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

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?


APHA on key public health policy issues

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

Today’s announcement by EPA puts your health in danger

The American Public Health Association strongly condemns today’s action by U.S. Environmental Protection Agency Administrator Lee Zeldin to eliminate the agency’s endangerment finding that greenhouse gases threaten the health of all communities. This action undermines decades of science and rulings by federal courts, including the U.S. Supreme Court.

Public health leaders urge court to protect Medicaid beneficiaries from harmful waivers in Indiana

The American Public Health Association, along with 67 leading deans and scholars in public health and health law, has filed an amicus brief in the U.S. Court of Appeals for the D.C. Circuit in Monte Rose Jr., et al. v. Robert F. Kennedy, Jr., et al. The brief urges the court to affirm a lower court ruling that the federal government violated the law by allowing Indiana to continue to restrict Medicaid eligibility and coverage of services in its Section 1115 demonstration waiver.

Supreme Court intervenes to allow Trump’s unlawful reorganization of the Federal Government to continue as case proceeds

The U.S. Supreme Court has granted another emergency stay request from the Trump-Vance administration to stay the injunction two lower courts had approved in AFGE v. Trump that halted the unlawful reorganization of the federal government. The court’s decision permits the administration to continue with plans to restructure federal agencies using Agency Reductions in Force and Reorganization Plans, despite the absence of the required congressional authorization. The court specifically did not weigh in on the legality of the agency plans themselves. The case will continue and counsel are considering next steps.

APHA Joins Others to Sue HHS, Robert F. Kennedy, Jr. for Unlawful, Unilateral Vaccine Changes

Today, the  American Public Health Association (APHA) joined the American Academy of Pediatrics (AAP), American College of Physicians (ACP), Infectious Diseases Society of America (IDSA), Massachusetts Public Health Alliance (MPHA), Society for Maternal-Fetal Medicine (SMFM), and a pregnant physician, in filing suit in American Academy of Pediatrics v. Robert F. Kennedy, Jr. in the U.S. District Court for the District of Massachusetts to defend vaccine policy, and to put an end to the Secretary’s assault on science, public health and evidence-based medicine. 

APHA's role in defending public health

APHA is fighting back. We remain steadfast in our efforts to challenge harmful policies, advocate for evidence-based approaches and defend the well-being of all Americans. 

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:

  • Trump signs budget reconciliation bill that would slash health coverage, food benefits and roll back environmental protections.
    • APHA issued a statement blasting the bill for the severe impacts it will have on public health. APHA also sent letters to all members of the House and Senate urging them to oppose the legislation.
  • APHA and other health organizations sue HHS over unlawful vaccine changes. 
    • On July 7, APHA joined the American Academy of Pediatrics, American College of Physicians, Infectious Diseases Society of America, Massachusetts Public Health Alliance, Society for Maternal-Fetal Medicine, and a pregnant physician in filing a lawsuit in American Academy of Pediatrics v. Robert F. Kennedy, Jr. in the U.S. District Court for the District of Massachusetts to defend vaccine policy, and to put an end to the Secretary’s assault on science, public health and evidence-based medicine. 
  • Supreme Court rules in key public health cases. 
    • On July 8, the U.S. Supreme Court issued an emergency stay request from the Trump administration to stay the injunction two lower courts had approved in AFGE v. Trump that halted the unlawful reorganization of the federal government. The court’s decision permits the administration to continue with plans to restructure federal agencies using Agency Reductions in Force and Reorganization Plans, despite the absence of the required congressional authorization. The court specifically did not weigh in on the legality of the agency plans themselves. The case will continue, and counsel are considering next steps. The coalition bringing the case includes APHA, labor unions, non-profit organizations and cities and counties in California, Illinois, Maryland, Texas and Washington.
    • APHA and more than 500 deans and scholars of public health submitted an amicus brief to the court in support of Medicaid recipients’ access to the important services provided by Planned Parenthood.
    • APHA, other leading health organizations and leading deans and scholars of public health issued an amicus brief to the court in support of the ACA’s preventive services prior to the court’s decision.
  • APHA joins letter urging protection of the U.S. Preventive Services Task Force.
    • On July 9, APHA joined a letter to Congressional leaders urging them to protect the U.S. Preventive Services Task Force. Under the Affordable Care Act, insurers must provide cost-free coverage for preventive services that have been recommended by the USPSTF. This requirement has led to approximately 100 million people being able to receive preventive services like vaccinations and screenings for heart disease, cervical cancer, diabetes, and breast cancer, all without cost-sharing. After the Supreme Court’s ruling in Kennedy v. Braidwood Management, Inc., these services will continue to be covered without cost-sharing as recommended by the USPSTF. Unfortunately, many experts fear that HHS Secretary Kennedy is likely to fire members of the USPSTF and fill it with members hostile to its mission, like he did in June with the Advisory Committee on Immunization Practices. The letter sent to Congress stresses that loss of trust in the USPSTF would have devastating consequences for patients’ ability to access lifesaving and cost-effective care. The letter goes on to urge Congress to protect the USPSTF and its composition and processes, including limited four-year volunteer terms, staggered membership rotation, a membership consisting of primary care experts, rigorous vetting for conflicts of interest, an open member nominations process and scientific and public health input into all appointments. 
  • Tell EPA not to roll back critical rules to protect the public from power plant pollution. 

For Our Health

APHA launched a new initiative, ‘For Our Health,’ which builds on our longstanding commitment to champion optimal, equitable health and well-being for all. The members of For Our Health include former Secretaries of HHS, directors of the CDC, and former state health directors. 

Support for fired public health workers

To support those whose careers have been impacted by the increase in public health job losses, we've compiled a list of public health organizations and resources that provide job listings, professional development and networking opportunities in the public health sector.

APHA in the news

Learn more about all the ways APHA has spoken out in the media about these critical issues, including in The Hill, CNN, Politico, C-SPAN, ABC News, NBC News, Los Angeles Times, and more.

How you can help