New York Times 'A'

CALIFORNIA — The Trump administration announced several cuts to federal and state health programs this week, including $12 billion in funding to help states deal with emerging health crises and the elimination of 10,000 Department of Human Services employees. In California, the federal grants represent state and local funding that supports respiratory virus monitoring, testing and response, immunizations and vaccines for children, and health disparities efforts, California Department of Health Director and State Public Health Officer Dr. Erica Pan told Patch in a statement. "This funding supports the public health work and data systems improved during the pandemic that helped California fill gaps in its existing public health infrastructure, including ongoing response to COVID-19 disease and other respiratory and vaccine-preventable diseases that require similar resources," she said. Those funds, allocated during the COVID-19 pandemic will stop immediately, according to the story first reported by NBC News. The action cancels an $11.4 billion grant from the Centers for Disease Control and Prevention and around $1 billion from the Substance Abuse and Mental Health Services Administration. “No additional activities can be conducted, and no additional costs may be incurred, as it relates to these funds,” the notices said. Pan said DPH is "working to evaluate the impact of these actions." "All Californians deserve to live in healthy and thriving communities, which is the role of public health. CDPH remains committed to seeking the resources required to support the critical, lifesaving infrastructure needed to keep people healthy and protect them against infectious disease, vaccine-preventable diseases and health emergencies," she said. The cuts to states were a prelude to sweeping changes to the Department of Human Services. On Thursday, the Trump administration said about 10,000 HHS employees would be laid off under Health Secretary Robert F. Kennedy Jr.’s planned agency reorganization, a move which the administration said will save taxpayers $1.8 billion per year. HHS oversees 13 agencies, including the Centers for Disease Control and Prevention, Food and Drug and Administration, and the National Institutes of Health. Kennedy said the 28 divisions within the 13 agencies overseen by HHS will be consolidated into 15 to eliminate duplications of work. “We will eliminate an entire alphabet soup of departments, while preserving their core functions by merging them into a new organization called the Administration for Healthy America or AHA,” Kennedy wrote on X. About 2,400 CDC employees will be cut. Divisions that will be eliminated include those focused on global health, domestic HIV prevention, and prevention from injury, such as gun violence, NBC News reported. When combined with HHS’ other efforts, the restructuring results in a total downsizing from 82,000 to 62,000 full-time employees, according to a news release announcing the cuts. The cuts are in addition to the 10,000 people who took buyout offers and left on their own after President Donald Trump took office. Those cuts are on top of what is expected to be a wave of public health staff layoffs across the country as federal grant funding is cut off. “We aren't just reducing bureaucratic sprawl. We are realigning the organization with its core mission and our new priorities in reversing the chronic disease epidemic,” Kennedy said. “This Department will do more – a lot more – at a lower cost to the taxpayer.” As part of the makeover, Kennedy plans to create a new division, the Administration for a Healthy America, which will be known by the acronym AHA, the news release said. “The reality is that, when we take funding away from public health systems, the systems just do not have the capacity, because they’re chronically underfunded over the decades,” said Dr. Umair Shah, who served as Washington State’s health secretary until January, told The New York Times.» Mehr auf patch.com

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