Health and Human Services

subagencies: CDC, CMS, FDA, NIH

It has not always been easy to identify DOGE’s activities within Health and Human Services. Early coverage following DOGE’s activities at the children of HHS - themselves massive agencies like CDC, CMS and FDA - often missed the forest for the trees. Thankfully, government-supplied declarations in court cases like AFL-CIO vs. DOL have provided details and context. HHS has been a target of every single one of DOGE’s various initiatives. Early cost-cutting efforts eliminated staff at the CDC and the FDA, which also was targeted for deregulation. As the parent of Medicare and Medicaid, CMS was a natural target to be scrutinized for excessive costs, but DOGE has yet to make any wildly unsubstantiated claims there. More recently, DOGE has been using some of the HHS databases to mine for data on immigrants, and their access to the medical claims of millions of Americans should be troubling to all. Health and Human Services is the parent agency for several other important agencies where DOGE has also had a presence: - Centers for Disease Control and Prevention (CDC) do just that for disease response and management. They are headquartered in Atlanta. - Centers for Medicare and Medicaid Services (CMS) administers government-provided healthcare plans for millions of Americans. - Food and Drug Administration (FDA) is primarily responsible for ensuring the safety of many foods (except meat), medications and medical devices. - National Institutes of Health (NIH) are a collection of centers that fund and track research in various medical fields Since DOGE staff have been granted wide access to systems across all these agencies, I have collected them all on this page, but I will still try to track internal transfers.

Positions

Position Date Person
GSA HHS
1/21
1/21 detail to Executive Engineer court doc
HHS
1/27
1/27 appointed Senior Advisor NYT
HHS CDC
1/30
1/30 internal xfer «date guessed from first system access at CDC»
HHS CMS
1/31
1/31 internal xfer «date guessed from first system access at CMS»
HHS
1/XX-1/XX
1/XX-1/XX unknown Senior Advisor - DOGE, Assistant Secretary for Financial Resources ProPublica
DOGE HHS
2/XX-3/04
Left DOGE
2/XX-3/04
Left DOGE
likely detailed «detail started before 2/13»
HHS CMS
2/03
2/03 internal xfer
HHS
2/14
2/14 appointed Chief Information Officer Orange Slices
HHS
2/XX
2/XX likely detailed «assuming a detail from DOGE to HHS» court doc
ED HHS
2/20
2/20 detail court doc
GSA? HHS
2/21
2/21 likely detailed court doc
HHS CMS
c.2/24
c.2/24 internal xfer court doc
HHS NIH
2/24
2/24 internal xfer Wired
HHS NIH
2/24
2/24 internal xfer Wired
HHS NIH
2/24
2/24 internal xfer «date inferred from system access» Wired
HHS NIH
2/24
2/24 internal xfer Wired
HHS FDA
c.2/25
c.2/25 internal xfer «mentioned as meeting with FDA staff in late Feb/early March» court doc
HHS CMS
3/03
3/03 internal xfer
HHS CMS
3/03
3/03 internal xfer «date inferred from access to CMS CALM system»
HHS
3/04
3/04 converted to permanent position Expert/Consultant
HHS
3/04-5/23
Left DOGE
3/04-5/23
Left DOGE
converted to permanent position Senior Advisor
GSA? HHS
3/05
3/05 likely detailed as Executive Engineer «Date verified in court document, assuming detail from GSA» court doc
DOL HHS
3/05
3/05 likely detailed as Executive Engineer «date/source in court filing» court doc
DOL HHS
3/05
3/05 likely detailed as Executive Engineer court doc
HHS CMS
3/05
3/05 internal xfer «Granted access to CMS systems on same day as detail to HHS»
HHS CMS
3/05
3/05 internal xfer «granted access to CMS system on date» court doc
HHS CMS
3/05
3/05 internal xfer court doc
HHS
3/06
3/06 appointed court doc
HHS CMS
3/11
3/11 internal xfer court doc
GSA? HHS
3/14
3/14 likely detailed court doc
GSA? HHS
5/XX
5/XX likely detailed «ProPublica reports he was working on HHS projects, assuming detail from GSA» ProPublica

Systems

System Dates Access
APEX 2/04- A relatively new (~2022) system for tracking procurement at the CDC
BIIS 2/06- Used to track expenditures at HHS
CALM 2/03- System for tracking CMS acquisitions, contracts, milestones and audits.
EHCM 2/03- This system is used at HHS for managing all aspects of human-capital related tasks, including staffing notes and performance plans.
FBIS 2/04- A system for tracking business operations at HHS
Grant Solutions 1/27- A shared-service provider tool for federal agencies to track grants across their entire lifecycles
Grants.gov 2/28- A system run and administered by HHS that is used at 18+ agencies for publishing grants, finding recipients and delivering funds
HCAS 1/29- This appears to be a system used at HHS for tracking acquisition and procurement efforts across the agency.
UFMS 3/18- A department-wide financial management system which supports all of HHS Program Service Center's Accounting Services and reporting
HIGLAS 1/31- A single, integrated dual-entry accounting system that centralizes accounting for CMS programs, including Medicare and Medicaid.
ICE 1/30- A system for tracking contracts at CDC
IDR 2/18- A data warehouse that receives all Medicare claims after they have been approved for payment
eRA 1/27- FIXME
NDNH 3/06-4/18 A system for tracking wages and new hires that's used for child support location
EBS 2/24- Oracle E-Business Suite is a comprehensive suite of applications for finance, order management, logistics, procurement, projects, manufacturing, asset lifecycle, and human capital management.
PMS 1/22- A shared-services program provided by HHS for managing payments for grants
PRISM 2/24- System for tracking procurement and contracting
UAC Portal 3/21- The UC Portal manages all medical (mental and dental health included), educational, and sponsorship information for UC in ORR custody

Events

Agency Date Event
1/28
1/28
CDC managers receive a directive from OPM to classify probationary hires as “mission critical”, working on “strategic priorities” or neither. When one of the CDC’s ten centres responded that all their staff were “mission critical”, higher-ups told set explicit target percentages for each category.
1/30
1/30
Luke Farritor is granted read-only access to the CDC’s Integrated Contract Expert (ICE) system for contracts.
1/31
1/31
Luke Farritor is granted read access to the Healthcare Integrated General Ledger Accounting System (HIGLAS) which centralizes payments for CMS medical claims
February 2025
2/03
2/03
Multiple DOGE staff (Luke Farritor, Rachel Riley, Conor Fennessy and Jeremy Lewin) at CMS are granted read-only access to the CMS Acquisition Lifestye Management System (CALM) which tracks CMS aquisitions and contracts.
2/04
2/04
Luke Farritor is given read access to the CDC’s Acquisition Performance and Execution (APEX) system that tracks procurements at the CDC.
2/05
2/05
The WSJ reports that DOGE staff arrive at CMS HQ and are reportedly granted access to the CALM system, but sources at CMS deny they have access to HIGLAS. (fuzz: DOGE staff first granted access to CALM on 2/3; Luke Farritor has HIGLAS access on 1/31, other staff on 2/5)
2/05
2/05
Despite claims by a CMS spokesperson to the contrary, multiple DOGE staff (Edward Coristine, Marko Elez and Aram Moghaddassi) are granted access to the Healthcare Integrated General Ledger Accounting System (HIGLAS) after arriving at CMS headquarters. This system tracks all payments made by Medicare, among other expenditures.
2/05
2/05
CMS issues a press release stating that two agency veterans have been assigned to work closely with DOGE.
2/06
2/06
DOGE staff reportedly arrive at CDC HQ in Atlanta to request access to health payment systems used at the agency.
2/14
2/14
Rachel Riley conducts a “Planning Touch Base” meeting with senior leadership at CMS.
2/15
2/15
Roughly 750 probationary workers at the CDC receive termination notices sent directly from OPM, in possible violation of federal laws governing the civil service.
2/17
2/17
A senior manager at CDC reports coming back from a meeting to find two men in Tesla shirts leaving her office who said they “fixed” her computer.
2/17
2/17
The head of the medical device safety division at the FDA is fired amid mass layoffs
2/17
2/17
The head of the FDA’s food safety division resigns because of 89 employees being indiscriminately fired in the division.
2/19
2/19
Despite earlier reports of DOGE at the agency, staff at the CIO office at the CDC claim to not have been contacted by DOGE yet. It’s unclear if this is a lie or they have been sidestepped.
2/24
2/24
Amy Gleason is granted read access to the CMS Acquisition Lifestye Management System (CALM), which tracks CMS aquisitions and contracts.
2/24
2/24
Four DOGE staffers are indentified with email addresses linked to NIH. These are Luke Farritor, Rachel Riley, Jeremy Lewin and Clark Minor.
2/24
2/24
Three DOGE staffers – Luke Farritor, Rachel Riley and Clark Minor – are listed as part of the NIH Business System Department. This would grant them access to NIH’s central electronic business system, which includes finance, budget, procurement, a property-management system, and a grant-tracking system
c.2/25
c.2/25
FDA staff conduct a meeting to provide a high-level overview of FDA structures and functions to Clark Minor, the new CIO for HHS. (fuzz: date is just given as late February and early March for meetings)
2/28
2/28
After a federal judge overturns the mass firing of probationary workers, only 180 workers (out of 750) return to work at the CDC.
March 2025
3/XX
3/XX
In a response to a Trump EO on tracking grant, the DOGE team is granted approval by HHS CIO Clark Minor to build an API to retrieved data from the Payment Management System system.
3/03
3/03
Jeremy Lewin is granted read access to the CMS Acquisition Lifestye Management System (CALM) which tracks CMS aquisitions and contracts.
3/03
3/03
DOGE staff attempt to access NDNH, “a system within a broader government database created to help enforce child support payments, which pulls a vast trove of information, including income data linked to nearly all workers,” potentially as an alternative data source for the data they wanted to pull from the IRS. This attempt is refused by agency staff.
3/03
3/03
DOGE lawyer Joshua Hanley’s name appeared in PDF metadata of grant cancellations sent out by the NIH to two researchers working on LGBTQ+-related scientific work.
3/05
3/05
Luke Farritor is granted read access to the Integrated Data Repository (IDR), a data warehouse of all Medicare claims.
3/05
3/05
A second wave of DOGE members detailed to HHS (Edward Coristine, Marko Elez and Aram Moghaddassi) are granted read access to the CMS Acquisition Lifestye Management System (CALM), which tracks CMS aquisitions and contracts
3/05
3/05
Edward Coristine, Zach Terrell, Aram Moghaddassi and Marko Elez are also granted read access to the Integrated Data Repository (IDR), a data warehouse of all Medicare claims.
3/08
3/08
The federal staff who objected to DOGE getting access to NDNH are “no longer with the agency”
c.3/10
c.3/10
DOGE staff meet with career officials at NIH and are adamant that 3000 positions should be terminated. The number does not appear to be derived from any analysis or consultation with NIH senior leadership for what a responsible staffing reduction might be.
3/13
3/13
As later reported in a declaration in AFL-CIO et al. vs. Department of Labor, HHS employee Mark Samburg finds DOGE staff at the agency listed in an online directory as Executive Engineers (and Rachel Riley as a Senior Advisor).
3/20
3/20
Access to purchase cards are restored at NIH for nonemergency purchases, but scientists face a huge backlog in processing orders for supplies.
3/21
3/21
Dorn Carranza, a HHS liasion for DOGE, sends an email at 11am asking for information ASAP on mission-critical systems at the FDA as well as regular status updates on the data collection. Because the FDA CIO was out of office at the time, her CISO hastily submitted a response with his own opinions. This seems to have been what guided RIF selection at FDA, without anybody at DOGE reviewing the information for accuracy.
3/25
3/25
CDC claws back $11.4 billion in funds allocated to various state and community health departments for responding to the COVID-19 epidemic.
3/27
3/27
HHS announces a large reorganization, reducing HHS from 28 to 15 divisions and eliminating 20,000 jobs (or 25% of total). The URL slug of the press release includes the word “DOGE” in it.
3/28
3/28
During an interview, the head of HHS Robert F. Kennedy, Jr. reports that DOGE created the new organizational chart for the agency ahead of mass firings. He also claims “we’re not cutting scientists.” (fact check: misleading)
3/29
3/29
In a legal filing, the DOJ identifies 4 DOGE staffers - Edward Coristine, Marko Elez, Luke Farritor and Amy Gleason - as present at CMS. It omits the names of several other staffers with access to the CALM system.
3/29
3/29
In response to a discovery request made in AFL-CIO vs. DOL, the government provides an incomplete list of DOGE staff who have worked at HHS.
3/29
3/29
In a court declaration in AFL-CIO vs. DOL, counsel for the plaintiffs Alexa Milton provides the names of two DOGE staffers at HHS who were not included in the government’s list of staffers provided as part of legal discovery.
3/31
3/31
A group of DOGE representatives visit the FDA offices in Maryland. As one employee was leaving, a car pulled up with its window down and a young man in a suit shouted at her “This is DOGE and this is your Last Supper!” She received a RIF termination letter the next day.
3/31
3/31
Politico reports that Brad Smith, who crafted the plan to layoff 10,000 staffers within HHS, is facing criticism from other DOGE staffers for attempting to shield CMS from the brunt of the layoffs. His aide, Rachel Riley is accused of being extraordinarily secretive with the plan.
April 2025
4/01
4/01
HHS terminates a large number of staff at CDC in the name of cost savings and realignment, with the HHS director, Robert F. Kennedy Jr., reportedly wanting to focus only on infectious diseases
4/01
4/01
HHS terminates a large number of staff at FDA in the name of cost savings and realignment, the same day as the new head of FDA is sworn in to office.
4/01
4/01
In a group chat within HHS system, Amy Gleason attempts to distance herself from the mass layoffs caused by DOGE by claiming she is just the USDS administrator only and has nothing to do with how the DOGE teams operate.
4/01
4/01
HHS terminates a large number of staff at NIH in the name of cost savings and realignment. This coincides with the new head of NIH being sworn in to office.
4/01
4/01
HHS issues Reduction-in-Force orders for 10,000 employees across many divisions (FDA, CDC, NIH, HHS) in the name of “bureaucratic realignment.” Despite RFK’s promises, the layoffs do include many scientists
4/07
4/07
Newly-appointed director of CMS, Dr. Mehmet Oz, suggests replacing front-line healthcare workers with AI avatars for cost savings.
4/08
4/08
Terminated employees at the CDC report enduring months of DOGE representatives walking around the building looking for nominal work violations (like going to the bathroom but leaving their secure PIV card on their desk) as a pretext to immediately fire people for “security violations.” (fuzz: this might be rumors though)
4/10
4/10
A leaked OMB budget proposal memorandum propose major changes to the discretionary budget for the Department of Health and Human Services. Specifically, it includes cutting that budget by a third and also consolidating various health and safety-related agencies into a new Administration for a Healthy America (AHA) overseen by the HHS Secretary.
4/11
4/11
Luke Farritor uses his admin access to lock out all government officials at multiple agencies from using grants.gov to issue new grants. Instead, all grants must now be sent to a new email address which will be reviewed by DOGE staffers before grants can be posted.
4/12
4/12
Emailing this time from his CFPB account, Jeremy Lewin shares the documentation for the upcoming CFPB RIF with DOGE staff posted at several agencies (Zach Terrell and Alexandra Beynon). He also includes DOGE staff at CFPB: Gavin Kliger, Chris Young and Jordan Wick. It’s unclear if they are representing their individual agencies or are just taking part as DOGE members in the conversation.
4/21
4/21
IT staff at FSA report they were heavily targeted for layoffs despite complying with requests to provide information about critical systems, meaning much more of the FDA infrastructure is at risk of failure
May 2025
5/07
5/07
Representatives from OpenAI are reported to have met with several DOGE associates at the FDA to discuss using AI for drug evaluation work.
5/14
5/14
After rescinding 300 past layoffs, the head of human resources at CDC emails Rachel Riley to share that the plan going forward will be to fire one person for every singer person who returns to the agency.
5/14
5/14
Testifying before a House committee, HHS Secretary Robert Kennedy Jr. described DOGE’s role in their layoffs as “Elon Musk gave us help in figuring out where there was waste, fraud and abuse in the department, but it was up to me to make the decision.”
June 2025
6/02
6/02
NIH staff are forced to send all grant proposals through an AI tool that looks for topics banned by the Trump administration. This includes topics like “DEI, transgender, China, or vaccine hesitancy.” Staff are also ordered to check that medical research grants aren’t being awarded to certain schools like Harvard or Columbia which are seen as enemies of Trump.
6/03
6/03
HHS employees from multiple agencies who were fired in the recent Reduction-in-Force at the agency file a class action lawsuit claiming that the data used for the retention register was fatally flawed and DOGE practiced no due diligence in correcting for that.
6/06
6/06
Several senior staff write a memo to agency leadership reporting that California, Washington and Illinois had cooperated with EO 14243 requesting info on their state’s Medicaid programs. They strenously object to a plan to share this data with DHS, noting that it would violate the privacy act and other laws as well as agency practices, and that it could be used to identify and target immigrant communities in those states.
6/06
6/06
Medicaid staff at CMS are ordered by CMS and HHS leadership to immediately share with DHS data from Medicaid program in certain states that allow non-US citizens to be enrolled. This information could be used by ICE to target and deport immigrants who are legally collecting state benefits.
6/09
6/09
More than 60 employees at NIH sign their names to a public letter condemning the degradation of the agency under the Trump Administration.
6/16
6/16
Citing “heavy workload and limited resources,” the FDA informs a drug manufacturer that it will be unable to meet a deadline to approve a new drug to treat a life-threatening hereditary condition. This is a first-time event for the agency, and some suggest it’s a direct result of DOGE-directed staff reductions at the FDA.
6/26
6/26
In an email to agency partners, the operators of grants.gov declare that the revised mechanism added in April that routed all Notices of Funding Opportunities (NOFOs) through a DOGE email address has been reversed. Instead, agencies are to return to using the tool like that did previously. This doesn’t necessarily mean that DOGE or political appointees will not be reviewing grants, but they have no longer locked other users out of the system.
6/27
6/27
Ruling in the case AFL-CIO v. DOL, Judge Bates determines that he cannot issue a preliminary injunction that would prevent DOGE staffers from accessing sensitive systems at DOL and HHS. DOGE access was never suspended by this case.
July 2025
7/06
7/06
The head of HHS, Robert F. Kennedy Jr., sends a “DEI Whistle-blower Questionnaire” to all staff which is really just a thinly-veiled invitation for federal coworkers to snitch on their colleagues.
7/10
7/10
HHS issues a press release announces that it is cracking down on ensuring that benefits are not being provided to undocumented immigrants, including Head Start among its list of programs that will be receiving greater scrutiny. This policy shift will also likely be used to justify increased information sharing between HHS and ICE.
7/11
7/11
After DOGE imposed its “Defend the Spend” restrictions on reviewing grants, HHS is struggling to review and approve a billion-dollar backlog of delayed grants by the end of the fiscal year in September. This issues have been compounded by mass layoffs, also led by DOGE. Applicants may be forced to apply only within a two-week window and some parts of the agency like the Administration for Children and Families have reportedly asked departed staff to come back or are hiring contractors to resolve the mess.
7/14
7/14
Declaring that a Supreme Court shadown docket ruling on July 8th gave them the go-ahead, HHS declares a Reduction-in-Force that was initiated on April 1st is still in effect by sending affected employees a messages stating “You are hereby notified that you are officially separated from HHS at the close of business on July 14, 2025. Thank you for your service to the American people.” The number of affected employees is in the thousands, but some of the 10,000 fired in the original RIF are still protected by another case New York v. Kennedy.
7/15
7/15
As an example of one of the many ways that DOGE’s simplistic cost-cutting can have downstream effects, IPOs for biotech startups have dramatically slowed this year with many companies expressing concern that the reduced capacity of a diminished FDA will significantly affect their businesses.
7/16
7/16
The Centers for Medicare and Medicaid Access (CMS) within HHS have reportedly signed a deal to deliver information on all 79 million enrollees in Medicaid to Immigration and Customs Enforcement (ICE). This information, which includes the addresses and ethnicities of enrollees, will supercharge a surveillance machine assembled by DOGE that is being used by ICE to arrest undocumented immigrants (and others).