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Employees across the massive U.S. Health and Human Services Department began receiving notices of dismissal Tuesday inan overhaulultimately expected to lay off up to 10,000 people.The cuts include researchers, scientists, doctors, support staff and senior leaders, leaving the federal government without many of the key experts who have long guided U.S. decisions on medical research, drug approvals and other issues.Atthe National Institutes of Health, the worlds leading health and medical agency, the layoffs occurred as its new director, Dr. Jay Bhattacharya, began his first day of work.The revolution begins today! Health Secretary Robert F. Kennedy Jr. wrote on social media as he celebrated the swearing-in of his latest hires: Bhattacharya and Martin Makary, the new Food and Drug Administration commissioner. Kennedys post came just hours after employees began receiving emailed layoff notices.Kennedy announced a plan last week to remake the department, which, through its agencies, is responsible for tracking health trends and disease outbreaks, conducting and funding medical research, and monitoring the safety of food and medicine, as well as for administering health insurance programs for nearly half the country.The plan would consolidate agencies that oversee billions of dollars foraddiction servicesand community health centers under a new office called the Administration for a Healthy America.The layoffs are expected to shrink HHS to 62,000 positions, lopping off nearly a quarter of its staff 10,000 jobs through layoffs and another 10,000 workers who took early retirement and voluntary separation offers. Many of the jobs are based in the Washington area, but also in Atlanta, where the U.S. Centers for Disease Control and Prevention is based, and in smaller offices throughout the country.HHS said the layoffs are expected to save $1.8 billion annually from the departments $1.7 trillion budget, most of which is spent on Medicare and Medicaid health insurance coverage for millions of Americans.Some staffers began getting lay off notices in their work inboxes at 5 a.m., while others found out their job had been eliminated after standing in long lines outside offices in Washington, Maryland and Atlanta to see if their badges still worked. Some gathered at local coffee shops and lunch spots after being turned away, finding out they had been eliminated after decades of service.One wondered aloud if it was a cruel April Fools Day joke.At the NIH, the cuts included at least four directors of the NIHs 27 institutes and centers who were put on administrative leave, and nearly entire communications staffs were terminated, according to an agency senior leader, speaking on the condition of anonymity to avoid retribution.An email viewed by The Associated Press shows some senior-level employees of the Bethesda, Maryland, campus who were placed on leave were offered a possible transfer to the Indian Health Service in locations including Alaska and given until the end of Wednesday to respond.At the FDA, dozens of staffers who regulate drugs, food, medical devices and tobacco products received notices, including the entire office responsible for drafting new regulations for electronic cigarettes and other tobacco products. The notices came asthe FDAs tobacco chief was removed from his position. Elsewhere at the agency, more than a dozen press officers and communications supervisors were notified that their jobs would be eliminated.The FDA as weve known it is finished, with most of the leaders with institutional knowledge and a deep understanding of product development and safety no longer employed, said former FDA Commissioner Robert Califf in an online post. Califf stepped down at the end of the Biden administration.The layoff notices came just days after President Donald Trump moved to strip workers of theircollective bargaining rightsat HHS and other agencies throughout the government.Democratic Sen. Patty Murray of Washington predicted the cuts will have ramifications when natural disasters strike or infectious diseases, like theongoing measles outbreak, spread.They may as well be renaming it the Department of Disease because their plan is putting lives in serious jeopardy, Murray said Friday.The CDC has not provided a breakdown of cuts, but employees in different parts of the organization described to the AP extensive layoffs in programs that track asthma, air pollution, smoking, gun violence, reproductive health, climate change and other health threats.The intent seems to be to create a much smaller, infectious disease agency, but it is destroying a wide array of work and collaborations that have enabled local and national governments to be able to prevent deaths and respond to emergencies, said Dr. Georges Benjamin, executive director of the American Public Health Association.Dr. Tom Frieden, the CDCs director during President Barack Obamas administration, said he is particularly concerned about cuts to the CDCs Office on Smoking and Health and the agencys Global Health Center.Weakening tobacco prevention is a gift to Big Tobacco that would guarantee more addiction, disease, and death, Frieden said, while cuts to the CDCs global disease detection work will cost lives.Among the hardest-hit centers was the CDCs National Institute for Occupational Safety and Health, with more than 1,000 employees. NIOSH is based in Cincinnati but also has people in Pittsburgh; Spokane, Washington; and Morgantown, West Virginia.Cuts were less drastic at the Centers for Medicare and Medicaid Services, where Trumps Republican administration wants to avoid the appearance of debilitating the health insurance programs that cover roughly half of Americans, many of them poor, disabled and elderly.But the impact will still be felt, with the department slashing much of the workforce at the Office of Minority Health, which no longer has a functioning webpage.Jeffrey Grant, a former CMS deputy director, said the office is not part of a diversity, equity and inclusion program, the kind Trumps Republican administrationhas sought to end.This is not a DEI initiative. This is meeting people where they are and meeting their specific health needs, said Grant, who resigned last month and now helps place laid-off CMS employees into new jobs.The Office of Program Operations & Local Engagement, which does local outreach for CMS operations, was also gutted, Grant said.Beyond layoffs at federal health agencies, cuts are beginning at state and local health departments as a result of an HHS move last week to pull back more than $11 billion in COVID-19-related money. Some health departments have identified hundreds of jobs that stand to be eliminated, some of them overnight, some of them are already gone, said Lori Tremmel Freeman, chief executive of the National Association of County and City Health Officials.A coalition of state attorneys generalsued the Trump administrationon Tuesday, arguing the cuts are illegal, would reverse progress on the opioid crisis and would throw mental health systems into chaos.HHS has not provided additional details or comments about Tuesdays mass firings, but on Thursday it provided a breakdown of some of the cuts.__ 3,500 jobs atthe FDA, which inspects and sets safety standards for medications, medical devices and foods.__ 2,400 jobs at the CDC, which monitors for infectious disease outbreaks and works with public health agencies nationwide.__ 1,200 jobs at the NIH.__ 300 jobs at the Centers for Medicare and Medicaid Services, which oversees the Affordable Care Act marketplace, Medicare and Medicaid.Carla K. Johnson, AP medical writerAssociated Press writers Lauran Neergaard, Amanda Seitz and Matthew Perrone, and Mike Stobbe contributed to this report.The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institutes Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
