Trump administration says it will pull back billions in COVID funding from local health departments

Lori Freeman, CEO of the National Association of County & City Health Officials, said much of the funding was set to end soon anyway. “It’s ending in the next six months,” she said. “There’s no reason — why rescind it now? It’s just cruel and unusual behavior.”

In a related move, more than two dozen COVID-related research grants funded by the National Institutes of Health have been canceled. Earlier this month, the Trump administration shut down ordering from covidtest.gov, the site where Americans could have COVID-19 tests delivered to their mailboxes for no charge.

Although the COVID federal public health emergency has ended, the virus is still killing Americans: 458 people per week on average have died from COVID over the past four weeks, according to CDC data.

HHS wouldn't provide many details about how the federal government expects to recover the money from what it called “impacted recipients.” But HHS spokesman Andrew Nixon said in an email: “The $11.4 billion is undisbursed funds remaining.”

Freeman said her understanding is that state health departments already had the COVID money.

“The funding was authorized by Congress, was appropriated by Congress, and it was out the door, basically, into the hands of the grantees" — states, she said, which decide how to distribute it locally.

Some of the COVID money is used to address other public health issues, Freeman added. For example, wastewater surveillance that began during COVID became important for detecting other diseases, too.

“It was being used in significant ways to track flu and patterns of new disease and emerging diseases — and even more recently with the measles outbreak,” Freeman said.

Under both the first Trump administration and the Biden administration, billions of dollars was allocated for COVID response through legislation, including a COVID relief bill and the American Rescue Plan Act.

At this point, it's unclear exactly how health departments will be affected by the pullback of funds. But some were starting to look at what it might mean for them. In Washington state, for example, health officials were notified that more than $125 million in COVID-related funding has been immediately terminated. They are “assessing the impact” of the actions, they said.

In Los Angeles County, health officials said they could lose more than $45 million in core funding for vaccinations and other services. “Much of this funding supports disease surveillance, public health lab services, outbreak investigations, infection control activities at healthcare facilities and data transparency,” a department official wrote in an email. ___

This story was first published March 25, 2025. It was updated on March 26, 2025 to correct the amount of money Los Angeles County expects to lose as a result of federal COVID-19 funding cutbacks. The department initially said it could lose more than $80 million. It now says it could lose more than $45 million.

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Associated Press reporters Mike Stobbe in New York, JoNel Aleccia in Temecula, California, Carla K. Johnson in Seattle and Amanda Seitz in Washington, D.C. contributed to this story.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.