Proposed HHS 2026 Discretionary Passback Eliminates or Dismembers Key CDC Functions

This page is a developing overview of the proposed budget changes in the leaked passback document dated April 10, 2025. If you have additional information, please email info@firedbutfighting.com.
Below the CDC section, you will also find information about other affected HHS cuts (also being built out).

Centers for Disease Control and Prevention

This list is based on a cross-comparison of the official September 13, 2024 CDC organizational chart and internal reorganization planning documents circulated during the DOGE-directed budget process. What we found: Many key public health functions were quietly eliminated, scattered, or absorbed. Here’s what survived—and what didn’t.

Office of the Director

INTACT

  • Director's Office

CUT

  • Office of Policy, Planning, and Partnerships

  • Office of Science

DISMEMBERED

  • Office of Policy, Performance, and Evaluation (at risk, retained in name only)

  • Office of Laboratory Science and Safety (partially absorbed)

  • Office of Minority Health and Health Equity (likely consolidated)

UNCLEAR

  • Office of State, Tribal, Local and Territorial Support (OSTLTS/CSTLTS) (not listed, presumed eliminated)

National Center for HIV, Viral Hepatitis, STD, and TB Prevention

DISMEMBERED

Entire center fragmented and redistributed (formerly centralized, now split)

  • Division of HIV/AIDS Prevention (separated or merged under new headings)

  • Division of STD Prevention (listed independently)

  • Division of Viral Hepatitis (possibly absorbed into broader infectious disease office)

  • Division of Tuberculosis Elimination (shown in chart but reduced)

National Center for Immunization and Respiratory Diseases (NCIRD)

INTACT

  • Retained but with internal consolidation (functions still visible in chart)

DISMEMBERED

  • Influenza Division (listed, possibly merged or renamed)

  • Immunization Services Division (listed, structural role unclear)

  • Division of Viral Diseases (shown under broader umbrella)

  • Division of Bacterial Diseases (at risk for absorption or redistribution)

National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)

CUT

  • Entire center cut

National Center for Environmental Health (NCEH) / Agency for Toxic Substances and Disease Registry (ATSDR)

DISMEMBERED

Status unclear; significant reductions (partially listed with gaps)

  • Division of Environmental Health Science and Practice (partially retained, diminished visibility)

  • Division of Laboratory Sciences (listed in fragments, reduced role)

  • Division of Toxicology and Human Health Sciences (not explicitly shown, likely deprioritized)

National Center for Injury Prevention and Control (NCIPC)

CUT

  • Entire center eliminated

National Center for Birth Defects and Developmental Disabilities (NCBDDD)

UNCLEAR

  • Possibly absorbed; not clearly listed (unclear fate)

National Institute for Occupational Safety and Health (NIOSH)

UNCLEAR

  • Listed as standalone; future status unclear (not eliminated but possibly deprioritized)

  • World Trade Center Health Program (not listed; at risk via NIOSH)

Center for Global Health (CGH)

DISMEMBERED

Entire center downsized and absorbed

  • Division of Global HIV & TB (listed in fragmented form)

  • Division of Parasitic Diseases and Malaria (not clearly shown; possibly rolled into broader infectious disease work)

  • Division of Global Migration and Quarantine (possibly merged under border health programs)

Office of Communications

DISMEMBERED

  • Downsized and merged into central HHS comms structure (no longer autonomous)

Programs/Functions Not Explicitly Listed (Presumed Eliminated or Reassigned)

  • OSTLTS / CSTLTS (State, Tribal, Local, and Territorial Support) (not listed, presumed eliminated)

  • Office of Women's Health (not listed under CDC or OS)

  • Tribal Support Function (not listed, presumed eliminated)

  • Community Engagement & Equity Programs (not listed, presumed eliminated or reallocated)

  • Many equity- and community-facing programs marked for reallocation (structure unclear)

Other HHS Services

OFFICE OF THE SECRETARY (OS)

CUT

  • Office of Minority Health

  • Office of Women’s Health

  • Office of Adolescent Health

  • Office of Global Affairs

  • Office of Civil Rights

  • Office of Climate Change and Health Equity

DISMEMBERED

  • Assistant Secretary for Health (downsized)

  • Assistant Secretary for Preparedness and Response (ASPR) (reassigned)

NATIONAL INSTITUTES OF HEALTH (NIH)

Appears to retain high-level structure. Details forthcoming.

Food and Drug Administration

Regulatory functions retained

CUT

  • Center for Tobacco Products

DISMEMBERED

  • Consumer safety functions moved or consolidated (details forthcoming)

CENTERS FOR MEDICAID AND MEDICARE

CUT

  • Innovation Center (CMMI) and Office of Minority Health

DISMEMBERED

  • Medicaid expansion program offices reduced (details forthcoming)

INDIAN HEALTH SERVICES (IHS)

CUT

  • Tribal liaison offices and public health infrastructure grants eliminated

DISMEMBERED

  • IHS will be absorbed by AHA

The contents of the page reflect Fired But Fighting’s best understanding of the leaked document. We are not affiliated with CDC or any government agency.