RFK Jr., as Secretary of Health and Human Services, reorganized the agency into the Administration for a Healthy America, initiating deep cuts and proposing controversial wellness farms as an alternative mental health treatment. The proposal has sparked concerns due to its reliance on unproven natural therapies and racially charged rhetoric targeting Black children regarding psychiatric medications.

On April 1, 2025, as part of a sweeping overhaul led by the Trump administration, mass layoffs began across key US health agencies. The restructuring included the creation of the Administration for a Healthy America to consolidate public health services, triggering significant concerns over worker rights and union protections.

The restructuring at HHS, marked by voluntary buy-outs and the loss of roughly 20,000 jobs along with the closure of half of its regional offices, has led to the establishment of a new agency called the Administration for a Healthy America.

On March 27, 2025, the U.S. Department of Health and Human Services announced a dramatic restructuring in accordance with President Trump's Executive Order, leading to the creation of the Administration for a Healthy America (AHA). This new agency subsumes multiple federal health agencies, including SAMHSA, consolidating roles under a centralized authority.

On March 27, 2025, HHS announced a restructure that involves cutting around 10,000 full-time positions across several agencies, including FDA, CDC, NIH, and CMS, as part of a wider effort to reduce spending. This restructuring also led to the formation of the Administration for a Healthy America, aimed at refocusing efforts on public health for low‑income Americans, but the massive job cuts raise serious concerns about worker rights and the capacity to deliver essential public health services.

A planned operating agency was announced on March 27, 2025 as part of a broader reorganization of the Department of Health and Human Services under President Donald Trump. The move to consolidate multiple public health agencies, accompanied by significant staff reductions and politically charged messaging such as the slogan 'Make America Healthy Again', has drawn criticism from public health experts, former officials, labor unions, and Democratic lawmakers.

Secretary Robert F. Kennedy Jr. announced a major overhaul of HHS with the creation of the Administration for a Healthy America, consolidating several agencies and streamlining operations with a focus on combating chronic illness through sustainable, health-oriented policies.

The Trump administration has announced the merger of SAMHSA and several other health agencies into the newly formed Administration for a Healthy America. The move is accompanied by significant job cuts aimed at increasing operational efficiency, raising concerns over the undermining of democratic accountability, workforce rights, and the stability of essential public health services.

On March 27, 2025, the U.S. Department of Health and Human Services announced a sweeping restructuring plan in line with President Trump’s executive order. The plan includes consolidating 28 divisions into 15, creating a new Administration for a Healthy America as a central hub for core functions, and downsizing approximately 10,000 full-time employees in an effort to cut costs and increase efficiency.

The Department of Health and Human Services is being restructured in accordance with President Trump’s Executive Order titled 'Implementing the President’s “Department of Government Efficiency” Workforce Optimization Initiative.' This move follows an expansive growth during the Biden administration and signals a political realignment of the agency's priorities that many view as aligning with authoritarian governance.