreds of staff who provide support to the nation’s 1,400 community health centers, which operate more than 15,000 sites serving millions of patients across the U.S. regardless of their ability to pay. Others fired include those working on HRSA’s maternal and child health programs, who oversee states’ block grants and operate the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program to support mothers, children, and families. Staff were also fired from HRSA’s health workforce programs, where they work to engage with communities nationwide to address shortages of doctors and nurses, and provide scholarships and loan repayment for those working in high-need communities.
“It defies logic to get rid of the people who help strengthen our nation’s health workforce, support our nation’s health centers, and work to ensure children grow up healthy. These reckless firings and thoughtless reorganization will set back efforts to improve maternal care, help Americans in rural areas get basic health services, and so much more,” said Senator Murray.
###
Next Article Previous Article