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.
People
Detailed From:
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
Appointed:
1/27/25-10/30/25 Senior Advisor $167,603
Detailed To:
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| Source: | Data Reveals Details About DOGE, Government Hiring in 2025 Bloomberg, 1/09/26 |
| Source: | DOGE holdover who pushed for deep cuts at HHS is headed to the Navy Politico, 10/30/25 |
| Source: | How DOGE got into the National Science Foundation FedScoop, 4/22/25 |
:
1/XX/25-1/XX/25 unknown start type Senior Advisor - DOGE
Offboarding:
Left govt 1/XX/25 (inferred)
| Source: | Elon Musk’s Demolition Crew Pro Publica Projects, |
Appointed:
2/XX/25-2/14/25 Chief Technology Officer $195,200
Promotion:
2/14/25 promoted to Chief Information Officer $195,200 «Salary inferred»
Appointed:
8/XX/25 Acting Chief AI Officer
| Source: | Data Reveals Details About DOGE, Government Hiring in 2025 Bloomberg, 1/09/26 |
| Source: | LinkedIn profile for Clark Minor LinkedIn, |
| Source: | HHS IT Office recruits new Chief from Palantir Orange Slices, 2/19/25 |
| Source: | LinkedIn profile for Clark Minor LinkedIn, |
Detailed From:
Converted to Permanent Position:
3/04/25-5/23/25 converted to permanent position Senior Advisor volunteer «resigned on 5/23 but returned to State dept in August»
| Source: | Data Reveals Details About DOGE, Government Hiring in 2025 Bloomberg, 1/09/26 |
| Source: | Appointment Affidavit: Brad Smith at HHS Document Cloud, 3/18/25 |
Detailed From:
Converted to Permanent Position:
3/04/25 converted to permanent position Expert/Consultant volunteer
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Source: | Data Reveals Details About DOGE, Government Hiring in 2025 Bloomberg, 1/09/26 |
| Source: | HHS Onboarding Docs Document Cloud, 3/18/25 |
Detailed From:
2/20/25 detailed from Ed.
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
Detailed From:
2/21/25 likely detailed from GSA
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
Detailed From:
3/05/25 likely detailed from GSA Executive Engineer «Date verified in court document, assuming detail from GSA»
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
Detailed From:
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
Detailed From:
Offboarding:
Left govt 1/XX/26 (self-reported)
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
Appointed:
3/06/25 $132,629
Detailed To:
Promotion:
c.9/01/25 promoted to Chief Technology Officer
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| Source: | Data Reveals Details About DOGE, Government Hiring in 2025 Bloomberg, 1/09/26 |
| Source: | How DOGE got into the National Science Foundation FedScoop, 4/22/25 |
| Source: | HHS has a new DOGE-affiliated technology chief FedScoop, 9/29/25 |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
Detailed From:
5/XX/25-6/07/25 likely detailed from GSA «ProPublica reports he was working on HHS projects, assuming detail from GSA»
Offboarding:
Left govt 6/07/25 (reported)
| Source: | Elon Musk’s Demolition Crew Pro Publica Projects, |
Detailed From:
Offboarding:
Left govt 4/XX/26 (self-reported)
| Source: | LinkedIn profile for Alexander Tullman LinkedIn, |
Appointed:
date unknown Policy Advisor
Promotion:
c.11/15/25 promoted to Deputy Chief of Staff
| Source: | DOGE Isn’t Dead. Here’s What Its Operatives Are Doing Now Wired Magazine, 12/02/25 |
| Source: | Exclusive: CDC to end all monkey research Science, 11/21/25 |
| Source: | DOGE Isn’t Dead. Here’s What Its Operatives Are Doing Now Wired Magazine, 12/02/25 |
Systems
Acquisition Performance and Execution
2/04/25 1 users
A relatively new (~2022) system for tracking procurement at the CDC
| : | 2/04/25- Luke Farritor (read access) |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| DOGE Project: | Spending |
Business Intelligence Information System
2/06/25 1 users
Used to track expenditures at HHS
| : | 2/06/25- Rachel Riley (read access) |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| DOGE Project: | Spending |
CMS Acquisition Lifecycle Management System
2/03/25 8 users
System for tracking CMS acquisitions, contracts, milestones and audits.
| : | 2/03/25-4/18/25 Conor Fennessy (read access) |
| : | 2/03/25- Luke Farritor, Rachel Riley (read access) |
| : | 2/24/25- Amy Gleason (read access) |
| : | 3/03/25-4/18/25 Jeremy Lewin (read access) |
| : | 3/05/25- Edward Coristine, Marko Elez, Aram Moghaddassi (read access) |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| DOGE Project: | Spending |
Enterprise Human Capital Management System
2/03/25 3 users (1 elevated)
This system is used at HHS for managing all aspects of human-capital related tasks, including staffing notes and performance plans.
| : | 2/03/25- Rachel Riley (read access) |
| : | 2/28/25- Luke Farritor (admin access) |
| : | 3/07/25- Zach Terrell (read access) |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| DOGE Project: | Anti-Personnel |
Financial Business Intelligence System
2/04/25 3 users
A system for tracking business operations at HHS
| : | 2/04/25- Rachel Riley (read access) |
| : | 3/07/25-4/18/25 Conor Fennessy (read access) |
| : | 3/16/25- Zach Terrell (read access) |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| DOGE Project: | Spending |
Grant Solutions
1/27/25 5 users
A shared-service provider tool for federal agencies to track grants across their entire lifecycles
| : | 1/27/25- Luke Farritor (read access) |
| : | 2/19/25- Aram Moghaddassi (read access) |
| : | 2/20/25- Rachel Riley (read access) |
| : | 2/28/25- Conor Fennessy, Jeremy Lewin (read access) |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| DOGE Project: | Spending |
Grants.gov
2/28/25 2 users (1 elevated)
A system run and administered by HHS that is used at 18+ agencies for publishing grants, finding recipients and delivering funds
| : | 2/28/25- Conor Fennessy (read access) |
| : | 3/21/25-4/18/25 Luke Farritor (admin access) |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| DOGE Project: | Spending |
HHS Consolidated Acquisition System
1/29/25 3 users (2 elevated)
This appears to be a system used at HHS for tracking acquisition and procurement efforts across the agency.
| : | 1/29/25- Luke Farritor (admin access) |
| : | 2/03/25-4/18/25 Rachel Riley (admin access) |
| : | 2/28/25-4/18/25 Conor Fennessy (read access) |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| DOGE Project: | Spending |
HHS Unified Financial Management System
3/18/25 1 users
A department-wide financial management system which supports all of HHS Program Service Center's Accounting Services and reporting
| : | 3/18/25- Zach Terrell (read access) |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| DOGE Project: | Spending |
Healthcare Integrated General Ledger Accounting System
1/31/25 4 users
A single, integrated dual-entry accounting system that centralizes accounting for CMS programs, including Medicare and Medicaid.
| : | 1/31/25- Luke Farritor (read access) |
| : | 3/05/25- Edward Coristine, Marko Elez, Aram Moghaddassi (read access) |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| DOGE Project: | Spending |
Integrated Contracts Expert
1/30/25 1 users
A system for tracking contracts at CDC
| : | 1/30/25- Luke Farritor (read access) |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
Integrated Data Repository
2/18/25 5 users
A data warehouse that receives all Medicare claims after they have been approved for payment
| : | 2/18/25- Luke Farritor (read access) |
| : | 3/05/25- Marko Elez, Aram Moghaddassi (read access) |
| : | 3/11/25- Edward Coristine, Zach Terrell (read access) |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| DOGE Project: | Immigration |
NIH Grant Management System
1/27/25 1 users
FIXME
| : | 1/27/25- Luke Farritor (read access) |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| DOGE Project: | Spending |
National Directory of New Hires
3/06/25-4/18/25 2 users
A system for tracking wages and new hires that's used for child support location
| : | 3/06/25-4/18/25 Marko Elez, Aram Moghaddassi (read access) |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| DOGE Project: | Immigration |
Oracle E-Business Suite
2/24/25 3 users
Oracle E-Business Suite is a comprehensive suite of applications for finance, order management, logistics, procurement, projects, manufacturing, asset lifecycle, and human capital management.
| : | 2/24/25- Rachel Riley (read access) |
| : | 2/28/25-4/18/25 Conor Fennessy (read access) |
| : | 2/28/25- Luke Farritor (read access) |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| DOGE Project: | Spending |
Payment Management System
1/22/25 2 users (1 elevated)
A shared-services program provided by HHS for managing payments for grants
| : | 1/22/25- Luke Farritor (admin access) |
| : | 3/27/25- Zach Terrell (read access) |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| DOGE Project: | Spending |
Procurement Request Information System Management
2/24/25 3 users
System for tracking procurement and contracting
| : | 2/24/25- Rachel Riley (read access) |
| : | 2/28/25- Luke Farritor, Conor Fennessy (read access) |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| DOGE Project: | Spending |
Unaccompanied Alien Children (UAC) Portal
3/21/25 1 users
The UC Portal manages all medical (mental and dental health included), educational, and sponsorship information for UC in ORR custody
| : | 3/21/25- Kyle Schutt (read access) |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| DOGE Project: | Immigration |
Events
Detailed To:
| GSA Detailed To: HHS Luke Farritor 1/21/25 | |
| Position Title: | Executive Engineer |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
:
| System Access: | PMS: Payment Management System |
| : | admin, 1/22/25 Luke Farritor |
| Note: | A shared-services program provided by HHS for managing payments for grants |
| DOGE Project: | Spending |
Appointed:
Rachel Riley starts as Senior Advisor at HHS.
| Appointed: | Rachel Riley 1/27/25-10/30/25 |
| Position Title: | Senior Advisor |
| Salary: | $167,603 |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| Source: | Data Reveals Details About DOGE, Government Hiring in 2025 Bloomberg, 1/09/26 |
| Source: | DOGE holdover who pushed for deep cuts at HHS is headed to the Navy Politico, 10/30/25 |
:
| System Access: | Grant Solutions |
| : | read, 1/27/25 Luke Farritor |
| Note: | A shared-service provider tool for federal agencies to track grants across their entire lifecycles |
| DOGE Project: | Spending |
:
| System Access: | eRA: NIH Grant Management System |
| : | read, 1/27/25 Luke Farritor |
| Note: | FIXME |
| DOGE Project: | Spending |
Action:
| Source: | How DOGE is driving America’s public-health guardians mad The Economist, 3/10/25 |
| Agency: | CDC |
| DOGE Project: | Anti-Personnel |
:
| System Access: | HCAS: HHS Consolidated Acquisition System |
| : | admin, 1/29/25 Luke Farritor |
| Note: | This appears to be a system used at HHS for tracking acquisition and procurement efforts across the agency. |
| DOGE Project: | Spending |
:
| System Access: | ICE: Integrated Contracts Expert |
| : | read, 1/30/25 Luke Farritor |
| Note: | A system for tracking contracts at CDC |
:
| System Access: | HIGLAS: Healthcare Integrated General Ledger Accounting System |
| : | read, 1/31/25 Luke Farritor |
| Note: | A single, integrated dual-entry accounting system that centralizes accounting for CMS programs, including Medicare and Medicaid. |
| DOGE Project: | Spending |
System Access:
Luke Farritor is granted read access to the Healthcare Integrated General Ledger Accounting System (HIGLAS) which centralizes payments for CMS medical claims
| Person: | Luke Farritor |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Agency: | CMS |
| DOGE Project: | Spending |
Appointed:
Mattieu Gamache-Asselin starts as Senior Advisor - DOGE at HHS.
| : | Mattieu Gamache-Asselin 1/XX/25-1/XX/25 |
| Position Title: | Senior Advisor - DOGE, Assistant Secretary for Financial Resources |
| Source: | Elon Musk’s Demolition Crew Pro Publica Projects, |
Offboarding:
| : | Mattieu Gamache-Asselin 1/XX/25-1/XX/25 |
| Position Title: | Senior Advisor - DOGE, Assistant Secretary for Financial Resources |
| Source: | Elon Musk’s Demolition Crew Pro Publica Projects, |
:
| System Access: | CALM: CMS Acquisition Lifecycle Management System |
| : | read, 2/03/25 Luke Farritor |
| : | read, 2/03/25 Rachel Riley |
| : | read, 2/03/25-4/18/25 Conor Fennessy |
| Note: | System for tracking CMS acquisitions, contracts, milestones and audits. |
| DOGE Project: | Spending |
:
| System Access: | EHCM: Enterprise Human Capital Management System |
| : | read, 2/03/25 Rachel Riley |
| Note: | This system is used at HHS for managing all aspects of human-capital related tasks, including staffing notes and performance plans. |
| DOGE Project: | Anti-Personnel |
:
| System Access: | HCAS: HHS Consolidated Acquisition System |
| : | admin, 2/03/25-4/18/25 Rachel Riley |
| Note: | This appears to be a system used at HHS for tracking acquisition and procurement efforts across the agency. |
| DOGE Project: | Spending |
System Access:
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.
| Person: | Conor Fennessy, Jeremy Lewin, Luke Farritor, Rachel Riley |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Agency: | CMS |
| DOGE Project: | Spending |
:
| System Access: | APEX: Acquisition Performance and Execution |
| : | read, 2/04/25 Luke Farritor |
| Note: | A relatively new (~2022) system for tracking procurement at the CDC |
| DOGE Project: | Spending |
:
| System Access: | FBIS: Financial Business Intelligence System |
| : | read, 2/04/25 Rachel Riley |
| Note: | A system for tracking business operations at HHS |
| DOGE Project: | Spending |
Official Action:
CMS issues a press release stating that two agency veterans have been assigned to work closely with DOGE.
| Source: | CMS Statement on Collaboration with DOGE Centers for Medicaid and Medicare Services, 2/05/25 |
| Agency: | CMS |
| Question: | Fuzz: DOGE staff first granted access to CALM on 2/3; Luke Farritor has HIGLAS access on 1/31, other staff on 3/5 |
| Source: | DOGE Aides Search Medicare Agency Payment Systems for Fraud The Wall Street Journal, 2/05/25 |
| Agency: | CMS |
| DOGE Project: | Spending |
:
| System Access: | BIIS: Business Intelligence Information System |
| : | read, 2/06/25 Rachel Riley |
| Note: | Used to track expenditures at HHS |
| DOGE Project: | Spending |
Sighting:
DOGE staff reportedly arrive at CDC HQ in Atlanta to request access to health payment systems used at the agency.
| Source: | DOGE targets U.S. health agencies, gains access to payment systems The Washington Post, 2/05/25 |
| Agency: | CDC |
| DOGE Project: | Spending |
Promotion:
Clark Minor promoted to Chief Information Officer at HHS
| Promotion: | Clark Minor 2/14/25 |
| Position Title: | Chief Information Officer |
| Salary: | $195,200 |
| Source: | HHS IT Office recruits new Chief from Palantir Orange Slices, 2/19/25 |
| Note: | Salary inferred |
Action:
Rachel Riley conducts a “Planning Touch Base” meeting with senior leadership at CMS.
| Person: | Rachel Riley |
| Source: | Key Musk DOGE adviser meets with leaders of Medicare agency ABC News, 2/14/25 |
| Agency: | CMS |
| Source: | How DOGE is driving America’s public-health guardians mad The Economist, 3/10/25 |
| Agency: | CDC |
| DOGE Project: | Anti-Personnel |
Sighting:
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.
| Source: | How DOGE is driving America’s public-health guardians mad The Economist, 3/10/25 |
| Agency: | CDC |
Disruption:
The head of the medical device safety division at the FDA is fired amid mass layoffs
| Source: | FDA’s head of device safety among employees terminated in ‘challenging’ weekend STAT News, 2/18/25 |
| Agency: | FDA |
| DOGE Project: | Impunity, Anti-Personnel |
Disruption:
The head of the FDA’s food safety division resigns to protest 89 employees being indiscriminately fired in the division.
| Source: | FDA’s food safety head resigns over mass layoffs The Hill, 2/18/25 |
| Agency: | FDA |
| DOGE Project: | Anti-Personnel |
:
| System Access: | IDR: Integrated Data Repository |
| : | read, 2/18/25 Luke Farritor |
| Note: | A data warehouse that receives all Medicare claims after they have been approved for payment |
| DOGE Project: | Immigration |
:
| System Access: | Grant Solutions |
| : | read, 2/19/25 Aram Moghaddassi |
| Note: | A shared-service provider tool for federal agencies to track grants across their entire lifecycles |
| DOGE Project: | Spending |
Sighting:
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.
| Source: | Doge Has 'God Mode' Access to Government Data The Atlantic, 2/19/25 |
| Agency: | CDC |
Detailed To:
| Ed. Detailed To: HHS Conor Fennessy 2/20/25 | |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
:
| System Access: | Grant Solutions |
| : | read, 2/20/25 Rachel Riley |
| Note: | A shared-service provider tool for federal agencies to track grants across their entire lifecycles |
| DOGE Project: | Spending |
Detailed To:
| GSA? Detailed To: HHS Jeremy Lewin 2/21/25 | |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
Interagency Coordination:
| Person: | Katrine Trampe, Rachel Riley, Tyler Hassen |
| Source: | Second Production of FOIA materials from DOI to Sierra Club The Sierra Club, 2/27/26 |
| Agency: | DOI, HHS |
| DOGE Project: | Immigration |
Interagency Coordination:
The Acting Director of ICE, Caleb Vitello, sends an email to a collection of DOGE staff at the IRS and Treasury requesting that the IRS should provide personal information on approximately 700,000 individuals, including their addresses, phone numbers, employers and addresses and SSN or TIN. The message is addressed to Tom Krause at Treasury and Gavin Kliger at IRS, but it also is cc’ed to Aram Moghaddassi at the Department of Labor and Luke Farritor at HHS (it’s unclear if they are representing those agencies or just using those emails but are representing DOGE)
| Person: | Aram Moghaddassi, Gavin Kliger, Luke Farritor, Tom Krause |
| Source: | Center for Taxpayer Rights v. IRS, document 48-3 Court Document, 10/29/25 |
| Agency: | DOL, HHS, IRS, Treas. |
| DOGE Project: | Immigration |
:
| System Access: | CALM: CMS Acquisition Lifecycle Management System |
| : | read, 2/24/25 Amy Gleason |
| Note: | System for tracking CMS acquisitions, contracts, milestones and audits. |
| DOGE Project: | Spending |
:
Rachel Riley is granted basic access to 2 systems at NIH.
| System Access: | EBS: Oracle E-Business Suite |
| : | read, 2/24/25 Rachel Riley |
| Note: | Oracle E-Business Suite is a comprehensive suite of applications for finance, order management, logistics, procurement, projects, manufacturing, asset lifecycle, and human capital management. |
| DOGE Project: | Spending |
| System Access: | PRISM: Procurement Request Information System Management |
| : | read, 2/24/25 Rachel Riley |
| Note: | System for tracking procurement and contracting |
| DOGE Project: | Spending |
System Access:
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
| Person: | Clark Minor, Luke Farritor, Rachel Riley |
| Source: | DOGE Is Inside the National Institutes of Health’s Finance System Wired Magazine, 2/24/25 |
| Agency: | NIH |
| DOGE Project: | Anti-Personnel, Spending |
System Access:
Amy Gleason is granted read access to the CMS Acquisition Lifestye Management System (CALM), which tracks CMS aquisitions and contracts.
| Person: | Amy Gleason |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Agency: | CMS |
| DOGE Project: | Spending |
Identification:
Four DOGE staffers are identified with email addresses linked to NIH. These are Luke Farritor, Rachel Riley, Jeremy Lewin and Clark Minor.
| Person: | Clark Minor, Jeremy Lewin, Luke Farritor, Rachel Riley |
| Source: | DOGE Is Inside the National Institutes of Health’s Finance System Wired Magazine, 2/24/25 |
| Agency: | NIH |
Sighting:
FDA staff conduct a meeting to provide a high-level overview of FDA structures and functions to Clark Minor, the new CIO for HHS.
| Question: | Fuzz: date is just given as late February and early March for meetings |
| Person: | Clark Minor |
| Source: | Jackson v. Kennedy, doc 1 Court Document, 6/03/25 |
| Agency: | FDA |
:
| System Access: | Grant Solutions |
| : | read, 2/28/25 Conor Fennessy |
| : | read, 2/28/25 Jeremy Lewin |
| Note: | A shared-service provider tool for federal agencies to track grants across their entire lifecycles |
| DOGE Project: | Spending |
| System Access: | Grants.gov |
| : | read, 2/28/25 Conor Fennessy |
| Note: | A system run and administered by HHS that is used at 18+ agencies for publishing grants, finding recipients and delivering funds |
| DOGE Project: | Spending |
| System Access: | HCAS: HHS Consolidated Acquisition System |
| : | read, 2/28/25-4/18/25 Conor Fennessy |
| Note: | This appears to be a system used at HHS for tracking acquisition and procurement efforts across the agency. |
| DOGE Project: | Spending |
:
| System Access: | EBS: Oracle E-Business Suite |
| : | read, 2/28/25 Luke Farritor |
| : | read, 2/28/25-4/18/25 Conor Fennessy |
| Note: | Oracle E-Business Suite is a comprehensive suite of applications for finance, order management, logistics, procurement, projects, manufacturing, asset lifecycle, and human capital management. |
| DOGE Project: | Spending |
| System Access: | PRISM: Procurement Request Information System Management |
| : | read, 2/28/25 Luke Farritor |
| : | read, 2/28/25 Conor Fennessy |
| Note: | System for tracking procurement and contracting |
| DOGE Project: | Spending |
:
| System Access: | EHCM: Enterprise Human Capital Management System |
| : | admin, 2/28/25 Luke Farritor |
| Note: | This system is used at HHS for managing all aspects of human-capital related tasks, including staffing notes and performance plans. |
| DOGE Project: | Anti-Personnel |
Disruption:
After a federal judge overturns the mass firing of probationary workers, only 180 workers (out of 750) return to work at the CDC.
| Source: | How DOGE is driving America’s public-health guardians mad The Economist, 3/10/25 |
| Agency: | CDC |
| DOGE Project: | Anti-Personnel |
Appointed:
Clark Minor starts as Chief Technology Officer at HHS.
| Appointed: | Clark Minor 2/XX/25-2/14/25 |
| Position Title: | Chief Technology Officer |
| Salary: | $195,200 |
| Source: | Data Reveals Details About DOGE, Government Hiring in 2025 Bloomberg, 1/09/26 |
| Source: | LinkedIn profile for Clark Minor LinkedIn, |
Detailed To:
| DOGE Detailed To: HHS Brad Smith 2/XX/25-3/04/25 | |
| Note: | detail started before 2/13 |
| DOGE Detailed To: HHS Amy Gleason 2/XX/25 | |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Note: | assuming a detail from DOGE to HHS |
:
| System Access: | CALM: CMS Acquisition Lifecycle Management System |
| : | read, 3/03/25-4/18/25 Jeremy Lewin |
| Note: | System for tracking CMS acquisitions, contracts, milestones and audits. |
| DOGE Project: | Spending |
System Access:
Jeremy Lewin is granted read access to the CMS Acquisition Lifestye Management System (CALM) which tracks CMS aquisitions and contracts.
| Person: | Jeremy Lewin |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Agency: | CMS |
| DOGE Project: | Spending |
System Access:
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.
| Source: | DOGE targets child support database full of income data The Washington Post, 3/06/25 |
| Agency: | HHS |
| DOGE Project: | Immigration |
Sighting:
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.
| Person: | Joshua Hanley |
| Source: | New: Trump-controlled NIH begins targeted purge of LGBTQ+ research. Inside Medicine, 3/03/25 |
| Agency: | NIH |
| DOGE Project: | Anti-Personnel |
Converted to Permanent Position:
Amy Gleason converted to permanent position as Expert/Consultant at HHS
| Converted to Permanent Position: | Amy Gleason 3/04/25 |
| Position Title: | Expert/Consultant |
| Salary: | Volunteer |
| Source: | Data Reveals Details About DOGE, Government Hiring in 2025 Bloomberg, 1/09/26 |
| Source: | HHS Onboarding Docs Document Cloud, 3/18/25 |
Converted to Permanent Position:
Brad Smith converted to permanent position as Senior Advisor at HHS
| Converted to Permanent Position: | Brad Smith 3/04/25-5/23/25 |
| Position Title: | Senior Advisor |
| Salary: | Volunteer |
| Source: | Data Reveals Details About DOGE, Government Hiring in 2025 Bloomberg, 1/09/26 |
| Source: | Appointment Affidavit: Brad Smith at HHS Document Cloud, 3/18/25 |
| Note: | resigned on 5/23 but returned to State dept in August |
Detailed To:
| DOL Detailed To: HHS Marko Elez 3/05/25 | |
| Position Title: | Executive Engineer |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Note: | date/source in court filing |
| DOL Detailed To: HHS Aram Moghaddassi 3/05/25 | |
| Position Title: | Executive Engineer |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
Detailed To:
| GSA? Detailed To: HHS Edward Coristine 3/05/25 | |
| Position Title: | Executive Engineer |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Note: | Date verified in court document, assuming detail from GSA |
:
| System Access: | CALM: CMS Acquisition Lifecycle Management System |
| : | read, 3/05/25 Edward Coristine |
| : | read, 3/05/25 Marko Elez |
| : | read, 3/05/25 Aram Moghaddassi |
| Note: | System for tracking CMS acquisitions, contracts, milestones and audits. |
| DOGE Project: | Spending |
| System Access: | HIGLAS: Healthcare Integrated General Ledger Accounting System |
| : | read, 3/05/25 Edward Coristine |
| : | read, 3/05/25 Marko Elez |
| : | read, 3/05/25 Aram Moghaddassi |
| Note: | A single, integrated dual-entry accounting system that centralizes accounting for CMS programs, including Medicare and Medicaid. |
| DOGE Project: | Spending |
| System Access: | IDR: Integrated Data Repository |
| : | read, 3/05/25 Marko Elez |
| : | read, 3/05/25 Aram Moghaddassi |
| Note: | A data warehouse that receives all Medicare claims after they have been approved for payment |
| DOGE Project: | Immigration |
System Access:
Multiple DOGE staff (Edward Coristine, Marko Elez and Aram Moghaddassi) are granted access to the Healthcare Integrated General Ledger Accounting System (HIGLAS). This system tracks all payments made by Medicare, among other expenditures.
| Person: | Aram Moghaddassi, Edward Coristine, Marko Elez |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Agency: | CMS |
| DOGE Project: | Spending |
System Access:
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.
| Person: | Aram Moghaddassi, Marko Elez |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Agency: | CMS |
System Access:
Luke Farritor is granted read access to the Integrated Data Repository (IDR), a data warehouse of all Medicare claims.
| Person: | Luke Farritor |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Agency: | CMS |
System Access:
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
| Person: | Aram Moghaddassi, Edward Coristine, Marko Elez |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Agency: | CMS |
| DOGE Project: | Spending |
Appointed:
Zach Terrell starts at HHS.
| Appointed: | Zach Terrell 3/06/25 |
| Salary: | $132,629 |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| Source: | Data Reveals Details About DOGE, Government Hiring in 2025 Bloomberg, 1/09/26 |
:
| System Access: | NDNH: National Directory of New Hires |
| : | read, 3/06/25-4/18/25 Marko Elez |
| : | read, 3/06/25-4/18/25 Aram Moghaddassi |
| Note: | A system for tracking wages and new hires that's used for child support location |
| DOGE Project: | Immigration |
:
| System Access: | EHCM: Enterprise Human Capital Management System |
| : | read, 3/07/25 Zach Terrell |
| Note: | This system is used at HHS for managing all aspects of human-capital related tasks, including staffing notes and performance plans. |
| DOGE Project: | Anti-Personnel |
| System Access: | FBIS: Financial Business Intelligence System |
| : | read, 3/07/25-4/18/25 Conor Fennessy |
| Note: | A system for tracking business operations at HHS |
| DOGE Project: | Spending |
Disruption:
The federal staff who objected to DOGE getting access to NDNH are reportedly “no longer with the agency.”
| Source: | HHS grants DOGE access to child support database, overriding objections The Washington Post, 3/08/25 |
| Agency: | HHS |
| DOGE Project: | Immigration, Impunity |
| Source: | Jackson v. Kennedy, doc 1 Court Document, 6/03/25 |
| Agency: | NIH |
| DOGE Project: | Anti-Personnel |
:
| System Access: | IDR: Integrated Data Repository |
| : | read, 3/11/25 Edward Coristine |
| : | read, 3/11/25 Zach Terrell |
| Note: | A data warehouse that receives all Medicare claims after they have been approved for payment |
| DOGE Project: | Immigration |
Identification:
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).
| Person: | Aram Moghaddassi, Edward Coristine, Luke Farritor, Marko Elez, Rachel Riley |
| Source: | AFL-CIO v. DOL, doc 53-4 Court Document, 3/13/25 |
| Agency: | HHS |
Detailed To:
| GSA? Detailed To: HHS Kyle Schutt 3/14/25 | |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
:
| System Access: | FBIS: Financial Business Intelligence System |
| : | read, 3/16/25 Zach Terrell |
| Note: | A system for tracking business operations at HHS |
| DOGE Project: | Spending |
:
| System Access: | UFMS: HHS Unified Financial Management System |
| : | read, 3/18/25 Zach Terrell |
| Note: | A department-wide financial management system which supports all of HHS Program Service Center's Accounting Services and reporting |
| DOGE Project: | Spending |
Disruption:
Access to purchase cards are restored at NIH for nonemergency purchases, but scientists face a huge backlog in processing orders for supplies.
| Source: | ‘Chaos and Confusion’ at the Crown Jewel of American Science The New York Times, 3/24/25 |
| Agency: | NIH |
| DOGE Project: | Spending |
:
| System Access: | UAC Portal: Unaccompanied Alien Children (UAC) Portal |
| : | read, 3/21/25 Kyle Schutt |
| Note: | The UC Portal manages all medical (mental and dental health included), educational, and sponsorship information for UC in ORR custody |
| DOGE Project: | Immigration |
:
| System Access: | Grants.gov |
| : | admin, 3/21/25-4/18/25 Luke Farritor |
| Note: | A system run and administered by HHS that is used at 18+ agencies for publishing grants, finding recipients and delivering funds |
| DOGE Project: | Spending |
Disruption:
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.
| Source: | Jackson v. Kennedy, doc 1 Court Document, 6/03/25 |
| Agency: | FDA |
| DOGE Project: | Anti-Personnel |
Disruption:
CDC claws back $11.4 billion in funds allocated to various state and community health departments for responding to the COVID-19 epidemic.
| Source: | CDC is pulling back $11B in Covid funding sent to health departments across the U.S. NBC News, 3/25/25 |
| Agency: | CDC |
| DOGE Project: | Spending |
:
| System Access: | PMS: Payment Management System |
| : | read, 3/27/25 Zach Terrell |
| Note: | A shared-services program provided by HHS for managing payments for grants |
| DOGE Project: | Spending |
| Source: | HHS Announces Transformation to Make America Healthy Again Department of Health and Human Services, 3/27/25 |
| Agency: | HHS |
| DOGE Project: | Elimination, Anti-Personnel |
Report:
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.”
| Source: | RFK Jr. defends HHS job cuts, says ‘We’re not cutting scientists’ News Nation, 3/28/25 |
| Agency: | HHS |
| DOGE Project: | Elimination, Anti-Personnel |
Identification:
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.
| Person: | Conor Fennessy, Jeremy Lewin |
| Source: | AFL-CIO v. DOL, doc 73-4 Court Document, 3/29/25 |
| Agency: | HHS |
Identification:
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.
| Person: | Amy Gleason, Edward Coristine, Kyle Schutt, Luke Farritor, Marko Elez |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Agency: | HHS |
Legal:
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.
| Person: | Amy Gleason, Aram Moghaddassi, Edward Coristine, Jeremy Lewin, Luke Farritor, Marko Elez, Zach Terrell |
| Source: | AFL-CIO v. DOL, doc 73-2 Court Document, 3/29/25 |
| Agency: | CMS |
Sighting:
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.
| Source: | Jackson v. Kennedy, doc 1 Court Document, 6/03/25 |
| Agency: | FDA |
| DOGE Project: | Anti-Personnel |
Report:
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.
| Person: | Brad Smith, Rachel Riley |
| Source: | Internal fallout at HHS delays 10,000 firings Politico, 3/31/25 |
| Agency: | CMS, HHS |
| DOGE Project: | Anti-Personnel |
System Access:
In a response to a Trump EO on tracking grants, the DOGE team is granted approval by HHS CIO Clark Minor to build an API to retrieved data from the Payment Management System system.
| Person: | Clark Minor |
| Source: | AFL-CIO v. DOL, doc 82-4 Court Document, 4/29/25 |
| Agency: | HHS |
| DOGE Project: | Fraud, Spending |
| Source: | Widespread firings start at federal health agencies including many in leadership National Public Radio, 4/01/25 |
| Agency: | CDC, CMS, FDA, HHS, NIH |
| DOGE Project: | Anti-Personnel |
| Source: | Mass Layoffs Hit Health Agencies That Track Disease and Regulate Food The New York Times, 4/01/25 |
| Agency: | CDC |
| DOGE Project: | Anti-Personnel |
| Source: | Mass Layoffs Hit Health Agencies That Track Disease and Regulate Food The New York Times, 4/01/25 |
| Agency: | FDA |
| DOGE Project: | Anti-Personnel |
| Source: | Mass Layoffs Hit Health Agencies That Track Disease and Regulate Food The New York Times, 4/01/25 |
| Agency: | NIH |
| DOGE Project: | Anti-Personnel, Spending |
Report:
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.
| Person: | Amy Gleason |
| Source: | DOGE head denies responsibility for mass firings in private group chat message The San Francisco Chronicle, 4/08/25 |
| Agency: | HHS |
| DOGE Project: | Anti-Personnel |
Disruption:
Newly-appointed director of CMS, Dr. Mehmet Oz, suggests replacing front-line healthcare workers with AI avatars for cost savings.
| Source: | Dr. Oz Pushed for AI Health Care in First Medicare Agency Town Hall Wired Magazine, 4/08/25 |
| Agency: | CMS |
| DOGE Project: | IT Modernization |
Disruption:
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.”
| Question: | Fuzz: this might be rumors though |
| Source: | "No guidance and no leadership": chaos and confusion at CDC after mass firings The Guardian, 4/08/25 |
| Agency: | CDC |
| DOGE Project: | Anti-Personnel |
Disruption:
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.
| Source: | Recent Developments at the Consumer Product Safety Commission: Potential Changes and Implications National Law Review, 6/18/25 |
| Agency: | CDC, CMS, CPSC, FDA, HHS, NIH |
| DOGE Project: | Elimination, Anti-Personnel |
Disruption:
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.
Interagency Coordination:
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.
| Person: | Alexandra Beynon, Chris Young, Gavin Kliger, Jeremy Lewin, Jordan Wick, Zach Terrell |
| Source: | NTEU v. Russell Vought, doc 137-1 Court Document, 4/28/25 |
| Agency: | CFPB, Ed., HHS |
Detailed To:
| HHS? Detailed To: NSF Rachel Riley 4/14/25 | |
| Position Title: | Consultant |
| Source: | How DOGE got into the National Science Foundation FedScoop, 4/22/25 |
| HHS Detailed To: NSF Zach Terrell 4/14/25 | |
| Position Title: | Consultant, Office of the Director |
| Source: | How DOGE got into the National Science Foundation FedScoop, 4/22/25 |
Access Revoked:
| System Access: | CALM: CMS Acquisition Lifecycle Management System |
| : | read, 2/03/25-4/18/25 Conor Fennessy |
| Note: | System for tracking CMS acquisitions, contracts, milestones and audits. |
| DOGE Project: | Spending |
Access Revoked:
| System Access: | CALM: CMS Acquisition Lifecycle Management System |
| : | read, 3/03/25-4/18/25 Jeremy Lewin |
| Note: | System for tracking CMS acquisitions, contracts, milestones and audits. |
| DOGE Project: | Spending |
Access Revoked:
Conor Fennessy has basic access revoked for 2 systems at HHS.
| System Access: | FBIS: Financial Business Intelligence System |
| : | read, 3/07/25-4/18/25 Conor Fennessy |
| Note: | A system for tracking business operations at HHS |
| DOGE Project: | Spending |
| System Access: | HCAS: HHS Consolidated Acquisition System |
| : | read, 2/28/25-4/18/25 Conor Fennessy |
| Note: | This appears to be a system used at HHS for tracking acquisition and procurement efforts across the agency. |
| DOGE Project: | Spending |
Access Revoked:
| System Access: | Grants.gov |
| : | admin, 3/21/25-4/18/25 Luke Farritor |
| Note: | A system run and administered by HHS that is used at 18+ agencies for publishing grants, finding recipients and delivering funds |
| DOGE Project: | Spending |
Access Revoked:
| System Access: | HCAS: HHS Consolidated Acquisition System |
| : | admin, 2/03/25-4/18/25 Rachel Riley |
| Note: | This appears to be a system used at HHS for tracking acquisition and procurement efforts across the agency. |
| DOGE Project: | Spending |
Access Revoked:
| System Access: | NDNH: National Directory of New Hires |
| : | read, 3/06/25-4/18/25 Marko Elez |
| Note: | A system for tracking wages and new hires that's used for child support location |
| DOGE Project: | Immigration |
Access Revoked:
| System Access: | NDNH: National Directory of New Hires |
| : | read, 3/06/25-4/18/25 Aram Moghaddassi |
| Note: | A system for tracking wages and new hires that's used for child support location |
| DOGE Project: | Immigration |
Access Revoked:
| System Access: | EBS: Oracle E-Business Suite |
| : | read, 2/28/25-4/18/25 Conor Fennessy |
| Note: | Oracle E-Business Suite is a comprehensive suite of applications for finance, order management, logistics, procurement, projects, manufacturing, asset lifecycle, and human capital management. |
| DOGE Project: | Spending |
Disruption:
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
| Source: | FDA tech officials complied with DOGE’s requests for data. The staff reductions still came. FedScoop, 4/21/25 |
| Agency: | FDA |
| DOGE Project: | Impunity, Anti-Personnel |
Disruption:
A team of three DOGE staffers – Edward Coristine, Luke Farritor and Zach Terrell – meet with chief grant management officials at NIH to demand changes in how grants are issued under DOGE’s new “Defend the Spend” authority over all grant disbursement.
| Person: | Edward Coristine, Luke Farritor, Zach Terrell |
| Source: | Harvard Was Cleared To Get Some Federal Funds. Then DOGE Stepped In. The Harvard Crimson, 9/08/25 |
| Agency: | NIH |
| DOGE Project: | Spending |
Report:
Representatives from OpenAI are reported to have met with several DOGE associates at the FDA to discuss using AI for drug evaluation work.
| Source: | OpenAI and the FDA Are Holding Talks About Using AI In Drug Evaluation Wired Magazine, 5/07/25 |
| Agency: | FDA |
| DOGE Project: | IT Modernization |
Disruption:
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.
| Person: | Rachel Riley |
| Source: | CDC to cut one employee for each it is recalling from layoffs GovExec, 5/14/25 |
| Agency: | CDC |
| DOGE Project: | Anti-Personnel |
| Person: | Elon Musk |
| Source: | RFK Jr. to Congress: ‘I don’t think people should be taking medical advice from me’ The Washington Post, 5/14/25 |
| Agency: | HHS |
Offboarding:
Brad Smith leaves role as Senior Advisor at HHS
| Converted to Permanent Position: | Brad Smith 3/04/25-5/23/25 |
| Position Title: | Senior Advisor |
| Salary: | Volunteer |
| Source: | Data Reveals Details About DOGE, Government Hiring in 2025 Bloomberg, 1/09/26 |
| Source: | Appointment Affidavit: Brad Smith at HHS Document Cloud, 3/18/25 |
| Note: | resigned on 5/23 but returned to State dept in August |
Disruption:
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.
| Source: | DOGE vowed to make government more ‘efficient’ — but it’s doing the opposite The Washington Post, 6/02/25 |
| Agency: | NIH |
| DOGE Project: | Anti-DEI, IT Modernization, Spending |
Legal:
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.
| Source: | Jackson v. Kennedy, doc 1 Court Document, 6/03/25 |
| Agency: | CDC, CMS, FDA, HHS |
| DOGE Project: | Anti-Personnel |
System Access:
| Source: | Trump administration gives personal data of immigrant Medicaid enrollees to deportation officials The Associated Press, 6/14/25 |
| Agency: | CMS, DHS, HHS |
| DOGE Project: | Immigration |
Report:
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.
| Source: | Trump administration gives personal data of immigrant Medicaid enrollees to deportation officials The Associated Press, 6/14/25 |
| Agency: | CMS |
| DOGE Project: | Immigration |
Report:
More than 60 employees at NIH sign their names to a public letter condemning the degradation of the agency under the Trump Administration.
| Source: | N.I.H. Workers Denounce Trump’s ‘Harmful’ Health Policies The New York Times, 6/09/25 |
| Agency: | NIH |
Disruption:
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.
| Source: | DOGE cuts cause FDA to delay decision on hereditary disease drug Axios, 6/16/25 |
| Agency: | FDA |
| DOGE Project: | Anti-Personnel |
Official Action:
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.
| Source: | AFL-CIO v. DOL, doc 87 Court Document, 6/27/25 |
| Agency: | CDC, CMS, DOL, FDA, HHS |
| DOGE Project: | Fraud, Immigration |
Disruption:
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.
| Source: | Trump's Government is a Den of Snitches, 'Freaks,' and Paranoid Tyrants Rolling Stone, 7/08/25 |
| Agency: | HHS |
| DOGE Project: | Anti-DEI, Anti-Personnel |
Official Action:
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.
| Source: | HHS Bans Illegal Aliens from Accessing its Taxpayer-Funded Programs Department of Health and Human Services, 7/10/25 |
| Agency: | HHS |
| DOGE Project: | Immigration |
Disruption:
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.
| Source: | HHS facing billion-dollar backlog of delayed grants after DOGE CBS News, 7/11/25 |
| Agency: | HHS |
| DOGE Project: | Spending |
Disruption:
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.
| Source: | HHS carries out mass firings across health agencies after Supreme Court decision CNN, 7/14/25 |
| Agency: | CDC, CMS, FDA, HHS, NIH |
| DOGE Project: | Anti-Personnel |
Report:
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.
| Source: | DOGE makes its way into biotech IPO filings Axios, 7/15/25 |
| Agency: | FDA |
System Access:
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).
| Source: | Trump administration hands over Medicaid recipients’ personal data, including addresses, to ICE The Associated Press, 7/17/25 |
| Agency: | CMS, DHS, HHS, ICE |
| DOGE Project: | Immigration |
Detailed To:
| GSA Detailed To: HHS Alexander Tullman 7/XX/25-1/XX/26 | |
| Position Title: | Senior Advisor |
| Source: | LinkedIn profile for Alexander Tullman LinkedIn, |
| Source: | NIH’s top IT official, Adele Merritt, has left the agency FedScoop, 8/26/25 |
| Agency: | NIH |
| DOGE Project: | Impunity |
Appointed:
Clark Minor starts as Acting Chief AI Officer at HHS.
| Appointed: | Clark Minor 8/XX/25 |
| Position Title: | Acting Chief AI Officer |
| Source: | LinkedIn profile for Clark Minor LinkedIn, |
Promotion:
Zach Terrell promoted to Chief Technology Officer at HHS
| Promotion: | Zach Terrell c.9/01/25 |
| Position Title: | Chief Technology Officer |
| Source: | HHS has a new DOGE-affiliated technology chief FedScoop, 9/29/25 |
Disruption:
Zach Terrell is named as the new Chief Technology Officer at HHS. He reportedly is also continuing to hold a role at NSF, supervising DOGE activities there.
| Person: | Zach Terrell |
| Source: | HHS has a new DOGE-affiliated technology chief FedScoop, 9/29/25 |
| Agency: | HHS |
| DOGE Project: | Impunity |
Official Action:
All employees at HHS and its subsidiary agencies receive an email informing them that ChatGPT will be rolled out to the entire agency immediately. The rollout is being managed by Clark Minor, and the email states that the deployment is secure enough that agency staff can even include procurement-sensitive data and “non-sensitive” PII into the chats, although sensitive PII, classified informatio and other confidential information should not be shared.
| Person: | Clark Minor |
| Source: | HHS Asks All Employees to Start Using ChatGPT 404 Media, 9/09/25 |
| Agency: | CDC, CMS, FDA, HHS, NIH |
| DOGE Project: | IT Modernization |
Disruption:
The day before the beginning of the 2025 federal government shutdown, HHS proposes eliminating 8,000 jobs at the suggestion of Russell Vought, who wants to use the shutdown to inflict pain. HHS eventually lays off 1760 positions on October 10th, but was later revised to 954 after HHS blamed a coding error for firing too many people. Initially, HHS refuses to identify the creator for the layoff proposal within HHS, but it’s eventually revealed to be Rachel Riley.
| Person: | Rachel Riley, Russell Vought |
| Source: | Vought promised to use the shutdown to shutter the bureaucracy. It didn’t go as planned. Politico, 10/25/25 |
| Source: | DOGE holdover who pushed for deep cuts at HHS is headed to the Navy Politico, 10/30/25 |
| Agency: | HHS |
| DOGE Project: | Anti-Personnel |
Website:
Working with the White House and HHS, the National Design Studio launches the TrumpRX to promote a forthcoming initiative from the White House to cap certain drug prices for private payers. This is the fourth website to bear the National Design Studio credit, and like the others it is a single-page site with expandable accordion elements of text and an email signup form.
| Source: | TrumpRx Is a Narcissistic, AI-Generated Nightmare Gizmodo, 10/10/25 |
| Source: | trumprx.gov National Design Studio site, |
| Agency: | CMS, EOP, HHS, NDS |
| DOGE Project: | IT Modernization |
Disruption:
Another round of terminations results in the CDC having lost a quarter of its staff – around 3000 people – since the beginning of the Trump administration. The latest firings targeted the National Center for Chronic Disease Prevention and Health Promotion, the National Center for Health Statistics as well as other supporting functions within the agency like human resources, building security and the library.
| Source: | A Quarter of the CDC Is Gone Wired Magazine, 10/14/25 |
| Agency: | CDC |
| DOGE Project: | Elimination, Anti-Personnel |
Disruption:
Sam Beyda contacts the Peaceable Primate Sanctuary to ask how many of the approximately 200 macaques it can adopt immediately from the CDC’s primate research operations and whether it would be able to adopt all of them by the end of the year.
| Person: | Sam Beyda |
| Source: | Exclusive: CDC to end all monkey research Science, 11/21/25 |
| Agency: | CDC |
| DOGE Project: | Elimination |
Offboarding:
Rachel Riley leaves role as Senior Advisor at HHS
| Appointed: | Rachel Riley 1/27/25-10/30/25 |
| Position Title: | Senior Advisor |
| Salary: | $167,603 |
| Source: | AFL-CIO v. DOL, doc 80-5 Court Document, 4/18/25 |
| Source: | Data Reveals Details About DOGE, Government Hiring in 2025 Bloomberg, 1/09/26 |
| Source: | DOGE holdover who pushed for deep cuts at HHS is headed to the Navy Politico, 10/30/25 |
Disruption:
| Person: | Sam Beyda |
| Source: | Exclusive: CDC to end all monkey research Science, 11/21/25 |
| Agency: | CDC |
| DOGE Project: | Elimination |
| Promotion: | Sam Beyda c.11/15/25 |
| Position Title: | Deputy Chief of Staff |
| Source: | Exclusive: CDC to end all monkey research Science, 11/21/25 |
| Source: | DOGE Isn’t Dead. Here’s What Its Operatives Are Doing Now Wired Magazine, 12/02/25 |
Official Action:
The Department of Health and Human Services proposes 16 initiatives for the CDC to focus on as part of a restructuring and change in direction for the agency. This includes de-emphasizing Hepatitis B vaccination in favor of increased screening. Newly appointed deputy chief of staff Sam Beyda is in charge of 5 out of the 16 initiatives, despite only having graduated from college in 2023 and a lack of public health or leadership experience.
| Person: | Sam Beyda |
| Source: | HHS Proposes New CDC Programs, Including Hepatitis B Screening Bloomberg, 11/20/25 |
| Agency: | CDC |
| DOGE Project: | Elimination |
Interagency Coordination:
CMS publishes a notice in the Federal Register that it intends to share information on suspected undocumented immigrants with ICE, using Medicaid data that has been sourced to the agency from states. Multiple states have sued CMS over a previous order mandating these data-sharing arrangements, precisely because they were concerned about how the data might be used.
| Source: | Notice of Medicaid Information Sharing Between the Centers for Medicare & Medicaid Services and the Department of Homeland Security The Federal Register, 11/25/25 |
| Agency: | CMS, HHS, ICE |
| DOGE Project: | Immigration |
Disruption:
After a Danish anti-vaccine researcher applied for a grant to do a controlled study about the Hepatitis B vaccine in Guinea-Bissau, the request was routed directly from the CDC Director’s office to the Grants office for funding, bypassing the concerns of agency scientists who found the experimental design to be poorly-constructed and immoral. Instead of listing scientists as approvers for the grant, the application only listed as reviewers Chief of Staff Sam Beyda and Stuart Burns, an anti-vaccine advocate working in the CDC Director’s office.
| Person: | Sam Beyda |
| Source: | New Documents Reveal a Controversial Vaccine Study’s Unusual Path to CDC Approval Rolling Stone, 2/20/26 |
| Agency: | CDC |
Website:
The National Design Studio launches realfood.gov with HHS. Evoking more of a nostalgic and warm tone rather than the technocratic darkness of some prior sites, it is still a one-page site with large bold text, expandable accordions but now also with some scrolling animation.
| Source: | realfood.gov National Design Studio site, |
| Source: | LinkedIn post from Matt Lira LinkedIn, 1/09/25 |
| Agency: | HHS, NDS |
| DOGE Project: | IT Modernization |
Disruption:
All employees that were laid off from the Centers for Disease Control and the National Institute for Occupational Safety and Health as part of the massive HHS reduction in force have reportedly received notices that their RIF notices are revoked and remain employed. The RIF is being contested in court, but it’s unclear what led to this specific reversal.
| Source: | HHS reinstates hundreds of CDC workers fired by DOGE Health Exec, 1/14/26 |
| Agency: | CDC, HHS |
| DOGE Project: | Anti-Personnel |
Offboarding:
Alexander Tullman ends detailed position as Senior Advisor at HHS
| GSA Detailed To: HHS Alexander Tullman 7/XX/25-1/XX/26 | |
| Position Title: | Senior Advisor |
| Source: | LinkedIn profile for Alexander Tullman LinkedIn, |
Website:
The Trump RX site formally relaunches with a lookup option to find savings codes for various prescriptions. Like many other National Design Studio sites, it features a mix of Apple Store-style titles and text styling alongside gilt images of an American map and an eagle and bombastic language extolling Trump himself. In a first for NDS sites, it also features a site search to look up specific medications, each of which has their own page URL.
| Source: | trumprx.gov National Design Studio site, |
| Source: | Trump’s Online Drugstore Opens for Business The New York Times, 2/05/26 |
| Agency: | CMS, HHS, NDS |
| DOGE Project: | IT Modernization |
Report:
The news site Nextgov reports that the National Design Studio’s new site realfood.gov is directing users directly to Elon Musk’s Grok AI product. After being contacted by reporters for comment, the link is instead labeled as “Ask AI” but stll points to the Grok site.
| Source: | Trump's nutrition website directs users to Elon Musk's Grok NextGov, 2/10/26 |
| Agency: | HHS, NDS |
| DOGE Project: | IT Modernization |
Report:
Edward Coristine appeared on the podcast of conservative influencer Nick Shirley to discuss efforts from DOGE to search for fraud. During the podcast, they discussed the new Medicaid dataset released by DOGE. On the podcast, Coristine alleges that a lot of federal money is being stolen and siphoned out of the country by immigrants as well as disproven theories that a lot of dead people are receiving social security benefits and are registered to vote. Coristine also discussed the NDS, and revealed that the chief creative office is Nate Brown.
| Person: | Edward Coristine, Nate Brown |
| Source: | Edward ‘Big Balls’ Coristine Is Helping Out on Viral Fraud Videos Now Wired Magazine, 4/03/26 |
| Agency: | CMS, HHS, OPM |
Official Action:
Speaking at a conference about AI, Chase Ausley, a USDS director stationed who is serving as a senior advisor to CMS reports that USDS is currently 90 people with the goal of being 100 staffers soon. This is a dramatic improvement over the approximately 70 staffers listed in January, but still far below the 230 employees working for USDS in late 2024.
| Source: | US DOGE Service is alive and growing, organization official says FedScoop, 4/14/26 |
| Agency: | CMS, DOGE |
| DOGE Project: | IT Modernization |