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[quote=Anonymous]Email from HHS: Personnel cuts, centralization of functions, and consolidation of HHS divisions, including: • 82,000 full-time employees reduced to 62,000 • 28 divisions consolidated to 15 • 10 regional offices consolidated to 5 • Human Resources, Information Technology, Procurement, External Affairs, and Policy will be centralized. Re-organization of major OP/DIVS that focus on streamlining operations and centralizing administrative functions: • FDA will decrease its workforce by approximately 3,500 full-time employees. This reduction will not affect drug, medical device, or food reviewers, nor will it impact inspectors. • The CDC will decrease its workforce by approximately 2,400 employees. The Assistant Secretary for Preparedness and Response (ASPR) will move under CDC to enhance coordination of response efforts. This move will add 1,000 personnel to CDC rolls reducing CDC personnel cuts to only 1,400. • The NIH will decrease its workforce by approximately 1,200 employees by centralizing procurement, human resources, and communications across its 27 institutes and centers. • CMS will decrease its workforce by approximately 300 employees, with a focus on reducing minor duplication across the agency. This reorganization will not impact Medicare and Medicaid services. New Organizations include: • The Administration for a Healthy America (AHA). AHA will consolidate the OASH, HRSA, SAMHSA, ATSDR, and NIOSH, to coordinate chronic care and disease prevention programs and harmonize health resources to low-income Americans more efficiently. Divisions of AHA include Primary Care, Maternal and Child Health, Mental Health, Environmental Health, HIV/AIDS, and Workforce, with support of the U.S. Surgeon General and Policy team. • The Assistant Secretary for Enforcement will provide oversight of the Departmental Appeals Board (DAB), Office of Medicare Hearings and Appeal (OMHA), and the Office for Civil Rights (OCR) to combat waste, fraud, and abuse. • The Office of Strategy (OS) will combine the Assistant Secretary for Planning and Evaluation (ASPE) and Agency for Healthcare Research and Quality (AHRQ). This new organization will conduct research that informs the Secretary’s policies and evaluates the effectiveness of the Department’s programs for a healthier America. • The critical programs within the Administration for Community Living (ACL) that support older adults and people of all ages with disabilities will be split across the Administration for Children and Families (ACF), Assistant Secretary for Planning and Evaluation (ASPE), and Centers for Medicare and Medicaid Services (CMS). [/quote]
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