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Colorado and other states ask judge to reverse deep cuts to U.S. Health and Human Services

HHS is one of the governmentap costliest federal agencies, with an annual budget of about $1.7 trillion

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)
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)
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Attorneys general in Colorado, 17 other states and Washington, D.C., are challenging cuts to the agency, saying the Trump administration’s has destroyed life-saving programs and left states to pick up the bill for mounting health crises.

The lawsuit was filed in federal court in Rhode Island on Monday, New York Attorney General Letitia James said. The attorneys general from Arizona, California, Colorado, Connecticut, Delaware, Hawaii, Illinois, Maine, Michigan, Maryland, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Vermont, Washington, Wisconsin and the District of Columbia signed onto the complaint.

Health Secretary . restructured the agency in March, eliminating more than and collapsing 28 agencies under the sprawling HHS umbrella into 15, the attorneys general said. An additional 10,000 employees had already been let go by President Donald Trump’s administration, according to the lawsuit, and combined the cuts stripped 25% of the HHS workforce.

“Since its founding, HHS has worked to protect and advance the health and well-being of all Americans. Under Secretary’s Kennedy’s recent restructuring, that mission is in jeopardy, with Colorado and other states harmed by the undermining of the agency’s statutory mission to address HIV/AIDs and other infectious diseases, the devastation of its capacity to address behavioral health issues like the opioid crisis, and the destabilization of the Food and Drug Administration,” Colorado Attorney General Phil Weiser said in a statement. “We are suing to stop the reckless dismantling of HHS and protect the health and security of Coloradans.”

Kennedy has said he is seeking to streamline the nation’s public health agencies and reduce redundancies across them with the layoffs. The cuts were made as part of a directive the administration has dubbed “.”

HHS is one of the governmentap costliest federal agencies, with an annual budget of about $1.7 trillion that is mostly spent on health care coverage for millions of people enrolled in Medicare and Medicaid.

James, who is leading the lawsuit, called the restructuring a “sweeping and unlawful assault” that would endanger lives.

“This is not government reform. This is not efficiency,” James said during a press conference Monday.

have resulted in laboratories having limited testing for some infectious diseases, the federal government not tracking cancer risks among U.S. firefighters, early childhood learning programs left unsure of future funds and programs aimed at monitoring cancer and maternal health closing, the attorneys general say. Cuts at the Centers for Disease Control and Prevention also have hampered states’ ability to respond to one of the largest measles outbreaks in recent years, the lawsuit says.

“This chaos and abandonment of the Departmentap core functions was not an unintended side effect, but rather the intended result,” of the “MAHA Directive,” they said. They want a judge to vacate the directive because they say the administration can’t unilaterally eliminate programs and funding that have been created by Congress.

The restructuring eliminated the entire team of people who maintain the federal poverty guidelines used by states to determine whether residents are eligible for Medicaid, nutrition assistance and other programs. A tobacco prevention agency was gutted. Staff losses also were significant at the Substance Abuse and Mental Health Services Administration.

The Trump administration is already facing other legal challenges over cuts to public health agencies and research organizations. A coalition of 23 states filed a federal lawsuit in Rhode Island over the administration’s decision to cut for COVID-19 initiatives and across the country.

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