By Ioana Monica Dorhoi, PhD
March 27, 2025
In a move that could significantly impact the nation’s public health system, the Trump administration has announced plans to cut approximately 10,000 full-time positions from the Department of Health and Human Services (HHS), representing about a tenth of the workforce at federal health agencies. This restructuring aims to streamline operations and reduce costs, with the administration estimating savings of $1.8 billion for taxpayers.
Health and Human Services Secretary Robert F. Kennedy, overseeing the changes, confirmed that these job cuts would include 3,500 positions at the Food and Drug Administration (FDA), 2,400 at the Centers for Disease Control and Prevention (CDC), and smaller reductions at the National Institutes of Health (NIH) and the Centers for Medicare and Medicaid Services (CMS). While these reductions are substantial, the administration has assured that crucial public health functions, such as FDA inspections and CDC infectious disease work, will remain unaffected.
Kennedy acknowledged that this downsizing would be a painful process, as the federal workforce undergoes significant cuts across various departments. In a video announcement, Kennedy emphasized that the restructuring was necessary to eliminate inefficiencies and improve the overall quality of service provided by HHS. He attributed much of the waste within the department to redundant functions, particularly in areas like communications, procurement, and human resources, which have been identified by the White House’s Department of Government Efficiency (DOGE) task force, led by tech entrepreneur Elon Musk.
One of the boldest changes proposed by Kennedy is the creation of a new administrative body called the “Administration for a Healthy America.” This new entity is intended to consolidate several existing agencies and departments under one umbrella, aiming to streamline operations and enhance mission clarity. The new structure will merge the Office of the Assistant Secretary for Health, the Health Resources and Services Administration, the Substance Abuse and Mental Health Services Administration, and other smaller agencies to create a more efficient and focused organization.
Moreover, the Administration for Strategic Preparedness and Response, which was established as a separate agency under the Biden administration to manage pandemic-related tasks, will be absorbed back into the CDC. Other departmental changes will include the merger of the Agency for Healthcare Research and Quality with another agency to form a new Office of Strategy, and the realignment of functions related to older adults and individuals with disabilities under CMS.
Despite these proposed changes, the details about which specific roles or employees will be affected remain vague. Many HHS officials have expressed uncertainty about the full scope of the restructuring, and as of the announcement, there had been little clarity from department leadership on the specifics of the job cuts. This uncertainty has contributed to a tense atmosphere within the department, with health officials on edge about their futures.
In his remarks, Kennedy emphasized that the goal of the restructuring was to cut unnecessary administrative positions while increasing the number of scientists and frontline health providers. He highlighted the importance of aligning HHS with a clear, simple mission to improve American health. The ultimate aim is to ensure that every employee wakes up each day with the mindset of contributing to the restoration of American health.
While the full impact of these changes remains to be seen, the Trump administration’s move to restructure HHS marks a significant shift in how the nation’s health agencies will operate, with a focus on cost-cutting and efficiency. As the reorganization unfolds, it will likely continue to shape the landscape of public health services across the country, with potential long-term effects on the workforce and the delivery of health services to the American public.
