Health Equity Policy Tracker

Monitoring and translating policies that impact health equity.

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Introduced

HHS Announces Transformation to Make America Healthy Again

Department of Health and Human Services
Last Updated
April 15, 2025
Date Enacted
March 27, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

HHS announced a significant workforce reduction and major organizational restructuring: Termination of an additional 10,000 full-time employees (down to 62,000 from 82,000 in January 2025), a consolidation of its 28 divisions into 15, and its regional offices from 10 to 5, and a new Administration for Healthy America (AHA).

Healthcare Delivery, Services & Quality
Food & Nutrition
Healthcare Coverage
Cash or Economic Assistance
Public Health
In Force

Sanctuary Jurisdiction Directives

Department of Justice
Last Updated
April 15, 2025
Date Enacted
February 5, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

This action directs the Department of Justice (DOJ) to enforce federal immigration laws by restricting funding to jurisdictions and organizations that support or provide services to removable immigrants. It mandates a review of federal grants and contracts to ensure compliance with immigration laws and requires all DOJ components to stop funding to non-governmental organizations that aid removable noncitizens. Additionally, the memorandum calls for legal action against state and local jurisdictions that obstruct federal immigration enforcement efforts.

Healthcare Delivery, Services & Quality
In Force

"Declaring A National Emergency At The Southern Border Of The United States"

Executive Office of the President - White House Office
Last Updated
March 27, 2025
Date Enacted
January 20, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order declares that a national emergency exists at the U.S. southern border and directs military personnel and resources to support the U.S. government’s response to the emergency. It directs the building of physical barriers, largely continuing the immigration policies of the first Trump administration.

No items found.
In Force

"Unleashing American Energy" (EO 14154)

Executive Office of the President - White House Office
Last Updated
March 27, 2025
Date Enacted
January 20, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This wide-ranging executive order includes actions to promote fossil fuel energy expansion and dismantle NEPA regulations, and mandates that all agencies immediately pause the disbursement of funds appropriated through the Inflation Reduction Act of 2022 (IRA) or the Infrastructure Investment and Jobs Act (IIJA) that are related to climate change, infrastructure improvement, and public health protection.

Housing
Transportation
Climate
Public Health
In Force

"Ending Radical and Wasteful Government DEI Programs and Preferencing" (EO 14151)

Executive Office of the President - White House Office
Last Updated
March 27, 2025
Date Enacted
January 20, 2025
Policy Type
Executive Order
Executive Order

Policy Type: Executive Order

A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.

Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.

Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.

This executive order mandates the termination of programs, policies, and positions related to diversity, equity, inclusion, and accessibility (DEI and DEIA), and environmental justice, by March 20, 2025. The order also calls for an end to “equity-related” grants and contracts, and performance requirements for employees, contractors, or grantees.

Research and Data
Housing
Food & Nutrition
Transportation
Healthcare Coverage
In Force

Rescission of Guidance on Health-Related Social Needs (HRSNs), CMCS Center Informational Bulletin

Department of Health and Human Services
Last Updated
March 27, 2025
Date Enacted
March 4, 2025
Policy Type
Guidance
Guidance

Policy Type: Guidance

Non-binding advice and explanations issued by agencies about laws, regulations, and procedures, providing clarity and guidance to the public and regulated entities. It helps inform the public about how regulations are interpreted and implemented, without having the force of law.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by guidance, though these policies may indirectly influence their applications for funding or enforcement practices that affect them.

CMS rescinded bulletins on health-related social needs, affecting Medicaid and Children’s Health Insurance Program (CHIP) services and supports, such as housing and nutrition interventions. Eighteen states have approved section 1115 waivers to address these needs under the Health Related Social Needs (HRSN) framework - this framework was also rescinded but the approvals are still valid.

Food & Nutrition
Housing
In Force

Policy on Adhering to the Text of the Administrative Procedure Act

Department of Health and Human Services
Last Updated
March 27, 2025
Date Enacted
March 3, 2025
Policy Type
Policy Statement
Policy Statement

Policy Type: Policy Statement

This action rescinds away an HHS policy that has been in place for more than 50 years regarding public participation in certain kinds of HHS rulemaking, referred to as the Richardson Waiver.

No items found.
In Force

"Ending Illegal DEI and DEIA Discrimination and Preferences"

Department of Justice
Last Updated
March 27, 2025
Date Enacted
February 5, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

This action states that the Department of Justice's Civil Rights Division will investigate, eliminate, and penalize illegal DEI and DEIA preferences, mandates, policies, programs, and activities in the private sector and in educational institutions that receive federal funds.

Education
In Force

HHS’ Civil Rights Office Acts Swiftly to Combat Anti-Semitism

Department of Health and Human Services
Last Updated
March 26, 2025
Date Enacted
February 3, 2025
Policy Type
Memo
Memo

Policy Type: Memo

A written policy statement issued by a government agency or executive official that provides guidance, clarification, or direction on implementing laws or policies. Memos do not have the force of law but can influence policy interpretation and enforcement.

Who It Impacts: Federal agencies, policymakers, and sometimes regulated industries. Memos can shape how agencies enforce laws, impacting businesses, healthcare providers, and other stakeholders.

Who Is Not Impacted: Memos do not create binding legal requirements for the general public, though they can influence enforcement priorities that indirectly affect individuals and organizations.

This action described the initiation of compliance reviews for four medical schools following reports of pro-Palestinian activism during 2024 commencement ceremonies. The investigations will examine whether the medical schools complied with their obligations under Title VI of the Civil Rights Act of 1964 and Section 1557.

Education
In Force

Enforcement Actions in or Near Protected Areas

Department of Homeland Security
Last Updated
March 24, 2025
Date Enacted
January 20, 2025
Policy Type
Agency Directive
Agency Directive

Policy Type: Agency Directive

An internal instruction issued by a government agency outlining policies, procedures, or actions to be followed by agency employees. While not legally binding outside the agency, these directives guide agency operations and decision-making.

Who It Impacts: Employees and divisions within the issuing federal agency. These directives guide how staff enforce regulations, allocate resources, and interpret laws. They may also affect industries regulated by the agency.

Who Is Not Impacted: The general public and businesses are not directly bound by agency directives, though these policies may indirectly influence enforcement practices that affect them.

This directive rescinds the Biden Administration’s guidelines for ICE and CBP enforcement actions that “thwart law enforcement in or near so-called ‘sensitive’ areas.” Essentially, this ends a Biden-era policy that protected certain areas—such as churches, school, and hospitals—from immigration enforcement, replacing it with an unreleased directive that gives ICE agents unbridled power to take enforcement actions in any of these spaces using so-called “common sense.”

Healthcare Delivery, Services & Quality
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