The Department of Health and Human Services (HHS) is set to undergo a significant transformation. The goal is to reduce the workforce by nearly 25%. The changes are part of a broader plan to streamline operations and cut costs.

The HHS workforce will shrink from around 92, 620 employees to about 62, 000. This reduction will happen through layoffs and by leaving vacant positions unfilled. The cuts will affect various agencies within HHS, including the Food and Drug Administration (FDA), the National Institutes of Health (NIH), and the Centers for Disease Control and Prevention (CDC). The FDA will lose 3, 500 jobs, but drug, medical device, and food reviewers, along with inspectors, will be spared. The NIH will see 1, 200 jobs disappear. The CDC will reduce its workforce by around 2, 400 employees, focusing on its core mission of epidemic and outbreak preparedness and response. The Centers for Medicare and Medicaid Services (CMS) will cut approximately 300 employees, aiming to reduce minor duplication. The cuts are primarily targeting administrative positions and roles in high-cost regions.

The department estimates that these changes will save taxpayers $1. 8 billion. The reorganization is expected to be implemented quickly, with some changes happening within 10 days. Unions within HHS have been notified of the imminent layoffs, and employees may receive specific notices as early as Friday, March 28. The entire federal workforce is downsizing, making this a challenging time for HHS. The changes are part of a broader effort to eliminate redundancies and improve efficiency.

Health officials had been preparing for these cuts, which are part of a sweeping restructuring. The changes are being overseen by the White House's Department of Government Efficiency cost-cutting task force. The task force, led by billionaire Elon Musk, has identified significant waste within HHS. One of the major changes is the creation of a new agency called the Administration for a Healthy America (AHA). This agency will consolidate work from several existing agencies, aiming to save money and improve service quality. The AHA will focus on a clear mission to improve the health of Americans and enhance agency morale. The new agency will combine various health priorities under one roof, supported by the U. S. surgeon general.

The reorganization will also affect other agencies within HHS. The Administration for Strategic Preparedness and Response, which oversees tasks like the pandemic stockpile, will be absorbed into the CDC. The Agency for Healthcare Research and Quality will merge with another agency to create the Office of Strategy. The functions of the Administration for Community Living, which supports older adults and people with disabilities, will be moved to other agencies, including CMS. The details of who exactly will be cut from the department remain unclear, and federal health officials have received little guidance beyond the announcement.

HHS Faces Major Overhaul and Job Cuts

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