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20 States Sue Trump Administration Over HHS Restructuring and Job Cuts

The lawsuit challenges the legality of the March directive that consolidated agencies, cut 20,000 jobs, and halted critical health services.

Health and Human Services Secretary Robert F. Kennedy Jr. listens during a press conference about Utah's new fluoride ban, food additives and SNAP funds legislation, Monday, April 7, 2025, in Salt Lake City. (AP Photo/Melissa Majchrzak)
Health and Human Services Secretary Robert F. Kennedy Jr. looks on during a press conference about Utah's new fluoride ban, food additives and SNAP funds legislation, Monday, April 7, 2025, in Salt Lake City. (AP Photo/Melissa Majchrzak)
Pedestrians pass the San Francisco Federal building on on 7th Street in San Francisco on April 27, 2023. | RJ Mickelson/The Standard
U.S. Health Secretary Robert F. Kennedy Jr. speaks during a cabinet meeting held by U.S. President Donald Trump at the White House in Washington, D.C., U.S., April 30, 2025.

Overview

  • A coalition of 20 state attorneys general, led by New York's Letitia James, filed a federal lawsuit to block the Trump administration's restructuring of the Department of Health and Human Services (HHS).
  • The lawsuit alleges the administration violated federal law and bypassed Congressional authority by consolidating 28 agencies into 15 and terminating 20,000 employees.
  • Key public health services, including infectious disease tracking, mental health programs, and maternal mortality monitoring, have been severely impacted by the cuts.
  • The administration defends the overhaul as a cost-saving measure, estimating $1.8 billion in annual taxpayer savings, and created a new agency, the Administration for a Healthy America, to absorb some responsibilities.
  • The plaintiffs are asking the Rhode Island federal court to reverse the directive, restore terminated programs, and reinstate affected employees, with no hearing date yet set.