Attorneys general in 19 states and Washington, D.C., are challenging cuts to the U.S. Health and Human Services agency, saying the Trump administration's massive restructuring 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 Robert F. Kennedy Jr. restructured the agency in March, eliminating more than 10,000 employees 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.
“In its first three months, Secretary Kennedy and this administration deprived HHS of the resources necessary to do its job,” the attorneys general wrote.
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, “ Make America Healthy Again.”
HHS is one of the government's 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.
The cuts 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 Department’s 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 last month over the administration's decision to cut $11 billion in federal funds for COVID-19 initiatives and various public health projects across the country.
This story has been updated to correct that the lawsuit is filed in federal court in Rhode Island.
FILE - The U.S. Department of Health and Human Services is seen in Washington, April 16, 2025. (AP Photo/Jose Luis Magana, File)
FILE - U.S. Health and Human Services Secretary Robert F. Kennedy, Jr speaks during a Make Indiana Healthy Again initiative event in Indianapolis, April 15, 2025. (AP Photo/Michael Conroy, file)
EAGAN, Minn. (AP) — Harrison Smith's 14th year as a steadying presence and energizing force in the secondary for the Minnesota Vikings has hardly been smooth.
The undisclosed health-related matter that sidelined him during training camp was a major setback to his conditioning, putting him in catch-up mode for most of the first half of the season. The Vikings defense was more vulnerable than usual over those early games, too.
Then with the offense struggling through the developmental process with quarterback J.J. McCarthy, the Vikings stumbled through November to drop to 4-8 and precipitate their elimination from playoff contention.
But lately?
“I’ve been playing football a long time,” Smith said after Minnesota's victory over the Detroit Lions on Christmas Day, “and I have not had fun like that in my whole career.”
Smith received the NFC Defensive Player of the Week award for that performance in his 206th regular-season game, after logging three passes defensed, two tackles for loss, one sack and one interception. He last won that award in 2018.
With career totals of 21½ sacks and 39 interceptions, Smith is just the second player in NFL history to hit those marks, behind Pro Football Hall of Fame member Ronde Barber, who had 28 sacks and 47 interceptions. Smith is also one of four players all time, with Barber, Brian Dawkins and Charles Woodson, to total at least 50 tackles for loss, 100 passes defensed and 200 regular-season games played. Smith (202) also trails only Jim Marshall (270) and Mick Tingelhoff (240) on the team’s all-time list for career starts.
Following the interception against the Lions, Smith was feted on the sideline in a circle of his teammates. He was the recipient of multiple ovations from the U.S. Bank Stadium crowd. Afterward, as Smith tried to sum up what that experience meant to him, his voice cracked several times before he had to pause to compose himself.
“The fans here have never experienced a Super Bowl. They always show up, and for them to keep showing up ... it just shows how much they love the team, how much they love everything that goes into it," Smith said. “We’re out of the playoffs, and everybody shows up in white. They do their part, and one of these days they’ll get it.”
The scene sure felt like a farewell. But so did Smith's emotional postgame remarks after the Vikings were ousted from the playoffs last season.
Could he envision himself returning for a 15th year?
“I can’t speak on that right now. I’m a very much in-the-moment type of guy,” Smith said.
Vikings coach Kevin O'Connell, who has forged a close relationship with the six-time Pro Bowl safety, has made no secret of his desire to keep Smith in place.
Defensive coordinator Brian Flores has turned over some of the play-calling and decision-making to Smith on the field before and after the snap, and an increased emphasis on blitzing in recent weeks has paid plenty of dividends.
"He has an unbelievable feel of the system. He has an unbelievable feel of what ‘Flo’ and the defensive staff really want to do, and he’s out there playing a game within the game,” O’Connell said. “It’s been spectacular to watch. It’s been awesome from my perspective to watch what he’s able to do at this point in his career mentally, and then physically he’s making a lot of plays as well.”
The uncertainty about next season for the defense stretches beyond Smith, with other expensive veterans facing the possibility of being released for cost savings with the Vikings projected to be well over the salary cap approaching the 2026 league year.
Then there's Flores, whose contract will soon expire, making him a free agent. Though his landmark discrimination lawsuit against the NFL that’s still in the court system nearly four years later continues to loom over any interviews he gets for head coach openings, there's also an opening for another club to try to lure him away with a break-the-bank offer for a lateral move.
O'Connell said this week that he doesn't anticipate such a scenario playing out and hopes to have him as long as he can before he's hired again as a head coach.
“I love Minnesota. I love this team. I love working for and with K.O.," said Flores, who was head coach of the Miami Dolphins from 2019-21 and joined the Vikings in 2023. "This place has shown me a lot of love, and I show them right back, and so I don’t know how much more there is to it. From a football standpoint, it fits. There’s always a, let’s call it, business part of this. But the football all lines up. We’ll just see where it all goes.”
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Detroit Lions quarterback Jared Goff (16) throws under pressure from Minnesota Vikings safety Harrison Smith (22) during the second half of an NFL football game, Thursday, Dec. 25, 2025, in Minneapolis. (AP Photo/Bruce Kluckhohn)
Minnesota Vikings defensive coordinator Brian Flores stands on the sideline before an NFL football game against the Detroit Lions, Thursday, Dec. 25, 2025, in Minneapolis. (AP Photo/Bruce Kluckhohn)
