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"Head Start programs strive to make every child feel welcome, safe, and supported, and reject the characterization of any child as 'illegal,'" said one critic of the move.
The U.S. Department of Health and Human Services announced Thursday that undocumented immigrant children will no longer qualify for Head Start and other federally funded programs that the Trump administration argues are meant to serve American citizens.
HHS formally rescinded a 1998 interpretation of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA), the cornerstone of congressional Republicans' so-called "Contract With America" and the fulfillment of then-Democratic President Bill Clinton's promise to "end welfare as we know it."
That long-standing interpretation, HHS said, "improperly extended certain federal public benefits to illegal aliens," thus "undercutting the law by allowing illegal aliens to access programs Congress intended only for the American people."
"For too long, the government has diverted hardworking Americans' tax dollars to incentivize illegal immigration," HHS Secretary Robert F. Kennedy Jr. said in statement. "Today's action changes that—it restores integrity to federal social programs, enforces the rule of law, and protects vital resources for the American people."
The HHS rule change follows a February executive order from President Donald Trump ordering federal agencies to increase restrictions on undocumented immigrants' access to taxpayer-funded services.
In addition to Head Start—the federally funded preschool program that Trump unsuccessfully sought to eliminate from the budget reconciliation legislation he recently signed—the new HHS interpretation applies to all programs classified as "federal public benefits" under PRWORA. These include health clinics, mental health services block grants, homelessness transition block grants, substance abuse treatment, and other programs.
Critics condemned the HHS move.
"Head Start programs strive to make every child feel welcome, safe, and supported, and reject the characterization of any child as 'illegal,'" said Yasmina Vinci, executive director of the advocacy group National Head Start Association.
"The Head Start Act has never required documentation of immigration status as a condition for enrollment over the last 60 years," Vinci added. "Attempts to impose such a requirement threaten to create fear and confusion among all families who are focused on raising healthy children, ready to succeed in school and life."
The HHS policy change is part of the Trump administration's wider anti-immigrant agenda. The president has launched a mass deportation drive, opened the "Alligator Alcatraz" concentration camp in the Florida Everglades, stripped temporary protected status from numerous nationalities, pushed to end birthright citizenship, and arrested and jailed green-card holders for peacefully protesting genocide—among other xenophobic and racist policies and practices.
"To be meaningful, the findings of the report must translate into concrete actions that truly advance a healthier, more sustainable food system for America's farmers and consumers."
Hours after Republicans in the U.S. House passed a budget reconciliation package Thursday that would slash hundreds of billions of dollars in healthcare and federal food assistance programs for low-income Americans, the nation's top health agency released a highly anticipated report on chronic diseases in children—one that had nothing to say about the impacts those cuts will have on millions of children and instead offered a litany of complaints about families' lifestyles, vaccines, and "overmedicalization," with few solutions.
Led by Health and Human Services Secretary Robert F. Kennedy Jr., the so-called "Make America Healthy Again" Commission released The MAHA Report, urging the federal government to "act decisively" to reverse "the childhood chronic disease crisis by confronting its root causes—not just its symptoms."
But longtime campaigners in the food safety realm said that while the report's partial focus on the wide use of pesticides, herbicides, and other chemicals—many of which are banned in Europe—is a positive step, the document gave little indication that Kennedy and other Trump administration officials plan to listen to scientists who warn that these chemicals are linked to cancer, birth defects, and immune function.
As Civil Eats reported in April, dozens of GOP lawmakers wrote to Kennedy and other commission members including Agriculture Secretary Brooke Rollins and Environmental Protection Agency Administrator Lee Zeldin, warning that a push to limit pesticides in food was being pushed by "activist groups promoting misguided and sometimes malicious policies masquerading as health solutions."
"Protecting children's health and building a healthy food system must trump pesticide corporations' profits," said George Kimbrell, legal director of Center for Food Safety, in a Thursday statement. "Policy and governance must be based on sound science and reject fearmongering and lobbying influence alleging that these toxins are needed for a healthy food system or agricultural economy."
The report also includes numerous mentions of health guidelines and standards in Europe, but Zeldin was clear in a call with reporters as the document was released that ensuring the health of American children "cannot happen through a European mandate system that stifles growth."
The commission suggested that U.S. farmers will continue to use 300 millions of pounds of glyphosate and 70 million pounds of atrazine per year—herbicides that, respectively, have been the subject of thousands of lawsuits filed by cancer patients and contaminate the drinking water of 40 million Americans.
While the World Health Organization has classified glyphosate as a probable carcinogen and numerous countries have banned the weed-killer, the MAHA Commission said "human studies are limited" regarding glyphosate and similar products. The report allowed that "a selection of research studies... have noted a range of possible health effects."
Even that language was enough to anger agricultural groups and the Republican politicians who are allied with them, with the American Soybean Association accusing the commission of "glaring misinformation and anti-farmer findings" on Friday.
Kimbrell said the report "falls woefully short of providing any next steps in how the government is going to stop this health epidemic from continuing."
"To be meaningful, the findings of the report must translate into concrete actions that truly advance a healthier, more sustainable food system for America's farmers and consumers," he said.
The report also makes no mention of factory farming and its link to antibiotic resistance via corporate farmers' widespread antibiotic use; the leading causes of death for children in the U.S., gun violence and car accidents; and dental cavities, which is one of the most common chronic health problems in children.
Kennedy has spearheaded an effort to remove fluoride from public drinking water, saying in the report that exposure to high levels of fluoride is linked to low IQ in children. Widespread community water fluoridation has been linked to a sharp decrease in tooth decay among children, with the Centers for Disease Control and Prevention hailing the practice, now used in 60% of the country, as a major public health achievement.
Medical organizations have said concerns about fluoridation raised by Kennedy and others are unfounded.
During his confirmation hearings, Kennedy dismissed the idea that healthcare should be a human right—falsely claiming Americans prefer the for-profit health insurance industry to government-run systems that have been shown to be far less costly and have better outcomes. The report also makes no mention of the harms of tying healthcare to profit, even as it compared U.S. life expectancy and healthcare costs unfavorably to those in other wealthy nations.
In a video posted to social media, dietician Jessica Knurick emphasized that Kennedy is right to point out the nation's "chronic disease problem."
"But he gets the causes and the solutions completely wrong," she said. "His causes are not evidence-based and they play into the idea of scientific and regulatory corruption to erode trust in science. And his solutions distract from evidence-based solutions that could actually help while actively undermining public health."
With the MAHA Report focusing heavily on sedentary lifestyles and low-income people's reliance on ultraprocessed, inexpensive food, Food and Water Watch (FWW) senior policy analyst Rebecca Wolf said the document amounts to "half-baked finger-pointing that blames the sick."
"Improving public health in America cannot happen without reigning in corporate control. It is a grave mistake to exclude Big Ag from culpability," said Wolf. "Any administration serious about public health must strictly regulate the corporations putting our food and water supplies at risk."
Policy solutions that went ignored in the report, said Wolf, include:
"The report is right to highlight the health impacts of ultraprocessed foods, microplastics, PFAS, and pesticides," said FWW, "but falls short of directing real policy recommendations capable of reigning in corporate polluters."
"There is no way this makes Americans healthier."
HIV prevention. Anti-tobacco advocacy. The safety of mining workers.
All are among the health priorities that evidently have no place in U.S. President Donald Trump and Health and Human Services Secretary Robert F. Kennedy's vision to "Make America Healthy Again," following the mass firing of 10,000 people at the nation's top health agencies on Tuesday.
The layoffs hit the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA), with some staffers informed of their dismissal after they arrived at work—only to be told to return home.
Kayla Tausche at CNN reported that laid off employees at the HHS building in Rockville, Maryland were forced to do a "walk of shame" past dozens of their former colleagues who were lined up outside the building, waiting to learn their own fate.
The employees who were laid off Monday evening into Tuesday are the latest of more than 100,000 federal workers who have lost their jobs since Trump took office and placed billionaire tech mogul and megadonor Elon Musk at the help of the so-called Department of Government Efficiency. Last week, Kennedy said the federal health agency workforce would be reduced from about 82,000 to 62,000 people, with the restructuring making room for what he called "the Administration for a Healthy America" at HHS.
"We're going to do more with less," said the secretary, who has expressed skepticism about the scientifically proven benefits of vaccinations and claimed without evidence that the rate of chronic disease rose over the four years that former President Joe Biden was in the White House.
Kennedy said last week that communications for the health agencies would be brought under his control in the "restructuring," and many of the layoffs impacted people responsible for relaying information to the public.
Twenty people who handle public communications for one National Institutes of Health (NIH) program analyzing the genes of volunteers for health research were among those placed on administrative leave Tuesday—a precursor to being laid off, one official told USA Today.
The FDA's Office of Media Affairs was also disbanded, as well as most of the 50-person communications team for the agency's Center for Drug Evaluation and Research, which manages information on drug approvals, shortages, and potential risks.
"The general public likely won't feel the results of these HHS layoffs immediately," said Larry Levitt, executive vice president of KFF. "But eventually, these layoffs will affect the health information available to people, access to care and prevention, and oversight of health and social services."
Other impacted employees include those in internal agencies focused on the health of senior citizens, people with disabilities, and minority communities, and workers studying asthma, lead poisoning, radiation damage, and the health effects of extreme heat and wildfires.
The administration appeared to see HIV prevention as a key target, placing the director of the National Center for HIV, Viral Hepatitis, STD, and TB Prevention on administrative leave and dismantling teams that do HIV research and surveillance.
Despite his claims last week about wanting to fight chronic disease, Kennedy did not outline plans to better equip the federal government to fight heart disease, diabetes, and other chronic conditions. At the CDC, The New York Times reported Tuesday, "entire departments studying chronic diseases and environmental problems were cut."
In a post on LinkedIn on Tuesday, former FDA Commissioner Robert Califf, who served under Biden and former President Barack Obama, said the agency "as we've known it is finished" and warned the federal government was losing critical institutional knowledge by firing thousands of people.
"I believe that history will see this [as] a huge mistake," said Califf. "I will be glad if I'm proven wrong, but even then there is no good reason to treat people this way. It will be interesting to hear from the new leadership how they plan to put 'Humpty Dumpty' back together again."
Journalist Sam Stein of The Bulwark called the mass firings "an absolute bloodbath" with a "generation of scientists, healthcare officials being wiped out."
Brown University professor Dr. Craig Spencer said the country "will regret this."
"These are the people who make sure the medications you and your children take are safe. These are the people who perform and oversee research on cancer, infant health, and so, so, so much more. These are the people who make sure new devices that physicians and patients use are effective," said Spencer. "And now, thousands of them are gone. There is no way this makes Americans healthier."