Tag Archives for LeadingAge

House Lawmakers Must Not View Aging as a Partisan Issue

Published in RINewsToday on March 30, 2026

The Leadership Council of Aging Organizations (LCAO), representing 69 national groups dedicated to the well-being of seniors, is urging Congress to support H. Res. 1013, a bipartisan resolution introduced by Reps. Seth Magaziner (D-RI) and Maria Elvira Salazar (R-FL), which would reestablish the Permanent House Select Committee on Aging (HSCoA). Reestablishing this  committee strengthens House congressional oversight, crucial for meeting the needs of a growing older population.

The original HSCoA served as the House’s investigative panel to spotlight aging issues until 1993, when it was dismantled at the end of the 102nd Congress as part of a budget reduction that cut $1.5 million in funding. From 1974 to 1993, the committee fostered bipartisan collaboration to address a myriad of issues affecting older Americans, expanding its membership from 35 to 65 as its political influence grew.  While the House allowed its committee to expire over 30 years ago, the U.S. Senate continues to operate a Special Committee on Aging.

Today’s aging policy challenges now demand bipartisan solutions and comprehensive, coordinated action. The reestablishment of the HSCoA is a necessary, nonpartisan step to addressing these urgent policy needs.

Working Closely with Standing Committees

“Jurisdiction over many programs affecting seniors is spread across multiple standing committees, making it difficult to fully address problems that do not fit neatly into one category,” said Max Richtman, president of the National Committee to Preserve Social Security and Medicare and chair of LCAO. “The nation faces intergenerational challenges, including increasing strain on family caregivers and a persistent retirement security crisis, which demand forward-looking solutions. A select committee with broad jurisdiction is uniquely positioned to address these issues.”

In a March 16 LCAO endorsement letter, Richtman emphasized that a reestablished committee would be active and engaged—holding field hearings, convening teleconferences, and incorporating community perspectives directly into policymaking.

Support from LCAO’s member organizations underscores that the passage of H. Res. 1013 is a national priority, not a narrow concern. As Richtman noted, the nation’s largest aging coalition is calling for the immediate reinstatement of the House Aging Committee.

Reestablishing the committee would also restore balance to Congress’s approach to aging policy, notes LCAO’s endorsement letter. In recent years, the Senate’s Special Committee on Aging has played a vital bipartisan role in highlighting issues such as elder abuse, scams and fraud, high prescription drug costs, the impact of COVID-19, financial pressures on retirees, and the growing crisis of social isolation. The House lacks a comparable legislative panel—an absence that becomes more significant as the population continues to age.

Without a dedicated body to examine the full scope of aging policy, critical issues risk fragmentation, oversight gaps, and delays. In the past, HSCoA hearings provided a forum for bipartisan debate and dialogue, helping bridge philosophical political divides and enabling standing committees to advance informed legislative solutions.

On January 21, 2026, lawmakers introduced H. Res. 1013 and referred it to the House Rules Committee. As of this writing, the resolution remains in committee, awaiting hearings, markup, or a floor vote.

“It is too hard to be a senior in the United States, and Congress has a responsibility to do more for today’s growing population of older Americans and future generations,” said Rep. Magaziner, the bill’s primary sponsor. “Reestablishing the Select Committee on Aging would create a dedicated forum to address these challenges and help ensure Americans can retire with dignity.”

“America’s seniors built this country, and they deserve more than gratitude—they deserve action,” added Rep. Salazar, an original cosponsor. “From rising health care costs to housing and long-term care, their challenges are too important to be buried in bureaucracy. This committee would provide focus, coordination, and accountability, and deliver meaningful solutions so seniors can live with security and purpose.”

As a cosponsor, Rep. Gabe Amo (D-RI) supports bringing back the HSCoA.  “With rising costs, threats to Medicare, Medicaid, and Social Security, and scams targeting older Rhode Islanders, it is essential that we deliver real solutions for America’s seniors,” says Amo.

As Co-Chair of the Stop Scams Caucus, Rep. Amo introduced the STOP Scams Against Seniors Act to ensure investigators have the resources needed to protect seniors from losing their life savings and to help them retire with dignity. “I supported reestablishing this committee in the 118th Congress, and I remain committed to elevating the voices of seniors in the legislative process,” he says.

Can a Bipartisan Proposal Pass in a Divided House?

“AARP supports exploring the restoration of a House Aging Committee to help encourage bipartisan dialogue and elevate issues important to older adults,” said Debra Whitman, AARP’s chief public policy officer.

AARP Board Member Bob Blancato, former staff director of the House Subcommittee on Human Services, highlighted the strategic importance of AARP’s backing. “AARP’s support gives bipartisan weight to the resolution and can motivate lawmakers across the aisle to consider it,” he said.

Blancato called restoring the committee a “sound policy decision,” noting that the growth of the older population makes action urgent. “The sheer increase in the number of older adults since 1993 is reason enough,” he said, pointing out that the oldest baby boomers are now turning 80. “President Donald Trump, the oldest sitting president in U.S. history, turns 80 on June 14, 2026,” he added.

He also noted that a single vote in 1993 eliminated HSCoA and several other committees as part of an effort led by House Democratic leadership to reduce government spending. Blancato suggested the resolution could pass in today’s Republican-controlled House if lawmakers see it as politically advantageous, adding that Rep. Salazar, a Republican, could play a key role in building support.

Still, Blancato acknowledged uncertainty about how effective a modern version of the committee might be. “It’s a dicey question—it depends on the issues they take on,” he said. However, he emphasized that a reestablished committee could play a crucial role by holding hearings on Social Security reform proposals from both parties.

Rep. Magaziner’s effort to secure a Republican cosponsor reflects the kind of thoughtful, collaborative leadership our country needs—especially as America’s older adult population continues to grow at an unprecedented rate, says aging advocate Vincent Marzullo, a former federal civil rights and social justice administrator. “By working across party lines, he is helping to refocus national attention on a myriad of pressing challenges facing older Americans,” he says.

“Rep. Magaziner’s bipartisan initiative also underscores a shared commitment to dignity, respect, and opportunity for seniors, adds Marzullo, who serves on the Congressman’s senior advisory council, calling a bipartisan approach a constructive path to addressing the needs of aging communities nationwide.

Robert Weiner, former chief of staff of the HSCoA under the late Chairman Claude Pepper (D-FL), now director of an ongoing op-ed writing group recruiting young journalists, which won the National Press Club President’s Award, noted that similar resolutions have been introduced in six previous congressional sessions. He said bipartisan support—including from Rep. Salazar, a member of the House Problem Solvers Caucus—could improve the resolution’s chances for passage.

However, Weiner argued that attracting Republican cosponsors should not be difficult. “Historically, Republicans have received strong support from older voters,” he said. “Bipartisan sponsorship should help overcome partisan resistance,” he believes.

Given that Rep. Salazar is a Republican member of the bipartisan Problem Solvers Caucus, Weiner agrees that it is now time to urge the Problem Solvers Caucus to endorse and become cosponsors of H. Res. 1013. “The Aging Committee has always been bipartisan, with House leaders including not only Pepper and  Ed Roybal (D-CA)as chairs, but supportive ranking minority members, including then House members — later Senators — Charles Grassley (R-IA), William Cohen (R-ME), and John Heinz (R-PA),” notes Weiner. He added that the passage could depend on political timing. “It can and should be a shared victory,” Weiner said. “If not this year, then next year.”

A Call for Support

It is time for the Tallahassee, Florida–based Claude Pepper Foundation to step forward and formally endorse H. Res. 1013. The Foundation’s mission—to advance the ideas, values, and public policy legacy of the late Sen. Pepper, ensuring they remain part of contemporary American discourse—aligns directly with the purpose of this bipartisan resolution.

At its core, the Foundation educates federal and state policymakers and advocates for initiatives that enhance the quality of life for all Americans. H. Res. 1013 embodies that commitment. Endorsing this measure would not only honor Sen. Pepper’s legacy but also reinforce the Foundation’s leadership in shaping policies that address the needs of a growing aging population.

The bipartisan Problem Solvers Caucus, established in January 2017 as an outgrowth of the No Labels organization, was created to foster cooperation across party lines on key policy issues. Nearly evenly divided between Democrats and Republicans, the caucus has demonstrated that consensus-driven policymaking is both possible and necessary.

During the 119th Congress, the Problem Solvers Caucus endorsed 12 legislative proposals. Notably, however, none directly addressed aging programs or services. As an original cosponsor of H. Res. 1013, Rep. Salazar is well-positioned to urge the caucus’s co-chairs—Representatives Brian K. Fitzpatrick (R-PA) and Tom Suozzi (D-NY)—along with their colleagues, to make this resolution their 13th endorsed proposal.

Addressing the needs of older Americans should never be viewed as a partisan issue. Reestablishing the House Select Committee on Aging is a practical, bipartisan step that lawmakers from both parties can and should strongly support.

Restoring the committee is essential—not only to revive a once-vital congressional institution, but also to ensure that today’s Congress is now equipped to meet the evolving needs of the nation’s rapidly aging population.

LCAO member organizations endorsing H. Res. 1013 include AARP, Justice in Aging, CWI Works, Inc., Alzheimer’s Association, Village to Village Network, Gerontological Society of America, Network of Jewish Human Service Agencies, Meals on Wheels America, International Association for Indigenous Aging, APWU, Retirees Department, Service Employees International Union (SEIU), PHI, LeadingAge, Aging Life Care Association, National Adult Day Services Association (NADSA), Post Acute and Long Term Care Medical Association, National Academy of Elder Law Attorneys (NAELA), National Committee to Preserve Social Security and Medicare (NCPSSM), National Council on Aging, USAging, Mairead Painter, CT State Long Term Care Ombudsman,  National Adult Protective Services; and National Association of Nutrition and Aging Services Programs (NANASP), among others.

Read the full resolution here https://www.congress.gov/bill/119th-congress/house-resolution/1013/text

Rep. Magaziner’s one-minute floor statement calling for the passage of H. Res. 1013 – see it here: https://youtube.com/watch?v=IygZGcwnFPg&si=MLAAdY6QctiXd1TF

To read LCAO’s endorsement of H. Res. 1013, go to https://www.lcao.org/wp-content/uploads/2026/03/LCAO-Chairs-Letter-Endorsing-H.-Res.-1013.pdf.

Trump’s Big Bill, Big Promises – But a Bust for Seniors

Pubished in Blackstone Valley Call & Times on July 8, 2025

After 48 relentless days of political maneuvering—marked by cajoling, backroom bargaining, strategic threats, and last-minute incentives to win over stubborn holdouts—President Donald Trump finally got his wish: Congress passed his prized “One Big Beautiful Bill” (H.R. 1), which he triumphantly signed into law on July 4, 2025.

On May 22, 2025, the House narrowly approved the sweeping 900-page bill by a vote of 215–214–1. Every House Democrat opposed the measure. Two Republicans, Reps. Thomas Massie (R-KY) and Warren Davidson (R-OH), joined the opposition, while Freedom Caucus Chair Andy Harris (R-MD) voted “present.” Two GOP lawmakers did not vote.

What’s In the Bill: Tax Breaks Up, Safety Nets Down

The legislation extends the 2017 individual tax cuts and adds new deductions for tips, overtime pay, auto loan interest, and “Trump Accounts” for children. It raises the SALT deduction cap to $40,000 for five years, increases the child tax credit, imposes a remittance levy, and taxes college endowment income.

On the spending side, H.R. 1 raises the debt ceiling by $5 trillion, slashes over $1 trillion from Medicaid and Medicare, expands work requirements for  Supplemental Nutrition Assistance Program (SNAP) recipients, and allocates $150 billion each to defense and border enforcement—boosting ICE funding to over $100 billion by 2029.

Senate Republicans spent more than five weeks reviewing the House bill’s provisions to comply with the Byrd Rule, walking a tightrope between deficit hawks and moderates. After a marathon “vote-a-rama” that saw 46 amendment votes (only six of which passed), the Senate approved the bill 51–50 on July 1, with Vice President J.D. Vance casting the tie-breaking vote.

The reconciliation process allowed the Senate to pass the bill with a simple majority rather than the standard 60-vote threshold. When the bill returned to the House Speaker Mike Johnson and President Trump personally lobbied holdouts, linking support to other legislative priorities and negotiating procedural rules. Early on July 3, the House adopted the Senate version in a 218–214 vote, with only Reps. Brian Fitzpatrick (R-PA) and Thomas Massie (R-KY) voting with Democrats. The bill was sent to the White House and signed into law the following day.

Despite Republican praise, public reaction to Trump’s “One Big Beautiful Bill” has been largely negative. A KFF Health Tracking Poll found that 64% of Americans view H.R. 1 unfavorably, compared to 35% in support.

President Trump and GOP leaders hailed the bill as a historic conservative win that fulfills “America First” promises—cutting taxes, slashing regulations, boosting border security, promoting energy independence, and reducing federal spending. “This is a major victory for hardworking families,” said Rhode Island GOP Chair Joe Powers in a statement, praising the bill for delivering middle-class tax relief and real border control.

But Congressman Gabe Amo (D-RI), representing Rhode Island’s 1st Congressional District, sees it differently and warns of the devastating consequences to aging programs and services.

“Trump’s big, ugly bill” shows that Republican lawmakers, following Trump’s marching orders, voted for “the largest theft in American history to further enrich the richest among us,” he says.

“Simply put, because of this horrific legislation, Americans will be poorer, sicker, hungrier, and further away from economic opportunity,” says the Rhode Island Congressman.

Deep Cuts and Dire Warnings from Aging Advocates

SACRI Policy Advisor Maureen Maigret emphasized the need for swift action in Rhode Island, stating, “It is crucial for the Secretary of the Executive Office of Health and Human Services to promptly convene the advisory group outlined in Section 8 of the state’s FY 2026 budget bill.”

“For years, SACRI has worked to ensure a balanced system of long-term services—supporting quality nursing home care, expanding access to affordable home and community-based services, and collaborating with the Office of Healthy Aging and other aging advocacy groups to promote healthy aging,” says Maigret.

SACRI, a statewide coalition advocating for older Rhode Islanders, has partnered with other organizations to make significant strides in these areas, according to Executive Director Carol Anne Costa. “We cannot allow this progress to be reversed, especially as older adults are the fastest-growing segment of the state’s population,” Costa says.

“We have sent a letter to Secretary Charest requesting that SACRI be included in the advisory group established by Article 8 of the state’s FY 2026 budget bill.”

Now accounting for nearly 20 percent of the total population, the number of Americans age 65 and older is steadily increasing.

“Make no mistake: this harmful, cold-hearted bill will wreak havoc on our country’s fragile aging services infrastructure—at a time when demand for the Medicare and Medicaid-supported services it delivers is growing,” warns Katie Smith Sloan, president and CEO of LeadingAge.

“This legislation deals a significant blow to a core element of our country’s social safety net: Medicaid,” adds Sloan, emphasizing that the consequences “will not be pretty.”

She further warns, “Due to the level of deficit this bill will create, Medicare payments to providers may be reduced by 4% for the next ten years.”

According to Sloan, the bandaids included in H.R. 1—such as freezing (but not reducing) nursing home provider taxes and creating a rural health transformation fund, both touted as protections for older adults and aging services providers—will soon prove ill-equipped to prevent the bill’s damage. As states begin to grapple with budget shortfalls caused by reduced federal Medicaid contributions, the suffering, she says, will begin.

Max Richtman, President & CEO of the National Committee to Preserve Social Security and Medicare, warned that 16 million Americans may lose health coverage, and millions more could lose access to food assistance. He stressed the bill’s devastating effects on the 7.2 million seniors dually enrolled in Medicare and Medicaid and the 6.5 million older adults who rely on SNAP benefits.

“These beneficiaries are some of the most vulnerable members of our society — and Republicans have put them at risk in order to pay for another tax cut mainly for the rich,” he says.

AARP: Safety Nets Shredded, Protections Undermined

Although AARP expressed strong opposition to many provisions in the reconciliation bill, the organization did support several key measures. These included increased investment in affordable housing through the Low-Income Housing Tax Credit, raising the additional senior standard deduction to $6,000, and expanding the Section 45S tax credit for paid family and medical leave.

Executive Vice President Nancy LeaMond criticized the bill’s cuts to Medicaid, ACA Marketplace coverage, and food assistance, calling them particularly harmful to older adults, rural residents, and family caregivers. She emphasized that over 17 million Americans aged 50 and older rely on Medicaid to remain in their homes and manage chronic health conditions.

“This is a moment to strengthen—not weaken—the supports that help people stay in their homes, access needed health care, and live with dignity and independence,” said LeaMond, representing nearly 38 million members nationwide.

She stressed that AARP remained strongly opposed to Senate provisions that would slash Medicaid, Marketplace coverage, and food assistance, making it harder for older adults to get by.

“More than 17 million Americans age 50 and older rely on Medicaid as a critical safety net to stay in their homes, manage chronic conditions, and afford long-term care,” says LeaMond. “By limiting how states fund their Medicaid programs, the new law threatens health care access—particularly for people in rural and underserved areas and through safety-net providers,” she adds.

LeaMond also expressed concern over delayed implementation of nursing home staffing standards, which are estimated to save 13,000 lives annually, and provisions allowing drug companies to continue charging high prices for certain orphan drugs—even while selling the same medicines overseas at far lower costs.

AARP opposes H.R. 1’s new burdens that could cost people their health care or food assistance when they are unable to work due to age discrimination, caregiving responsibilities, or chronic illness. “This will only make it harder for many older adults to access needed health care and to put food on the table,” she says.

She also warns that the new SNAP cost-sharing formula could shift billions in expenses to state budgets, forcing states to restrict eligibility, reduce benefits, or withdraw from the program entirely.

Finally, AARP strongly opposed the bill’s 10-year moratorium on state and local regulation of artificial intelligence (AI), arguing that it undermines consumer protections in employment, housing, and health care—leaving older adults more vulnerable to harm from biased or untested AI systems.

For additional information on H.R. 1’s impact on senior programs and service, visit: aarp.org/advocacy/fight-senate-cuts-medicaid-snap
aarp.org/advocacy/support-budget-bill-tax-proposals

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