A little known federal agency I spend more than $ 12 billion every year It was confused by the Trump administration’s staff fuzzy to support community health centers, addiction treatment services and human resources initiatives for the most necessary people in the United States.
Carole Johnson previously led the Health Resources and Services Administration, Carole Johnson, said, “The cut is a bit surprising.She has left the agency in January, and the employee cuts are reduced, clinic, non -profit organizations, and non -profit organizations and non -profit organizations. It explained as a “great threat” of the ability of an institution that can distribute billions of dollars in subsidies nationwide.
According to the KFF Health News analysis, about one quarter of HRSA has been left in February (analysts, auditors, scientists, subsidies managers and nursing consultants).
Headquartered in the streets of Rockville, Maryland, headquarters, headquartered in the building of the glass office, the institution hired about 2,700 employees in early 2025, and employees manage thousands of projects nationwide to provide funds for primary medical providers, HIV/AIDS prevention, mother and childcare program, rural hospital education and labor hospital education. I worked behind the scenes to monitor.
HRSA’s subsidies on the ground New Mexican rural motherFund support personnel Education for native nurses in South DakotaAnd we supported a healthy start program for pregnant women and babies. In the same place as a country Georgia.
Ryan Alcorn, co -founder and chief executive of Grantexec, a company that helps the organization to raise and apply for funds, says that all the benefits of HRSA’s funding programs say: “If the safety net fails, the hospital is overwhelming, unpaid costs, and the premium rises for everyone.”
Some HRSA leaders who contacted the staff confirmed the size of the cuts estimated by KFF Health News. Johnson thinks the actual number of workers is bigger.
More than 700 workers were fired or left from February to the end of June. The analysis is based on the data of the HHS EMPLOYEE DIRECTORY, which does not contain workers who do not contain the listed employees, and may not be the exact number of worker lists in the flux.
Johnson, a senior researcher at Century Foundation, said that certain programs will be removed from several other employees interviewed with KFF Health News, but they are concerned that if the employee decreases, it can affect the ongoing program supervision. Johnson said, “If two people remain in HRSA, they will work for 24 hours to get the money out.”
For one or more programs It was released at a tense moment In July, Capitol Hill’s money to help low -income and minority students has already stopped. university. university. Scholarship program for disadvantaged students, It was established through the parliamentary lawThe school helped students to be a dentist, doctor assistant, midwives and nurses. All of them lack supply in rural areas and some urban areas. Candice Chen, an associate professor of HRSA’s health manpower, confirmed that the agency had “canceled competition.”
When Diana Degette (D-colo.) Was canceled by the Trump administration, Chen stopped for a while before he said.
When asked about the canceled funds, the officials of several schools refused to comment. Patrick Gonzales, a spokesman for the Texas-Rio Grande Valley University, sent an e-mail through an e-mail that the school “helps students explore this transition to clarity and treatment.”
US Senator Angela Alsobrooks (D-MD.) Demanded the resignation or dismissal of the resignation of Robert F. Kennedy Jr.
Almost A. in April 12 Democrats HRSA pointed out that it is a “primary organization that improves access to health care for the vulnerable population,” and sent a letter to Kennedy for answering mass launches.
HHS did not respond to the letter of the Senator. Kennedy and the Ministry of Health and Welfare said, “We refused to answer the basic questions about the reason why we carried out mass launch in this office.”
President Donald Trump The proposed accounting 2026 budget removes HRSA. Some programs including rural hospital subsidies, human resources education, Ryan White HIV/AIDS program and children’s emergency medical services. HRSA spokesman Andrea Takash said HHS said, “We are doing organizational changes that support various goals while ensuring the continuity of essential services.”
HRSA continues to deal with new funds and awards for health centers, human resources programs, children and mothers and health initiatives, and “many of our important programs and services”.
HRSA’s largest State State supports thousands of community health centers. Serve for more than 33 million people National. Before the end of September, the subsidies of the institution will still pay billions of dollars to health clinics and other organizations nationwide.
Celli Horstman, a senior researcher at Health Research Nonprofit, said Celli Horstman said that the funding was supported by the support of “many segmentation”, which could be more monitored to the health center. Horstman said that HRSA’s financing, which includes the section 330 subsidies, is “open” at the federal health center nationwide.
Additional 42%of the health center funds come from the Federal and State Insurance Program Medicaid, a federal and main insurance program for people with low income and disabled, she said. Congress recently voted to reduce Medicaid.
Joe Stevens, a spokesman for the Virginia Community Healthcare Association, is a health center (Health Center), which is an administrative problem faced with Medicide cuts when dealing with HRSA subsidies since February He said he was thinking about how to do business. Virginia’s health clinic is treated by about 400,000 people every year, Stevens said.
“This is a system that has been in place for more than 50 years, and this is the first time there is a problem in getting funds,” he said.
STEVENS said, “Our health center lacks employees, so it is more time for someone to enter the information every two weeks.
For several months, HRSA employees in all departments worked through the change in the technical system when employees left their jobs and shifted to others. Workers continued to handle subsidies despite the February administrative order. Freeze the federal funds And A March announcement HHS will dismiss 10,000 workers and close the entire organ, including HRSA.
One employee said at this point, “What you are doing now is to keep lighting.”
Michael Warren, who left the institution in June, ran HRSA’s parent and child health. Warren described the reduction of the staff of the country as “real”. The country included a program in which a trained staff worked with a family of young children, including a program that awarded more than $ 666 million subsidies between October 1, 2024 and July 22, 2025, and provided block subsidies for the state and funded for home visit programs.
Warren, the chief medical and health manager of Dimes’ march, said, “The United States is facing a crisis, one of the most dangerous places in the world to give birth among other high -income countries.
Warren sheds tears and said, “I wake up every morning and work all day and think about what I can do for my mother, children and family every night.”
methodology
In this article, KFF Health News Health and human service directory Posted online. We compared the number of employees and types of employees listed in HRSA in February with employees in early July. Our employees exclude people listed as interns, colleagues, student trainees or volunteers. This directory is not the official number of HRSA staff, but it offers detailed snapshots for trends so far. Reporters also crossed the estimates with former employees.
We want to talk to the current and former staff of the Ministry of Health and Human Services. (415) 519-8778 or Contact here.
