Tag Archives for HHS

HHS Shake-Up Sends Shockwaves Through Aging Network

Published on April 31, 2025

Taking a page from President Donald J. Trump’s to “Make America Great Again,” last week the U.S. Department of Health and Human Services (HHS) announced a major restructuring of the federal agency to “Make America Healthy Again.” The dramatic restructuring in accordance with Trump’s Executive Order, “Implementing the President’s ‘Department of Government Efficiency’ Workforce Optimization Initiative.”

The U.S. Department of Health and Human Services (HHS), under management of HHS Secretary Robert F. Kennedy, Jr., last week announced a major restructuring and renaming of the federal agency under the initiative “Make America Healthy Again.” This dramatic reorganization follows Trump’s Executive Order, Implementing the President’s ‘Department of Government Efficiency’ Workforce Optimization Initiative.

“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,” said HHS Secretary Robert F. Kennedy, Jr. in a statement announcing the massive overhaul. “This Department will do more—much more—at a lower cost to taxpayers.”

“Over time, bureaucracies like HHS become wasteful and inefficient, even when most of their staff are dedicated and competent civil servants,” Kennedy added. “This overhaul will be a win-win for taxpayers and those HHS serves. That’s the entire American public, because our goal is to Make America Healthy Again.”

During the Biden administration, HHS’s budget increased by 38%, and its staffing grew by 17%, prompting the new HHS chief to place the federal agency on the budgetary chopping block.

According to HHS, this restructuring will not impact critical services while saving taxpayers $1.8 billion per year through a reduction of approximately 10,000 full-time employees. When combined with other cost-cutting initiatives, including early retirement, and the Fork in the Road program, the total downsizing will reduce HHS’s workforce from 82,000 to 62,000 employees.

HHS also plans to streamline departmental functions. Currently, the agency’s 28 divisions contain redundant units. Under the restructuring plan announced on March 27, 2025, these units will be consolidated into 15 new divisions, including a newly created Administration for a Healthy America (AHA). Additionally, core organizational functions—such as Human Resources, Information Technology, Procurement, External Affairs, and Policy—will be centralized. The number of regional offices will be cut from 10 to five.

As part of the restructuring, several agencies will see workforce reductions. The U.S. Food and Drug Administration (FDA) will cut approximately 3,500 full-time employees, focusing on streamlining operations and centralizing administrative functions, though HHS asserts these reductions will not affect drug, medical device, or food reviewers, nor inspectors.

Similarly, the U.S. Centers for Disease Control and Prevention (CDC) will downsize by approximately 2,400 employees, refocusing its efforts on epidemic and outbreak response. The National Institutes of Health (NIH) will eliminate 1,200 positions by centralizing procurement, human resources, and communications across its 27 institutes and centers. Meanwhile, the Centers for Medicare and Medicaid Services (CMS) will cut around 300 positions, targeting minor duplication within the agency. HHS insists these changes will not impact Medicare or Medicaid services, but improve them.

Restructuring HHS to Focus on Chronic Illness Prevention

HHS’s overhaul aligns with the agency’s new priority of ending America’s chronic illness epidemic by focusing resources on ensuring safe, wholesome food, clean water, and the elimination of environmental toxins.

The Administration for a Healthy America (AHA) will consolidate five agencies—the Office of the Assistant Secretary for Health, the Health Resources and Services Administration, the Substance Abuse and Mental Health Services Administration, the Agency for Toxic Substances and Disease Registry, and the National Institute for Occupational Safety and Health—into a single entity. This unification aims to enhance health resource coordination for low-income Americans, emphasizing primary care, maternal and child health, mental health, environmental health, HIV/AIDS, and workforce development.

Additionally, the Administration for Strategic Preparedness and Response, responsible for national disaster and public health emergency response, will be transferred to the CDC to strengthen its core mission of protecting Americans from health threats.

To combat waste, fraud, and abuse, HHS will create a new Assistant Secretary for Enforcement, overseeing the Departmental Appeals Board, the Office of Medicare Hearings and Appeals, and the Office for Civil Rights.

Furthermore, HHS will merge the Assistant Secretary for Planning and Evaluation with the Agency for Healthcare Research and Quality to form the Office of Strategy, enhancing research to inform policy decisions.
Critical programs under the Administration for Community Living (ACL), which supports older adults and people with disabilities, will be integrated into other HHS agencies, including the Administration for Children and Families, the Office of the Assistant Secretary for Planning and Evaluation, and the Centers for Medicare and Medicaid Services (CMS). HHS assures that these changes will not impact Medicare or Medicaid services.

Sounding the Alarm

Following the announcement of HHS’s restructuring plans, which would broad without a lot of detail, aging advocacy groups quickly released statements to voice strong concerns.

“For decades, the federal health programs that retirees and people with disabilities depend on have been ably administered under both Democratic and Republican administrations. However, the radical cutbacks proposed by the Trump administration place the delivery of these programs in jeopardy,” warned Dan Adcock, Director of Government Relations & Policy at the National Committee to Preserve Social Security and Medicare (NCPSSM).

Adcock also noted that HHS plans to eliminate the ALC and divide its responsibilities between two offices with no prior experience in this area. “This administration has already demonstrated a reckless disregard for public interests in favor of slashing operations and staff under the guise of ‘efficiency,’” he added. “So far, all they have done is create chaos and confusion, disrupting essential programs for seniors and the disabled. We view Secretary Kennedy’s plans with alarm.”

Nancy LeaMond, Executive Vice President and Chief Advocacy and Engagement Officer at AARP, also urged HHS to prioritize older Americans’ health needs. “HHS must ensure access to senior centers, community health centers, nutritious meals, Medicare assistance, and other vital services that countless older Americans rely on. Health is central to the lives, well-being, and financial security of AARP’s members and the more than 100 million Americans over age 50,” she emphasized.

Terry Fulmer, PhD, RN, FAAN, President of the John A. Hartford Foundation, echoed these concerns. “The announcement of workforce cuts at HHS comes at a time of unprecedented growth in America’s aging population. The proposed reorganization of ACL and its integration into other agencies requires careful consideration.”

Fulmer stressed that ACL administers programs essential to older adults’ daily lives, such as meal delivery, transportation to medical appointments, and chronic disease management. Absorbing these functions with far fewer staff demands careful planning. The government’s commitment to older adults requires a cautious approach, she said.

The Center for Medicare Advocacy also expressed deep concerns, particularly regarding plans to restructure ACL and consolidate oversight of Medicare appeals. “Given what we have seen with Social Security Administration cuts and restructuring, HHS’s claim that these changes won’t impact critical services rings hollow,” said Co-Director David Lipschutz.

LeadingAge, a national association representing nonprofit aging services providers, called for HHS to ensure older adults and their caregivers are not overlooked. “Cutting staff responsible for critical agency functions raises serious concerns. How will the work our members rely on get done? How will this impact quality care for older adults?” asked President and CEO Katie Smith Sloan.

Sloan also cautioned that reducing HHS’s field offices from 10 to five could impact CMS’s ability to oversee nursing home surveys and provider compliance. “A 25% workforce reduction must be undertaken with extreme care—especially given the millions of older adults who depend on these services,” she emphasized.

For a fact sheet on the HHS restructuring, visit https://www.hhs.gov/about/news/hhs-restructuring-doge-fact-sheet.html

From Detroit to Pawtucket, and back again: The journey of a WWII footlocker

Published on January 13, 2025 in RINewsToday

“There and Back Again.” originating from J.R.R. Tolkien’s The Hobbit, is an expression that means a complete round trip to a place, including the journey back to where you started.

The journey of my late-father’s military olive-green footlocker began last June, after I was notified by a Detroit couple, Michael Shannon and his girlfriend Cetaura Bell, that it had been found cast away on a sidewalk for anyone to claim. The long-lost trunk that I never knew existed, had been stored in a vacant garage for over 60 years, ultimately ended up on my front steps, delivered almost 700 miles by FEDEX from Detroit to Pawtucket.  

Shannon, a 55-year-old retiree of Detroit’s wastewater facility, and Bell, a retired teacher, didn’t have to seek me out to return the footlocker to the family. They could have just kept the vintage military footlocker for use as a coffee table, or could have sold it at a flea market or on eBay.

But they offered to give me my father’s footlocker, as a gift, asking me for nothing in exchange. Shannon told me that he was just glad it could end up with the family of its rightful owner instead of being dumped in a landfill or another stranger’s home.

After the footlocker arrived, I closely examined a faded mailing label on its top.  By enlarging the label, filled out by my father, Lt. Frank M. Weiss, with Photoshop, my graphic designer was able to identify his  Detroit mailing address, 16841 Wildemere Avenue,  (which matched the address in his military records) on the label.  It was like winning a million-dollar lottery. Now I was convinced that this trunk was owned by my father.   

The footlocker, meantime, sat in my basement. Although it was empty when it arrived, I placed a folded American flag, given to my family at my father’s funeral, his military memorabilia, scrapbook of faded photos of his comrades in arms and assigned military bases from his long-ago days during WW II, and military documents for safe keeping.

What a story to share?  

In a crazy world where people don’t care about strangers, but an act of kindness returned a WWII veteran’s lost military footlocker to a family member.  My article, published here, and in the Blackstone Valley Call & Times, detailing Shannon and Bell’s kindness, was picked up by the Cranston Herald, Warwick Beacon, Senior Digest, and then later by Columnist Neal Rubin, of the Detroit Free Press, a Gannet publication, in both their digital and print editions. Then other Gannet papers, including the Providence Journal, the Cincinnati paper and the Indy Star, reprinted Rubin’s column. Perhaps the biggest connection, though, was made Military Reporter, Corey Dickstein, with Stars & Stripes – the US military’s independent news source with a circulation of over 1 million readers, reported on this story.

There and Back Again

After a talk at the Hope Historical Society (HHS) about my father’s footlocker’s return to Rhode Island from a street curb in Detroit (a most appropriate topic for a monthly meeting scheduled around Veterans Day), Fred Faria, a retired professor at Johnson & Wales and one of HHS’s founders, asked me how this footlocker would be protected after my passing away.  Being over age 70, this question induced me to act.

So, I reached out to the Washington, DC-based Smithsonian Institution’s’ National Museum of American History, offering to donate this military heirloom with a unique background story. 

“The footlocker indeed has a wonderful story but at present time this item is outside the scope of our current collecting plan. Might I recommend your state history museum or the National WW II Museum [in New Orleans] as worthy homes for this piece?” said Frank A. Blazich, Jr., PhD., Curator, Military History, Division of Military and Society, responding to my offer.   

Following up Blazich’s referral, this is a response off the New Orleans-based Museum. “We would be happy to have the contents of the footlocker for our collection; however, due to the number of footlockers that we already have and the size of these items, we are not able to accept the footlocker itself,” said Assistant Curator Brandon Daake, Assistant Curator.

 “If you are interested in keeping the footlocker and its contents together to tell one story, I would suggest reaching out to the Michigan’s Military Heritage Museum (MMHM), or another museum in the Detroit area,” suggested Daake, recognizing the fact that my father was a Detroit WW II veteran.

And that I did…

Small military museum takes possession of military footlocker 

After several phone calls, a conversation with Scott Gerych, MMHM’s Chairman, the deal was quickly sealed.  My father’s military footlocker, with its Detroit, Michigan ties, would return to Michigan to become a unique addition to their growing collection of military artifacts.  

In a message left on my Apple iPhone, Gerych, a 25-year veteran who served in the U.S. Army and a noted author, said: I am just dropping a line to say how neat it was to receive your father’s trunk with items from his service in WWII. What a joy! To have it go from Detroit to Rhode Island and now back to Michigan is certainly a great story to tell and to ultimately have it reunited with the items your dad saved from his wartime service is just awesome!”

“We are proud to have received it and will be getting it, all cataloged so we can eventually work it into an exhibit here at the MMHM. We love to see these stories saved and get them out on the public eye for all who are interested to see. Once again, thank you for thinking of us here at the museum,” said Gerych.

From its first home, at the Coe House Museum in Grass Lake, MMHM set up a one-room display showcasing uniforms and original artifacts of veterans highlighting their military service.   

With a growing reputation and growing number of supporters and donations of historical military items, MMHM found a larger home, a 3,300-sf building in Grass Lake. After its five-year lease ran out, the small military museum found new location near the site of Camp Blair, a former 11-acre Civil War Union camp in Jackson. The military camp was an assembly point for  new recruits and a discharging station for soldiers after the war’s end.

The collection of military artifacts grew and in 2021, the 3,600-former store-front in Jackson, Michigan, MMMH, opened its doors (now open half days, four days a week or by appointment.). This permanent location would allow MMHM to showcase thousands of military artifacts and large military vehicles,  including  three military jeeps, a Spanish-American War ambulance wagon,  a WWI Model T ambulance, a replica of a M3 Lee tank and even four cannons.  Specifically: a 1831 6lb cannon from the Mexican War and then used by the Confederates in the Civil War; a WWII German Pak 40, a standard antitank gun; and a WWI US M1905 gun.

Getting MMHM Off the Ground

The idea of starting a Michigan military museum started off with questions posed to a small group of friends who later helped to establish the MMHM.  That is, “what happens to all these individual collections when we are gone?”  Most of the original group were collectors of some type of militaria and all were interested in seeing the stories preserved.

That question was asked in 2013 and their idea would be answered by filing articles of incorporation with the state and later establishing a 501 C 3 nonprofit corporation in 2016.

As the group grew, meetings were held, partnerships created with the local historic society.   After Liam Collins, who was knowledgeable about Michigan history and archaeology and an original member of the group passed away, the group not only preserved the memory of Liam by sharing the stories of the state’s veterans.

According to the nonprofit military museum, its mission is to tell the stories of “Great Lake State” military veterans through interpretive displays of artifacts, pictures, and written and oral histories.  “Our state has currently two aviation museums and a museum dedicated to Medal of Honor Recipients and Astronauts,” says Gerych but nothing for the average service member who sacrificed and endured so much for our freedoms. We will be that institution,” he says.

The museum served as the headquarters for Michigan’s World War I Centennial. During 2019 and 2020, the museum participated in the 75th Anniversary of the end of  WW II.  

The nonprofit’s Board members, all extremely interested in Michigan’s military history brings different skills to the table, says Gerych, noting that one has a master’s  degree in history and museum studies, another is an archivist who has decades of experience, as well as a Distinguished Fellow in the Company of Military Historians. “No one is paid,” he adds, saying that all are actively involved because of their love for history.

Gerych estimates that 5,000 to 8,000 visitors come to see the museums exhibits and learn about the personal history of everyday veterans.  “Our records indicate that these visitors come from more than 30 countries and all 50 states,” he says.

From Detroit to Pawtucket and back again. Now my family’s military heirloom has truly come home to become part of the MMHM’s growing military artifact collection.

Watch a JTV television commercial advertising MMHM. Go to https://www.facebook.com/watch/?v=1079607069959492

For more information about the MMHM, 331 N. Wisner, Jackson, MI 49202, call  (517) 926-6696.  Or email mmhminfo2020@gmail.com.

 

Federal Court denies attempt to stop Medicare drug negotiation program

Published in RINewsToday on November 6, 2023

Over two months ago, as supporters of President Biden’s Inflation Reduction Act (IRA) celebrated the one-year anniversary of the passage of the historic legislation, the U.S. Chamber of Commerce, Pharmaceutical Research and Manufacturers of America (PhRMA), along with drugmakers filed multiple lawsuits to block the IRA’s drug price negotiation provisions.  The drug price negotiation program, created by IRA, allows Medicare to use its bargaining power to negotiate the prices of ten prescription drugs for the first time.

The multiple-filed legal suits came weeks before Sept. 1 when the for Centers Medicare & Medicaid Services (CMS) was scheduled to publish a list of the first 10 drugs that would be subjected to negotiations.  These lawsuits argued that the federal price negotiation program was unconstitutional because it violated the First and Fifth Amendments of the U.S. Constitution, as well as the separation of powers clause, by giving the U.S. Department of Health and Human Services (HHS) discretion over a maximum fair price for any given drug selected for negotiation.  These lawsuits also charge that CMS price controls would force drug makers to pull back on developing new drugs, jeopardizing medical breakthroughs for individuals with life-threatening and chronic illnesses. 

Among the nine lawsuits scheduled to go to trial, one was a motion filed on July 12, 2023 by the Chamber and several of its affiliates in Ohio. This motion requested the court to issue a preliminary injunction to halt the Medicare drug negotiation program from implementation. The ruling came before the Oct. 1, 2023 deadline requiring drugmakers whose pharmaceuticals were selected for negotiations to either sign agreements to participate or to face stiff penalties.  

The U.S. Department of Justice opposed the Chamber’s motion, filing a motion to dismiss its case.  On Sept. 15, 2023, the court held oral arguments giving the  Chamber and the DOJ an opportunity to present their legal arguments in greater detail.  

Overcoming a Major Legal Hurdle 

On Friday, September 29, 2023, U.S. District Judge Michael J. Newman for Southern District of Ohio, denied the Chambers request to block implementation of the newly established Medicare drug price negotiation program before the drug price negotiation talks began.  The ruling called on the Chamber to file an amended complaint by Oct. 13, 2023. DOJ would then have until Oct. 27, 2023 to renew its motion to dismiss.

According to Spencer Kimball of CNBC, legal experts say the pharmaceutical industry hopes to see conflicting rules from lawsuits filed in other federal appellate courts to bring this issue to the Supreme Court for final resolution. 

The Willimantic, Connecticut-based Center for Medicare Advocacy (CMA), a nonprofit group pushing for comprehensive Medicare coverage, health equity and quality of health care for seniors and people with disabilities, is encouraged by Judge Newman’s ruling, which assessed the drug manufacturer’s claims “to be weak in the face of clearly established laws.”

According to CMA, the 28-page court order found that the Chamber and other plaintiffs had demonstrated neither likelihood of success on the merits, nor irreparable harm, which are required for a preliminary injunction.  CMS noted that this case cited “clear” law that “participation in Medicare, no matter how vital it may be to a business model, is a completely voluntary choice.” The court also found that the price established by negotiations cannot be considered ‘confiscatory,’ as the Chamber charges or “a violation of due process, because drug manufacturers can opt out of Medicare entirely.”

Newman’s ruling noted that drugmakers are not compelled to sell drugs at the prices established by the Medicare program and that any economic harm, when the negotiated drug prices take effect in 2026, was too speculative to warrant immediate relief, reported CMS.  However, the court did deny the government’s motion to dismiss the lawsuit entirely, saying that more information on whether the plaintiffs have standing to sue would be beneficial and therefore the judge is allowing for limited discovery to clarify issues related to legal standing, after which the government may renew its motion to dismiss, noted the Medicare advocacy group.

With this ruling, Medicare may move forward with its implementation of its drug negotiation program as this case and others continue to proceed. 

Giving their two cents…

At press time, the Chamber did not respond to a request for comment about the court’s ruling.  But health care and aging advocacy groups issued statements expressing their thoughts about the impact of Newman’s ruling. 

“This is the first major blow to Big Pharma in its legal battles to block the drug price negotiation provisions under the Inflation Reduction Act, says Peter Maybarduk, Public Citizen’s director of the Access to Medicines program.

“The Chamber’s lawsuit lacks merit; the court made the right decision not to grant the injunction, which would have caused needless patient suffering and treatment rationing, notes Maybarduk, calling on drugmakers “to drop their lawsuits and drop their prices.”

“Now, drug companies should agree to participate in the negotiation program in good faith. The program is an important first step in ending the exorbitant prices charged to Medicare enrollees,” adds Maybarduk.

Frederick Isasi, Executive Director of Families USA, happily noted that the Medicare drug negotiation program continues, calling the ruling “a big win for seniors and their ability to purchase life-saving medications. The ability to afford medication is a matter of life and death for millions of older adults. That’s why we are fighting this David and Goliath battle – people deserve to pay a fair price for their drugs and Medicare price negotiation is a critical piece of this puzzle. And let’s not forget each drug subject to fair price negotiation is an old drug that millions of people need and doesn’t have competition,” he notes.

“It never ceases to amaze us that – on one hand – Big Pharma can cry poverty by saying that drug negotiations will hurt their bottom line, while recent earnings reports show they are raking in money hand over fist.  We are glad Judge Michael J. Newman, a Trump appointee in Ohio’s Southern District, saw through this hypocrisy by affirming the Biden administration’s power to begin negotiating the prices of 10 medications with drugmakers,” says Dan Adcock, Director of Government Relations and Policy, of the Washington, DC-based National Committee to Preserve Social Security and Medicare. (NCPSSM).

According to NCPSSM, Drug makers made a whopping $493 billion in revenue from ten drugs that are now subject to price negotiations between CMS and the manufacturer, which have accounted for more than $170 billion in gross Medicare spending, according to a report from the nonprofit, Protect Our Care.

“The court’s decision to allow Medicare drug price negotiations to move forward is welcome news, says William Alvarado Rivera, Senior Vice President for Litigation at AARP Foundation. “Pausing Medicare negotiations would have risked billions of dollars in savings for taxpayers – and countless lives. It is unconscionable that Americans face such high prescription drug costs that many people skip taking medication altogether or must ration it,” he said.

“We’re prepared to fight for as long as necessary to ensure big drug companies can’t charge excessive prices at the expense of patients’ health, says Rivera, noting that the new Medicare negotiation law would bring financial and medical relief to millions of older Americans and their families, and put drugs that treat life-threatening and chronic conditions, from cancer to heart disease, within their reach. Rivera says, “It must not be derailed.” 

Congress has put the breaks to the spiraling costs of pharmaceuticals by giving Medicare the authority to negotiate the price of popular drugs with drug makers.  America’s seniors will continue to suffer financial  hardships and many might even lose their lives by not choosing not to take their costly medications if courts rule in favor of drug companies.  Time will tell.   

U.S. Judge Michael J. Newman ruling denying the U.S. Chamber of Commerce’s request for a preliminary injunction, go to https://www.bloomberglaw.com/public/desktop/document/DaytonAreaChamberofCommerceetalvBecerraetalDocketNo323cv00156SDOh/5?doc_id=X3U600KOGG69QHQBPEU24OS1JMO

A listing of drugmaker revenues of the first ten negotiated drugs, go to https://www.protectourcare.org/by-the-numbers-the-ten-costly-drugs-that-are-now-eligible-to-have-lower-prices-negotiated-by-medicare/