DOGE lays out $394M in Michigan health cuts. But what does it mean?

The Department of Government Efficiency website indicates that it is cutting about $394 million in health grants to Michigan, but offers no description of those grants or specific reasons for their cancellation. Photo credit: Chris duMond for Bridge Michigan.
by Kelly House, Robin Erb, and Lauren Gibbons (Bridge Michigan)
A federal website this week laid out about $394 million in cuts to the Michigan Department of Health and Human Services, leaving local health leaders and providers on edge.
As the week closed, state and federal officials had offered little to no guidance to local health providers about what happens next or even confirmation that the numbers are accurate.
The Whitmer administration would not publicly comment on the cuts.
But Democratic lawmakers slammed the move in a Friday afternoon statement, stating that they, too, were awaiting clarification from the state but feared the possible consequences for Michigan residents.
Among their concerns: increased spread of infectious disease and diminished ability to respond, as well as the budget hole that could impact other DHHS-funded programs benefiting vulnerable populations.
鈥淣o matter what way you spin it, Michigan does not have the financial reserves to make up for these life-threatening federal cuts,鈥 said state Rep. Carrie Rheingans, D-Ann Arbor.
The Trump administration听said Wednesday听that it was canceling $12 billion in grants allocated to state health departments during the COVID-19 pandemic, and the next day unveiled plans to听fire 10,000 federal US Health and Human Services employees.
The cuts include about $11.4 billion allocated by the Centers for Disease Control and Prevention and about $1 billion from the Substance Abuse and Mental Health Services Administration.
Spokespersons for both agencies didn鈥檛 immediately respond to requests for comment.
In statements shared with other news outlets, federal health department spokespeople said the department 鈥渨ill no longer waste billions of taxpayer dollars responding to a non-existent pandemic that Americans moved on from years ago.鈥
They said that, instead of COVID, federal health officials will focus on efforts to 鈥渁ddress our chronic disease epidemic and Make America Healthy Again.鈥
The Department of Government Efficiency, an initiative run by billionaire business owner Elon Musk to slash federal spending, reported billions in purported savings on its website from canceling existing health grants in Michigan and other states.
But DOGE accounting of its efforts to slash government spending has been听riddled with major errors,听and state health officials have not yet confirmed DOGE claim to have cut more than听$394 million in grants to Michigan.
Among the Michigan grants that DOGE says have been canceled: $238.3 million that remained from a听$574.8 million CDC grant听for COVID-19 testing, $58.8 million from a听$315.2 million grant听for lab capacity to prevent and control emerging infectious diseases, and $25.5 million from a听$41.9 million grant听to provide mental health services.
Though public health officials in other states have听acknowledged similar cuts, the Michigan Department of Health and Human Services has not yet responded to multiple requests for comment from Bridge Michigan since Wednesday evening.
Health officials in Lubbock, Texas, told the New York Times, for instance, that funding cuts in that state included money that was being used to help quell the measles outbreak that has gripped West Texas and New Mexico. Some听400 people have been infected听in Texas听鈥 mostly children 鈥 with more than 40 hospitalized and at least听two dead听between the two states.
In Michigan on Friday, local health departments were still awaiting word on what precisely they will have to cut.
鈥淵ou can imagine pouring water into some sand and watching it flow through all these rivulets down to the bottom,鈥 said听Dr. Abdul El-Sayed, director of the Wayne County Health, Human & Veterans Services, referring to the federal dollars and decisions that flow through the state health department and ultimately to local health departments. 鈥淲e just really don’t know exactly what the long-term consequences of this are going to be.鈥
鈥淭he only thing we can say with certainty at this point is we are preparing to make adjustments,鈥 Norm Hess, executive director of the Michigan Association of Local Public Health, said in a statement Friday.
Hess later told Bridge that health leaders have been stunned by the 鈥渁bruptness of these actions鈥 and the lack of clarity about the impact of the federal funding cuts on the state听$37.7 billion state health department budget.听He questioned, too, the accuracy of the numbers released by DOGE.
鈥淲e don鈥檛 have the right information to make sound decisions,鈥 he said.
State health officials are 鈥渨orking hard,鈥 but have been unable to provide clarification, he said.
The lack of details left local providers worried they will have to cut critical treatments and services, said Daniel Cherrin, speaking for three associations whose members serve Michiganders with substance use disorder and behavioral health issues.
鈥淭here is no question they will be affected,鈥 he said. 鈥淲e鈥檙e just not sure on the how and the when.鈥
鈥淲e don鈥檛 really know yet what ramifications there are,鈥 said Bette Premo, lab manager for White Water Labs, which is responsible for testing wastewater in Upper Peninsula communities for infectious disease.
In northern lower Michigan, staff in the Health Department of Northwest Michigan are 鈥渁waiting clarification on what the cuts mean and what programs will be impacted,” said Jeremy Fruk, the department director of environmental health services.
In Wayne County, it appears that cuts will affect $3.7 million that pays for COVID vaccine administration and supports lab workers and epidemiologists tracking disease, El-Sayed, the health department director, said.
Such cuts will hamstring departments at the time they might need it most, as the nation tries to protect itself from avian flu and measles. Neighboring听Ohio听and听Windsor confirmed measles cases this month, and Michigan confirmed听its first case March 14.
This article is being republished through a syndication agreement with听Bridge Michigan. Bridge Michigan听is Michigan largest nonprofit news service and one of the nation leading and largest nonprofit civic news providers. Their coverage is nonpartisan, fact-based, and data-driven. Find them online at听听.
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