TheAdministration for a Healthy America (AHA) is a planned operating agency within theU.S. Public Health Service in theDepartment of Health and Human Services (HHS), to be created as part of theHHS reorganization of 2025 under the administration of PresidentDonald Trump. Its creation was announced on March 27, 2025, and is planned to be established through the consolidation of multiple existing public health agencies.

The consolidation has a stated goal of improving efficiency and reducing redundancy within HHS, and is intended to improve coordination among similar programs and streamline the delivery of services, particularly for low-income populations. As of March 2025, the Administration for a Healthy America is in the early stages of implementation, and the long-term operational structure and leadership of the agency have not yet been finalized.

The creation of the Administration for a Healthy America and the broader HHS restructuring have drawn criticism from public health experts, former officials, labor unions and Democratic lawmakers.^[1]

AHA's programs are planned to be aligned into several divisions.^[2][3] The Trump Administration'spresidential budget request forfiscal year 2026 proposes the following functions for each division, most of which are transferred from theHealth Resources and Services Administration (HRSA) orOffice of the Assistant Secretary for Health (OASH), or non-infectious disease programs of theCenters for Disease Control and Prevention (CDC).^[4][5]

• Primary Care: consolidating functions from the HRSABureau of Primary Health Care,Healthcare Systems Bureau,Federal Office of Rural Health Policy, andOffice for the Advancement of Telehealth; CDCNational Center for Injury Prevention and Control; OASHOffice of Disease Prevention and Health Promotion andOffice of Minority Health; and anti-doping programs transferred from theOffice of National Drug Control Policy
• Environmental Health: consolidating functions from theNational Institute for Occupational Safety and Health and the Safe Water Program from the CDCNational Center for Environmental Health, andNIH'sNational Institute of Environmental Health Sciences
• HIV/AIDS: consolidating functions from the HRSARyan White HIV/AIDS Program, OASHOffice of Infectious Disease and HIV/AIDS Policy, and CDC'sHIV/AIDS prevention and policy functions
• Maternal and Child Health: consolidating functions from the HRSAMaternal and Child Health Bureau, CDCNational Center on Birth Defects and Developmental Disabilities, and OASHOffice on Women's Health
• Mental and Behavioral Health: most functions from theSubstance Abuse and Mental Health Services Administration (SAMHSA), and drug-free communities programs transferred from theOffice of National Drug Control Policy
• Health Workforce: functions from the HRSABureau of Health Workforce
• Policy, Research, and Oversight: consolidating theOffice of the Surgeon General from OASH, theNational Vaccine Injury Compensation Program andCovered Countermeasure Process Fund from the HRSA Healthcare Systems Bureau, the Alzheimer's Disease Program from the CDCNational Center for Chronic Disease Prevention and Health Promotion, lead poisoning programs from the CDCNational Center for Environmental Health, and data collection and public awareness functions transferred from SAMHSA

Some of these proposals can be implemented throughadministrative regulations directly instituted by theHHS Secretary through thefederal rulemaking process, while others require Congress to pass legislation amending existingauthorization bills.^[6][7]

The creation of the AHA was part of abroader restructuring of HHS in response toExecutive Order 14210, "Implementing the President's 'Department of Government Efficiency' Cost Efficiency Initiative". The plan was announced by HHS SecretaryRobert F. Kennedy Jr. announced on March 27, 2025, and included significant organizational changes, staff reductions and budgetary shifts across the department.^[8][2] The announcement made reference to the slogan "Make America Healthy Again", which was coined by Kennedy during his support of theDonald Trump 2024 presidential campaign to echo Trump's ownMake America Great Again slogan.^[8][9]

More details about the reorganization were contained in the Trump Administration'spresidential budget request forfiscal year 2026, which was released on May 30, 2025.^[5]

TheUS District Court for the Northern District of California issued atemporary restraining order (TRO) on May 9 enjoining implementation of Executive Order 14210 and related agencyreduction in force (RIF) plans.^[10] TheNinth Circuit upheld the block, but the Supreme Court issued a temporary stay of the order.^[11] TheUS District Court for Rhode Island also issued apreliminary injunction on July 1 blocking the reorganization.^[12]

Facilities of agencies to be merged into AHA

HRSA andSAMHSA headquarters at 5600 Fishers Lane inNorth Bethesda, Maryland

ATSDR headquarters at theCDC Chamblee Campus Building 107 inChamblee, Georgia

NIOSH Taft Laboratory inCincinnati, Ohio

The new agency is planned combine four existing HHS top-level agencies, and multiple components of another:^[8][2]

• TheHealth Resources and Services Administration was established in 1982 from merging the Health Resources Administration and the Health Services Administration, which themselves were created in 1973 at the end of thePublic Health Service (PHS) reorganizations of 1966–1973 to consolidate a number of longstanding smaller divisions.^[13]
• TheSubstance Abuse and Mental Health Services Administration was established in 1992 from splitting the treatment functions from theNational Institute of Mental Health,National Institute on Alcohol Abuse and Alcoholism, andNational Institute on Drug Abuse.^[14]
• TheOffice of the Assistant Secretary for Health was established in 1967 as part of the 1966–1973 PHS reorganizations, when the position of theAssistant Secretary for Health was created and supplanted thesurgeon general as the head of thePublic Health Service agencies.^{[15][16][17][18]}
• TheNational Institute of Environmental Health Sciences was formed within theNational Institutes of Health in 1966.^[19]

With theCenters for Disease Control and Prevention planned to narrow its focus to infectious disease, several of its components focused on chronic and non-infectious disease are expected to be transferred into AHA:^[20]

• TheNational Institute for Occupational Safety and Health'searliest predecessor was formed in 1914, and became NIOSH in 1971 as a result of theOccupational Safety and Health Act of 1970.^[21] It was absorbed into CDC in 1973 at the end of the 1966–1973 PHS reorganizations.^[22]
• TheNational Center for Environmental Health (NCEH) andNational Center for Chronic Disease Prevention and Health Promotion were two of the original centers established in 1980, when CDC first created internal centers.^[23] TheNational Center for Injury Prevention and Control was spun off from NCEH in 1992,^[24] and theNational Center on Birth Defects and Developmental Disabilities was spun off from NCEH in 2001 due to theChildren's Health Act of 2000.^[25][26]

• United States Department of Health and Human Services agencies
• Agencies of the United States Public Health Service
• Government agencies established in 2025
• Second Trump administration controversies
• 2025 establishments in the United States
• 2025 establishments in Washington, D.C.

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