White House Calls This 9/11-Era Fund ‘Wasteful.’ Red and Blue States Rely on It.

by | Nov 6, 2025 | Health

SACRAMENTO, Calif. — President Donald Trump’s push to eliminate a federal disaster preparedness program threatens a fund used by state health systems from Republican-led Texas to the Democratic stronghold of California.

The Hospital Preparedness Program was created more than two decades ago in response to the Sept. 11, 2001, terrorist attacks on New York City’s World Trade Center and the Pentagon, and the deadly anthrax attacks that began days later. The fund has provided nearly $2.2 billion to states, territories, major cities, and other entities over the past 17 years to ready health care systems for the next pandemic, cyberattack, or mass-casualty event.

Recently, that money has been used to combat the bird flu that has sickened at least 70 people in the United States, killed at least one, and remains a threat. The funds also have been used to respond to crises such as hurricanes, tornadoes, mass shootings, floods, and heat waves.

But the budget request sent to Congress by Trump’s budget director, Russell Vought, proposes eliminating the program, saying the effort “has been wasteful and unfocused” and that cutting it would allow states and cities to “properly” fund their own preparedness plans. Any action is currently stalled by the government shutdown, which stems from a partisan dispute over expiring health care subsidies that affect many of the 24 million Americans who buy coverage from Affordable Care Act marketplaces.

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Red and blue states say the hospital preparedness funds are essential and could not be readily replaced with local funds. It’s an example of how the White House’s efforts to reduce its role in responding to public …

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