Public Health Under Threat

Understanding the threat to public health

Under the Trump administration, we have seen a slew of proposed public health policies that threaten to undermine decades of progress in protecting the health of individuals, families, and communities across the United States. 

These dangerous proposals jeopardize critical public health systems, weaken protections for vulnerable populations and risk worsening health inequities.
Learn more about how Project 2025 will impact public health

The Latest on How APHA Is Protecting Public Health (Updated September 5, 2025)

APHA has been part of successful litigation and action challenging some of the biggest threats to public health. Read the latest testimony, comments and briefs and read all public letters to congress and federal agencies from APHA, including:

House Labor-HHS-Education appropriations subcommittee advances FY 2026 spending bill with significant cuts to public health programs 

On Sept. 2, the House Labor-HHS-Education appropriations subcommittee voted to pass its version of the FY 2026 Labor-HHS-Education appropriations bill by a party-line vote of 11-7. While the bill does not include the massive reorganization or cuts to key public health agencies as called for in the president’s FY 2026 budget request, it does include significant cuts to key public health programs and agencies. The bill would cut CDC funding by $1.7 billion below current year levels. Specifically, the bill eliminates funding for the following CDC programs: 

  • Global and domestic HIV prevention programs 
  • Climate and Health program 
  • Gun violence prevention research program 
  • Tobacco prevention and control funding 
  • Preventive Health and Health Services Block Grant 

The bill also cuts funding for other critical CDC programs, including global health and global health disease prevention, and provides modest increases for public health infrastructure, public health data modernization and the Infectious Disease Rapid Response Fund. 

Other HHS agencies also face significant funding cuts under the House proposal: 

  • Funding for the Health Resources and Services Administration would be cut by $886 million below FY 2025 levels, including the elimination of the Title X Family Planning program, significant cuts to the Ryan White HIV/AIDS program and cuts to important health workforce training programs. 
  • Funding for the National Institutes of Health would be reduced by $456 million below current year levels. 
  • Funding for the Substance Abuse and Mental Health Services Administration would be cut by $298 million. 
  • Funding for the Agency for Healthcare Research and Quality would be eliminated. 

The bill also includes $100 million for the creation of the Make America Health Again initiative — an initiative championed by HHS Secretary Robert F. Kennedy, Jr. 

Additional funding details are expected to be released after the full House Appropriations Committee considers the bill, which is expected to happen soon. Summaries of the bill from the Republicans and Democrats are available for additional details. 

In late July, the Senate Appropriations Committee, unlike the House, passed its version of the bill with a strong bipartisan vote, maintaining level funding for most programs and agencies. The Senate bill would boost NIH funding by $400 million over FY 2025 and would provide CDC with $9.1 billion, a small reduction from FY 2025 but significantly higher funding total than provided for in the House bill. 

Contact your members of Congress and urge them to prioritize public health funding as they work to finalize the FY 2026 Labor-HHS-Education appropriations bill by visiting APHA’s action alert site

APHA calls for HHS Secretary Kennedy’s removal after CDC leadership firings and resignations 

On Aug. 27, APHA’s executive director, Dr. Georges C. Benjamin, issued a statement calling for the removal of Robert F. Kennedy Jr. as secretary of the U.S. Department of Health and Human Services after the dismissal of Dr. Susan Monarez as Director of the CDC after just months on the job and in the wake of a mass shooting at the agency’s headquarters in Atlanta. Monarez was reportedly forced out of her position for refusing to sign off on changes to vaccine recommendations that were not based on evidence and the latest science. In addition to Monarez’s firing, several other senior CDC leaders resigned either by choice or due to pressure for failing to accept decisions that would undermine their integrity and endanger the health of the public. 

APHA previously opposed Kennedy’s nomination and confirmation by the Senate and has continued to speak out against the many missteps he has made and the misinformation he has shared since his confirmation. 

APHA also continues to express our support for CDC staff and the agency’s mission and programs and will continue to advocate for strong leadership and funding that allows the agency and its staff to fulfill the many important activities and interventions it leads in protecting the health of the American public. 

APHA submits comments advocating for federal recognition of schools of public health 

On July 25, the U.S. Department of Education published a proposed rule regarding implementation of the One Big Beautiful Bill Act. Groups noted concern that the rule did not clearly include Master in Public Health (MPH) and Doctor in Public Health (DrPH) programs in the list of federally recognized professional programs. Unfortunately, this would impact factors like access to financial aid for public health students and ultimately threaten the future public health workforce. The rule also overlooks the fact that professional public health degrees are accredited by the Council on Education for Public Health, which is formally recognized by the U.S. Department of Education as the accrediting body for academic public health. 

In response, APHA submitted comments on the proposed rule that recommend the following: 

  • Expanding the list of certified programs to include MPH and DrPH programs 
  • Including public health expertise in financial aid and rulemaking committees 
  • Recognizing that public health workers are often frontline responders in emergencies in federal definitions and financing 
  • Providing clarity around loan limit changes for public health student borrowers 
  • Maintaining adequate DOE staff for the students who rely on DOE for helpdesk services, regional support and more 

The letter stresses that these changes to the rule are critical for empowering public health students with opportunities that their peers in other professions have access to and ultimately maintaining a strong future public health workforce to keep our nation healthy. 

APHA joins comments to FDA to lower nicotine amounts in tobacco products

On Jan. 16, 2025, the U.S. Food and Drug Administration announced a proposed rule titled “Tobacco Product Standard for Nicotine Yield of Cigarettes and Certain Other Combusted Tobacco Products.” The rule proposes establishing a maximum nicotine level in cigarettes and certain other combusted tobacco products with the intent of ultimately decreasing the addictiveness of tobacco products. On Aug. 25, APHA joined the Campaign for Tobacco-Free Kids in submitting comments on the rule that explain the addictive nature of nicotine and the public health impact of reducing nicotine amounts. The comments make clear that the impacts of the proposed rule would include: helping current smokers quit, helping prevent youth from ever becoming addicted, and reducing tobacco-related health disparities. The comments urge FDA to apply the standard to all products, including cigars and hookah to broaden the public health impact and prevent the tobacco industry from abusing any potential definition loopholes. The comments agree with FDA’s proposed limit of 0.7 milligrams per gram and commend the agency for taking action to protect the public’s health from the harms of smoking. 

Get involved in the Speak for Health campaign 

Contact your elected officials about taking action on public health. Here are some things you can do to get involved:

Watch: Making sense of the buzzwords and protecting public health

You’ve probably heard the buzzwords — "Big Beautiful Bill," "Reconciliation," "FY 2025," "FY 2026," "Rescission Package." What do these terms mean, and how could they impact public health funding in your community?

Watch: When Cutting Costs, Costs Health: What You Need to Know about Federal Policy Changes

In June and July, the U.S. Congress passed two large bills that formally upend decades of public health work in the U.S. and abroad. To pay for tax cuts, Congress - with pressure from the President - changed eligibility criteria for Medicaid, SNAP, and codified funding cuts for global health and democracy programs and public broadcasting.


APHA on key public health policy issues

Hear what APHA has to say about policy proposals that will impact public health.

How you can help