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October 31, 2025 4 mins
This week’s headline from the Department of Health and Human Services is the launch of a comprehensive Autism Action Plan, signaling a major federal push to address the rapidly increasing rates of autism spectrum disorder in the United States. According to Social Current, this multi-pronged initiative ties together new research funding, clinical guidance changes, and national campaigns designed to improve services and outcomes for individuals and families affected by autism.

Central to the plan is a new FDA label indication for leucovorin, a treatment for cerebral folate deficiency linked with some forms of autism, now covered under state Medicaid programs. The National Institutes of Health will back this with a series of confirmatory trials and expanded safety studies, moving quickly to establish clearer clinical protocols and better access. Meanwhile, the FDA is collaborating with manufacturers to update acetaminophen labeling and promote further research into potential risks during pregnancy, aiming to provide clearer guidance and better safeguard maternal and child health.

These policy shifts land amidst one of the most turbulent times for HHS in decades. The department is undergoing a large-scale reorganization, merging five agencies into a brand-new Administration for a Healthy America and streamlining core functions. As of April, HHS began the process of reducing staff by nearly 20,000—about 25% of its workforce—impacting agencies like the CDC, FDA, National Institutes of Health, and Centers for Medicare & Medicaid Services. The stated goal, according to an official announcement, is to become “more responsive and efficient, while ensuring that Medicare, Medicaid, and other essential health services remain intact.” Still, these changes raise significant concerns about capacity, continuity, and public health response.

Layered onto all this is the uncertainty of the extended government shutdown. With congressional negotiations at a standstill, most health agencies have frozen new policy announcements, regulatory updates, and grant disbursements. The Senate has failed to pass a continuing resolution, leaving federal programs—including those run by HHS—in limbo, and leaving states and local governments to grapple with the consequences. Safety-net hospitals, Medicaid providers, and local health departments are particularly exposed, facing delays in payments and guidance. The shutdown also halts critical research and enforcement activity, impacting not just American citizens, but businesses, organizations, and global partners tied into U.S. public health efforts.

In the latest grants policy update, HHS announced major changes effective October 1: all grants now require stricter civil rights certifications, and budget revisions over 10% demand prior agency approval, tightening oversight and demanding clearer accountability from grantees. For partnerships, HHS is doubling down on collaborations with state Medicaid agencies and launching a nationwide public service campaign around autism and medication safety. NIH director Dr. Monica Bertagnolli stated, “These investments mark our commitment to scientific rigor and public engagement as the keystone of our response.”

To gauge the future impact: citizens should look for upcoming public comment periods on the Autism Action Plan and the revised grants guidance, with webinars scheduled for later in November. States and healthcare organizations are advised to monitor HHS channels and press releases for operational updates and potential funding changes as the shutdown continues.

Listeners, keep an eye on federal negotiation schedules, HHS’s upcoming studies, and state-level adaptations to Medicaid and grant policies. For more information, check HHS.gov and join related webinars listed on partner sites. If you have thoughts on the Autism Action Plan or other policies, submit public comments when the period opens—the department emphasizes that input from families and communities directly shapes its next steps.

Thanks for tuning in to our recap of this week’s HHS developments. Don’t forget to subscribe for more updates every week. This has been a quiet please production, for more check out quiet please dot ai.

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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
This week's headline from the Department of Health and Human
Services is the launch of a comprehensive Autism Action Plan,
signaling a major federal push to address the rapidly increasing
rates of autism spectrum disorder in the United States. According
to Social Current, this multi pronged initiative ties together new
research funding, clinical guidance changes, and national campaigns designed to

(00:23):
improve services and outcomes for individuals and families affected by autism.
Central to the plan is a new FDA label indication
for lucovorren, a treatment for cerebral folate deficiency linked with
some forms of autism, now covered under state Medicaid programs.
The National Institutes of Health will back this with a

(00:43):
series of confirmatory trials and expanded safety studies, moving quickly
to establish clearer clinical protocols and better access. Meanwhile, the
FDA is collaborating with manufacturers to update assetement and labeling
and promote further research into potent risks during pregnancy, aiming
to provide clearer guidance and better safeguard maternal and child health.

(01:06):
These policy shifts land amidst one of the most turbulent
times for HHS in decades. The department is undergoing a
large scale reorganization, merging five agencies into a brand new
administration for a Healthy America and streamlining core functions. As
of April, HHS began the process of reducing staff by
nearly twenty thousand, about twenty five percent of its workforce,

(01:30):
impacting agencies like the CDC, FDA, National Institutes of Health,
and centers for Medicare and Medicaid services. The stated goal,
according to an official announcement, is to become more responsive
and efficient while ensuring that Medicare, Medicaid, and other essential
health services remain intact. Still, these changes raise significant concerns

(01:53):
about capacity, continuity, and public health response. Layered onto all
this is the insertty of the extended government shutdown. With
congressional negotiations at a standstill, most health agencies have frozen
new policy announcements, regulatory updates, and grant disbursements. The Senate
has failed to pass a continuing resolution, leaving federal programs,

(02:16):
including those run by HHS, in limbo, and leaving states
and local governments to grapple with the consequences. Safety met hospitals,
Medicaid providers, and local health departments are particularly exposed, facing
delays in payments and guidance. The shutdown also halts critical
research and enforcement activity, impacting not just American citizens, but businesses, organizations,

(02:41):
and global partners tied into US public health efforts. In
the latest grant's policy update, HHS announced major changes effective
October first, all grants now require stricter civil rights certifications
and budget revisions over ten percent, demand prior agency approval, oversight,
and demanding clearer accountability from grantees for partnership tightening, winter

(03:06):
weight news range and dead tolls. Indian soccer Fighter bl
NIH director doctor Manada Berdanali stated these investments mark our
commitment to scientific rigor and public engagement as the keystone
of our response to gauge the future impact HIV. Citizens
should look for upcoming public comment periods on the Autism

(03:28):
Action Plan and the revised grant's guidance, with webinar scheduled
for later in November. States and healthcare organizations are advised
to monitor HS channels and press releases for operational updates
and potential funding changes. As the shutdown continues, Listeners keep
an eye on federal negotiation schedules. Hss's upcoming studies and

(03:51):
state level adaptations to Medicaid and grant policies. For more information,
check HS dot gov and join related webinars list on
partner sites. If you have thoughts on the Autism Action
Plan or other policies, submit public comments when the period opens.
The department emphasizes that input from families and communities directly

(04:12):
shapes its next steps. Thanks for tuning in to our
recap of this week's HHS developments. Don't forget to subscribe
for more updates every week. This has been a quiet
please production. For more check out Quiet Please dot ai
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