AXIOS March 31, 2025
Tina Reed

Health and Human Services Secretary Robert F. Kennedy Jr. says sweeping layoffs and restructuring in the department will bring order to a bureaucracy he claims is in “pandemonium.” But experts say the overhaul also likely gives him far greater control over dozens of federal health agencies.

Why it matters: HHS has long functioned like a decentralized behemoth, with key decisions on hiring, grant funding, and public health priorities often in the hands of career staff and scientists.

The big picture: Along with cutting more than 10,000 jobs, HHS last week unveiled a plan centralize all human resources, IT, procurement and policy decisions, moving administrative control away from individual divisions.

  • Central to this restructuring is the creation of the Administration...

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