Any other health IT peeps just sitting here today rolling their eyes feeling like they're reliving the same decades over and over again?

Have you done any research on NAD+? I've been very curious about whether it works or not based on all the celebs using it.

They were moved under new offices, you have to go to that office page and then you can see the breakdown. They're not eliminated but severely cut.

Scoop: Leaked PDF outlines major HHS restructuring proposal (authenticity now confirmed). "The safety nets are being blown up right and left." Floated cuts include some programs mandated by Congress.

For the folks who thought health IT was bipartisan. ASTP/ONC budget getting cut to $9M down from about $62M. The money hasn't been bipartisan for a while. There are also massive cuts to CDC and NIH.

insidemedicine.substack.com/p/scoop-leak...

The speed at which it has occurred has been mind blowing. And the courts are barely holding the line. My own congressman received a donation from Musk in return for putting judges up for impeachment. Musk is literally buying votes in Wisconsin. Things are not ok. We must speak up and stand up.

B/c we definitely are. This isn't just people being RIFed albeit that is horrible b/c it will damage our country and most vulnerable people so much. But the erosion of congressional authority with absolutely no movement by Republicans to hold their constitutionally given powers has been staggering.

If you've not been watching @booker.senate.gov today as he holds the senate floor, you should. I'm a former R, a former Trump appointee, and I still hold actual conservative policy positions (not MAGA positions which are absolutely not that). He is laying out the constitutional crisis we are in.

Yeah I try hard not to be a chicken little when I raise issues. But I also have some of the inside info from serving before. Doesn't matter it's just bad. I am a little concerned we will see a Musk takeover with his own tech like we're seeing at the FAA. 🤷‍♀️

HHS braces for a reorganization The effort is part of the Trump administration’s plan to shrink the federal government.

I didn't want to be right about this, but sadly, I'm not surprised.

www.politico.com/news/2025/03...

Well as a health IT policy wonk this is disappointing. So basically HHS will just be able to publish final rules whenever they want and throw it under the exception clause. I'm not surprised because I expected it, but disappointed.

public-inspection.federalregister.gov/2025-03300.pdf

For what it's worth, it was likely within the 60 day window of identifying that your data was in the breach. It took a long time for the cybersecurity analysts to sort through all of the data and determine what was breached. This is where ransomware is different than just a standard breach.

Riddle me this. If there was a deep state that DOGE was rooting out, wouldn't they have started by firing the federal employees who had been there the longest and most likely to be part of such a conspiracy rather then the brand new folks? The math isn't mathing.

They have just opened up the DOGE handles on X for DMs where they're requesting the general public to report FWA. So I think some creative folks should get to flooding those handles with Waste and Abuse created by the Trump admin. You know things like racing your limo around the Daytona track.

I am curious what would happen if the admin pushed through a certification rule that disadvantaged or even made it impossible for Epic to play. I imagine they would sue over it. Then again my crystal ball is saying ASTP/ONC may not exist much longer, which I hate to say and don't support.

I don't know, seems like nothing is too small to notice. 🤷‍♀️

Just noodling this morning. We watched the last few weeks as USAID was basically eliminated, then Dept of Ed, so what makes us think they won't effectively eliminate ASTP/ONC?

I'm a health IT policy wonk and my specialty is interoperability.

So that lawsuit on data access that DOGE thinks it won, seems to be because the judge has declared that they are an agency, which means they would have to follow APA, FOIA, and other laws. So should we start making the FOIA requests now? And who do we think will be the first to sue over APA?

Sure

The comms pause wasn't the basis. It's all the other stuff.

Roses are red
Policy wonks are blue
Seems like nothing will be done in HIT this year
Do you think that's true?
#healthpolicyvalentines

ahrq.gov, ihs.gov and a few others are down but CMS, FDA, and CDC are up. Unclear what that means, did a Jr developer accidentally unplug something?

You are not. As someone who studied poli sci and worked in Washington, yeah we're watching a slow coup. I'm at a loss as to what to do and just hope our judicial system holds up b/c congress certainly isn't.

I actually agree with this & would encourage the fine career folks at ASTP/ONC who I have worked w/ as a contractor & as the Deputy to stay & keep working hard. The work you do is incredibly important for patients. But if you do leave, ping me & I'll be happy to recommend you for any job.

Very normal when the administration changes. They pull back anything that wasn't released yet as their appointees are taking their place at OMB.

I'm really curious about the Library of Congress communication retention requirements and the FOIAbleness of Signal App convos. How has no one filed a lawsuit yet?

Has anyone considered that with Musk's influence within the Admin agencies may be barred from creating Bluesky accounts and be stuck on X? Just a random thought for the day.