A federal appeals court on Sept. 17 declined to lift a preliminary injunction blocking a plan by Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. to overhaul the department in line with the Trump administration’s policy priorities.
On Sept. 17, a three-judge panel of the Boston-based First U.S. Circuit Court of Appeals rejected the Trump administration’s claim that the states could not show they would be immediately harmed if the injunction were lifted pending an appeal. The panel noted that the lower court relied on hundreds of pages of testimony from state officials.
The restructuring plan looked to streamline 28 divisions into 15, and close half of the department’s 10 regional offices. Four HHS sub-agencies were named in the restructuring: the Centers for Disease Control and Prevention, the FDA’s Center for Tobacco Products, the Administration for Children and Families’ Office of Head Start, and the Office of the Assistant Secretary for Planning and Evaluation.
They also pointed to potential harms their states would face if the executive action were allowed to proceed, saying their agencies would be unable to conduct sufficient laboratory testing or process critical health data needed to track infectious diseases and improve maternal and infant health outcomes. They added that the reforms would create financial strain, forcing the states to cover funding gaps left by the pullback in federal resources.
The Trump administration had argued that the states’ case rested on speculation about what harms they would suffer as a result of changes to department services, and that any challenges to the firings had to be pursued by the federal employees themselves before the Merit Systems Protection Board.
In July, the District Court for the District of Rhode Island granted a preliminary injunction to the plaintiffs.
U.S. District Judge Melissa DuBose ruled that the administration “does not have the authority to order, organize, or implement wholesale changes to the structure and function of the agencies created by Congress.”
Her injunction ordered the HHS to freeze its reduction-in-force and restructuring plans at the four agencies.
On Aug. 12, the government filed to temporarily lift the injunction, pending court proceedings.
In its appeal, the HHS said that the lower court ruling should be set aside as the lawsuit was functionally identical to two earlier cases in which the U.S. Supreme Court lifted orders requiring it to reinstate employees let go en masse at other agencies by the administration.
HHS declined to comment on the ongoing litigation. The Epoch Times contacted the office of New York Attorney General Letitia James, which is spearheading the lawsuit, for comment but received no response by publication time.







