Trump Administration Removes Civil Service Protections for Thousands of HHS Policy Staff
The Trump administration has reclassified thousands of HHS employees who shape policy to Schedule F status, stripping civil service protections and making them easier to terminate. The change affects staff across HHS agencies including CMS who develop regulations, guidance, and policy implementation. This action mirrors a similar executive order from Trump's first term that was rescinded by the Biden administration. The reclassification takes effect immediately and could lead to significant turnover among career staff who oversee Medicaid policy development and managed care oversight.
Potential turnover among CMS career staff who write managed care rules, issue guidance, and oversee MCO compliance could create regulatory uncertainty and disrupt existing agency relationships that health plans rely on for policy interpretation.
Managed Care
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