April 18, 2025
The Oregon Nurses Association (ONA) condemns the Trump administration’s proposed FY 2026 Health and Human Services budget, revealed in a leak of the White House Office of Management and Budget “passback” document, as a blatant attack on public health and nursing. If enacted, this plan would slash HHS’s discretionary funding by roughly one third, cutting the total from about $117 billion to $80 billion and endangering vital services nationwide.
Under this proposal, the National Institutes of Health budget would tumble from $47 billion to $27 billion, a 42% reduction, and eliminate the National Institute of Nursing Research (NINR) entirely. NINR is the only federal institute dedicated to nursing science, funding studies that improve symptom management for patients with chronic illness, develop equitable care models in rural and Indigenous communities, and drive innovations in patient safety. Without NINR, nurses lose the evidence base they rely on to deliver high-quality care.
All Title VIII Nursing Workforce Development programs, including scholarships, loan repayment, faculty development, advanced practice training, and the Nursing Workforce Diversity program, would also vanish. These programs recruit and retain students from underrepresented backgrounds, support nurse educators, and help place skilled nurses in medically underserved and rural areas. Eliminating them jeopardizes the future of a diverse nursing workforce precisely when Oregon and the nation face a chronic staffing shortage.
The draft also dismantles the Substance Abuse and Mental Health Services Administration, rescinding over $1 billion in grants for overdose prevention, community mental health centers, school-based services, and harm reduction programs. This comes as one in five Americans experiences a mental health condition and recent data show U.S. overdose deaths had begun to decline, progress now at risk of reversal if proven prevention and treatment services are defunded.
Meanwhile, the Centers for Disease Control and Prevention would see its budget slashed from more than $9 billion to $5 billion, wiping out programs that combat diabetes, heart disease, HIV/AIDS, childhood lead poisoning, and emerging infectious threats. Removing these prevention efforts dismantles the very infrastructure that keeps communities safe and healthy.
We call on Congress to reject this proposal in full, restore funding for nursing research, workforce development, mental health and substance use services, and disease prevention, and protect the health of every community in Oregon and beyond.
