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Pima County health department reports stop-work notices on federal grants as officials review federal funding changes
Summary
County staff said the Centers for Disease Control (CDC) issued stop-work orders affecting multiple public-health grants — including vaccine equity and health disparities awards — and that the county is monitoring Department of Health and Human Services and FEMA actions affecting grant scope and reimbursements.
Pima County officials told supervisors that the county’s health department received stop-work notices and early terminations on multiple federal grants tied to vaccination and health-disparities work, and staff are evaluating the operational and budget consequences.
The county’s federal/state update described a rapidly evolving grant landscape following executive actions at the federal level. Staff said the Centers for Disease Control and Prevention issued stop-work orders affecting several health department grants, including early termination of two notable grants (vaccine equity and health disparities programs) before their previously expected performance end dates. Staff said the two grants together left nearly $2 million in planned funding unspent relative to earlier budgets.
The county’s grants analysis also referenced a U.S. Office of Management and Budget memorandum and subsequent court actions that paused or reviewed some federal funding decisions, while FEMA had requested additional reviews of awards tied to shelter and services when a jurisdiction might be involved in immigration-related work. Staff noted that those federal developments could affect emergency-management grants and reimbursements as the county implements shelter and services programs.
Interim county guidance included efforts to inventory potentially affected awards and to identify which programs rely on CDC and other Department of Health and Human Services funding. Staff said these actions are part of an ongoing national trend in which federal grant-making agencies are re-evaluating program scopes and staffing.
Why this matters: Several of the affected grants fund public-health programs the county provides to residents. Sudden stop-work orders or scope reviews can reduce reimbursements and interrupt services. County staff told supervisors they will seek clarity from federal agencies, monitor potential recoupments or pauses, and reassess departmental budgets if necessary.
Provenance: Federal and state executive/legislative update delivered by the county’s federal/state liaison and health department leadership during the county-administrator update.
