Thedeputy secretary of health and human services (formerly the under secretary of health, education, and welfare, 1953–1979, and theunder secretary of health and human services, 1979–1990) is thechief operating officer of theUnited States Department of Health and Human Services. The deputy secretary oversees all operations within the department, including overseeing Medicare, Medicaid, public health, medical research, food and drug safety, welfare, child and family services, disease prevention, Indian health, and mental health services. The most recent deputy secretary wasAndrea Palm, who was confirmed by theUnited States Senate on May 11, 2021.
The deputy secretary is also the regulatory policy officer for the department, overseeing the development and approval of all HHS regulations and significant guidance. In addition, the deputy secretary leads a number of initiatives at the department, including implementing the president's management agenda, combating bio-terrorism, andpublic health emergency preparedness. She also represents the secretary of health and human services on the board of theJohn F. Kennedy Center for the Performing Arts.[2]
The deputy secretary is appointed by thepresident and confirmed by theSenate.[3] The deputy secretary is paid at level II of theExecutive Schedule.[4] The deputy secretary is assisted by a principal associate deputy secretary of health and human services, two associate deputy secretaries, and three staff assistants.[5] The position of deputy secretary was originally held by an under secretary until the position was retitled in August 1990. The position of under secretary had been in existence since the creation of theDepartment of Health, Education, and Welfare in 1953.[3]
^Smith, Jessie Carney, "Notable Black American women, Book II" (1996), p. 611 "In April, 1953, when the Department of Health, Education and Welfare was established withOveta Culp Hobby as its first secretary, Spaulding was appointed her assistant. ... After only nine months... Spaulding was reassigned. On January 21, 1954, HEW released to the press the entire text of Jane Spaulding's resignation along with the report that she has accepted a position with the War Claims Commission."
^Mjagki, Nina, "Portraits of African American life since 1865" (2003), p. 190 "More African Americans were appointed to high federal posts during the Eisenhower than by any other administration since that of Theodore Roosevelt". Roberta Church was reportedly considered for the position of "assistant to the Secretary of Health, Education and Welfare"... "but that job went to Jane Morrow Spaulding, another prominent black Republican."
^A common thread of Service, p. 43. Lists holders of the position of Under Secretary. Under Secretary was a new office, outranking the position of Assistant. "Nelson A. Rockefeller June 11, 1953 – December 22, 1954".
^A common thread of Service, p. 43. Lists holders of the position of Under Secretary. "Vacancy December 23, 1954 – September 11, 1955".
^A common thread of Service, p. 43. Lists holders of the position of Under Secretary. "Herold C. Hunt September 12, 1955 – February 4, 1957".
^A common thread of Service, p. 43. Lists holders of the position of Under Secretary. "Vacancy February 5, 1957 – April 4, 1957".
^A common thread of Service, p. 44. Lists holders of the position of Under Secretary. "John A.Perkins April 5, 1957 – March 6, 1958".
^"Journal of physical education and recreation", Vol. 28 (1957), p. 52. "John Alanson Perkins, who has been president of theUniversity of Delaware since 1950, has been appointed to the position of Under Secretary".
^A common thread of Service, p. 44. Lists holders of the position of Under Secretary. "Vacancy March 7, 1958 – March 18, 1958".
^A common thread of Service, p. 44. Lists holders of the position of Under Secretary. "Bertha S. Atkins March 19, 1958 – January 19, 1961".
^O'Dea Schenken, Suzanne, "From suffrage to the Senate: an encyclopedia of American women in Politics, Vol. II", p. 17. Contains a bio of Adkins. "Adkins, Bertha Sheppard (1906–1983). Undersecretary of Health, Education, and Welfare from 1958 to 1960. ... Served as director of theRepublican Party's Women's Division from 1950 to 1953, when the division closed. Adkins then became assistant to the chair of theRepublican National Committee, serving until 1960."
^A common thread of Service, p. 44. Lists holders of the position of Under Secretary. "Ivan A. Nestingen January 21, 1961 – May 31, 1965".
^Mossman, Jennifer, "Almanac of Famous People". Vol. 1", p. 1421. Contains a brief bio of Nestingen. "Nestingen, Ivan Arnold" (1921–1978) . He is listed asMayor of Madison Wisconsin from 1956 to 1961, Under Secretary of HEW from 1961 to 1965.
^Bowling, Lawson, "Shapers of the Great Debate on the Great Society", p. 44. Covers Nestingen in a section covering the efforts to introduceMedicare and his working relationship withWilbur J. Cohen. "Cohen's immediate superior and fellow Wisconsinite, HEW Undersecretary Ivan Nestingen, grew extremely frustrated with the congressional logjam and, disillusioned with Cohen's inside game, came to favor an outside public relations effort to create pressure on Congress, banking on the Medicare concept's general popularity. ... Nestingen eventually left government service in 1965 in a fashion rumored not to be voluntary".
^A common thread of Service, p. 44. Lists holders of the position of Under Secretary. "Wilbur J. Cohen June 1, 1965 – May 16, 1968".
^A common thread of Service, p. 44. Lists holders of the position of Under Secretary. "Vacancy May 17, 1968 – July 14, 1968".
^A common thread of Service, p. 44. Lists holders of the position of Under Secretary. "James H. McCrocklin July 15, 1968 – January 20, 1969".
^Time Magazine article, L.B.J. : Lengthening Shadows, originally published June 28, 1968. "When the President fills vacant posts, appointments have an odor of the payoff. James McCrocklin, new Under Secretary of HEW, is a former president ofSouthwest Texas State College, which boasts one really distinguished alumnus, named Johnson."
^"The inauguration of James Henry McCrocklin as fourth president of Southwest Texas State Teachers College" 1964). The title offers the full name of McCrocklin.
^A common thread of Service, p. 44. Lists holders of the position of Under Secretary. "Vacancy January 21, 1969 – March 5, 1969".
^A common thread of Service, p. 44. Lists holders of the position of Under Secretary. "John G. Veneman March 6, 1969 to present". The book was published in 1970
^Derthick, Martha, "Policymaking for social security" (1979), p. 68. "The Nixon administration of 1969–72 continued the practice of liberal appointees withRobert H. Finch (1969–1970) andRichardson (1970–1973) as secretaries and John G. Veneman (1969–1973) as under secretary".
^Kaplowitz, Craig Allan, "LULAC, Mexican Americans and National Policy" (2005), p. 147. "As John Veneman, undersecretary of HEW, toldThe Washington Post in January 1972, 'Whenever Spanish-speaking students' performance is shown to be markedly lower, a strong case can be made that they are not receiving an equal education.' Teaching children in a language that some understand and others do not was not 'equal', according to Veneman, and Spanish language use and low test scores together could prove the need for remedy."
Mossman, Jennifer (2001),Almanac of Famous People: A Comprehensive Reference Guide to More than 33,000 Famous and Infamous Newsmakers from Biblical Times to the Present, Vol. 1, Gale Research Co.,ISBN978-0-7876-4793-3
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