20 State Attorneys General File Lawsuit Against Trump Administration to Reestablish Health Agencies

On Monday, 20 state attorneys general filed a lawsuit against the Trump administration concerning mass shootings and the dismantling of agencies within the Department of Health and Human Services (HHS).

The legal action, spearheaded by New York Attorney General Letitia James, asserts that the administration breached numerous laws and circumvented Congressional oversight by attempting to streamline HHS from 28 agencies to 15, while planning to lay off about 20,000 employees.

James stated, “This administration hasn’t streamlined the federal government. They’re blocking it. If you terminate scientists researching infectious diseases, silence medical professionals caring for pregnant individuals, shut down programs supporting firefighters and miners, or hinder children’s development, you’re not improving America’s health. You’re jeopardizing countless lives.”

The restructuring announcement by HHS came in late March as part of the Department of Government Efficiency’s initiative to reduce the federal workforce. The cuts included layoffs of 3,500 employees from the Food and Drug Administration, 2,400 from the Centers for Disease Control and Prevention, and 1,200 from the National Institutes of Health.

HHS indicated it will establish a new institution, referred to as the Healthy American regime, to take on some responsibilities formerly held by the agencies being dissolved, including programs focused on mental, environmental, or worker health.

Nonetheless, the lawsuit claims that the recent cuts have “severe, complicated, prolonged, and potentially irreversible” effects. The Attorney General emphasized in a press release that the restructuring impaired HHS’s ability to perform critical functions, disrupting mental health and substance abuse services, weakening responses to HIV/AIDS, and diminishing support for low-income families and individuals with disabilities.

Specifically, the Trump administration has let go of staff responsible for maintaining federal poverty guidelines, which are essential for determining food aid, housing assistance, and Medicaid eligibility, as well as reducing teams managing the low-income housing energy assistance program.

Half of the workforce from the Department of Substance Abuse and Mental Health Services—one of the dissolved HHS agencies—has also been terminated. Consequently, the Attorney General reported that national investigations into drug use and health have come to a halt, and the federal team overseeing the 988 suicide and crisis lifeline has vanished.

The CDC has lost multiple labs that track infections, including those focusing on infectious diseases and tobacco control, as mentioned in the release. The team also monitored maternal mortality rates in the U.S. Additionally, the National Institute of Occupational Safety and Health has been disbanded, which previously played a role in screening workers’ health issues related to toxic exposure.

The Trump administration asserts that certain programs, such as the World Trade Center Health Program—which provides screening and treatment for 9/11-related illnesses—and health surveillance initiatives for coal miners will persist under the Healthy American administration. However, many NIOSH employees associated with these programs are facing administrative leave and potential termination by June, as indicated in an internal government memo obtained by NBC News.

The lawsuit filed on Monday demands that HHS dismantle the agency and cease its efforts to restore the vital programs that have been lost.

This lawsuit is not the first to contest the federal government’s downsizing efforts. A coalition of 23 attorneys general previously sued HHS in April over the termination of approximately $11 billion in public health funding. A federal judge temporarily blocked these cuts but has yet to issue a final ruling.