Health department layoffs may be illegal, experts say

Health department layoffs may be illegal, experts say

The mass layoffs that swept the U.S. health department this month were chaotic and stressful for employees. They may also have been illegal, according to lawyers and federal employment experts.

Healthcare Dive spoke to more than a dozen current and former employees at the Department of Health and Human Services, all of whom shared aspects of the reduction-in-force that don’t match how the process is typically done. The employees were granted anonymity so they could speak without fear of retribution.

Entire offices were closed, including some mandated by law, while termination letters sent to staff contained incorrect information. There were also discrepancies in how HHS determined which employees would be let go, and a general lack of transparency with department heads and employee unions.

Several legal experts agree that some of those issues could be grounds for a lawsuit. Unions and employment law firms are taking notice and reaching out to impacted employees to collect information.

Last Tuesday, a virtual town hall for HHS staff run by Gilbert Employment Law quickly became so crowded that Zoom started bouncing attendees due to capacity constraints. Another firm, Federal Practice Group, told Healthcare Dive it plans to appeal the layoffs with a board that protects government employees from illegal terminations.

Meanwhile, the National Treasury Employees Union, which represents HHS workers in several agencies, has filed an institutional grievance — setting off an internal complaint process that could wind up in front of an arbiter, according to an email to members shared with Healthcare Dive.

Two weeks after HHS started sending out reduction-in-force, or RIF, notices to employees, it’s still not exactly clear how the layoffs were conducted, who’s in charge and how the 10,000 or so affected HHS workers were targeted.

The RIF, which trims the federal workforce by about 25%, has been characterized by confusion from the highest ranks of leadership to the lowest-level employees. Even HHS Secretary Robert F. Kennedy Jr. acknowledged he was unaware of the full scale of the cuts, saying recently in an interview with CBS News that as many as 20% of affected employees may need to be reinstated — a plan other HHS officials shot down.

“This has been done so sloppily and so carelessly,” said one longtime employee at the National Institutes of Health, who was not affected by the RIF. “It’s just staggering to me, the incompetence of this.”

Legal questions

Generally in a government RIF, agency officials identify an area they want to trim, whether that’s a specific geography or office. Those defined parameters are called a “competitive area.” The agency can also specify which types of jobs will be affected by the RIF before determining how many people, or what percentage of a competitive area, they want to let go.

Then, the agency assigns all employees within that competitive area a score based on the date they started at the agency, their veteran status, performance record and whether they’re a tenured or a probationary employee.

Employees are dismissed or retained based on their position in that ranking, which is called a “retention register.” Agencies also can offer reassignments to a lower level post to keep valuable employees onboard while still cutting their position, in a process called “bump and retreat.”

Government reductions are essentially “a game of musical chairs” where “the RIF decides who gets the chair,” said Ron Sanders, a longtime government official who oversaw RIFs for the Department of Defense in the 1990s.

The entire process can take months and is highly manual if followed to the letter. Not so this month at HHS, where instead of carefully trimming employees, officials have elected to shut down entire offices — a strategy that allows them to move faster and get around the ranking requirements altogether, according to experts.

HHS Secretary Robert F. Kennedy Jr. after testifying in front of the Senate HELP committee on Jan. 30, 2025, prior to being confirmed.

Kevin Dietsch/Getty Images via Getty Images

 

That’s highly irregular but may not be illegal, depending how the HHS defined competitive areas, Sanders said. If the HHS defined the competitive area as a single office and closed the entire thing, they’re not required to do the ranking.

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