Text of Letter (PDF)

WASHINGTON – Today, Congresswoman Ayanna Pressley (MA-07) joined Congressman Richard E. Neal, Ranking Member of the House Ways and Means Committee, and the entire Massachusetts Congressional delegation – Senator Elizabeth Warren (D-Mass.), Senator Edward J. Markey (D-Mass.), and Representatives Jim McGovern (MA-02), Lori Trahan (MA-03), Jake Auchincloss (MA-04), Katherine Clark (MA-05), Seth Moulton (MA-06), Stephen Lynch (MA-08), and Bill Keating (MA-09) – in demanding answers from the Secretary of Health and Human Services (HHS) Robert F. Kennedy, Jr. after the abrupt shuttering of the entire HHS Regional Office (RO) in Boston, Massachusetts, on April 1, 2025.

In the letter, the lawmakers write, “It is impossible to overstate the lasting consequences this reckless action will have on every single person in this region—whether the families who rely on Region 1 employees dutifully overseeing child care licensing systems to ensure they deliver quality care to our children, or the coordination these civil servants conduct with state survey agencies to make sure all our nursing homes meet federal safety standards. Through steadfast commitment to the programs they oversee, employees of ROs provide a service to all of us whether we know it or not.”

The HHS Boston RO employs hundreds of workers who serve Americans from Maine to Connecticut. As the economic catastrophe caused by Trump’s Tariff Tax devastates communities and businesses across the country, the administration continues to make senseless layoffs, adding even more individuals to the ranks of the unemployed. These job losses will have trickle-down effects on other businesses in the area during an already challenging time.

The Boston RO specializes in health care innovation, partnering with drug companies, biotech groups, and other innovators to ensure gaps in research are being filled and the cures of tomorrow come to fruition. Eliminating the Boston RO will both deny the people of New England access to public health officials with expertise in our local communities and halt innovation in its tracks, with ramifications felt by the whole country for generations to come.

The ROs are also on the front lines of fighting fraud, waste, and abuse alongside local law enforcement, as well as the vanguard coordinating responses against disease and outbreaks. Its closure will leave our communities and our programs less safe.

The lawmakers continue, “It could open our region to massive risks of fraud and abuse of our vital federal programs. And it could provide the pathway for another pernicious disease to sweep the nation, absent vital on-the-ground detection and coordination among public health experts. We do not take lightly this attack on the health of our constituents and the unceremonious termination of thousands of experts living in our communities who make us all safer.”

The Boston Regional Office property is desirable real estate and appeared on an early list of properties Elon Musk and his Department of Government Efficiency (DOGE) group wished to “auction off”, raising questions about whether this action has ulterior motives – enabling Trump acolytes to cash in on real estate deals while ordinary Americans suffer from loss of services. The Trump Administration has shown a complete disregard for Americans’ needs, closing Social Security offices and curtailing customer service. This RO closure is just another effort to make it more difficult for our constituents to access the health and safety protections they count on the federal government to provide.

The lawmakers are demanding detailed answers as to the basis of this decision, its effect on constituent health, and how HHS will continue serving individuals in the region. They request answers to the following questions by April 18:

• Please provide a list of each division within the Boston RO that was eliminated, a description of its core functions, a summary of staff expertise, program staff caseloads for each overseen program at the time of closing, and all documentation justifying the Department’s decision to close each division within the RO.
• Please provide the Department’s analysis of the impact this regional closure will have on costs and health outcomes for the 15 million residents of New England, as well as the local economy.
• Please provide a detailed analysis of how the remaining five ROs will take over the responsibilities of the Boston RO, including total caseloads, in beneficiaries served and dollars managed, for the staff taking over New England responsibilities, and any anticipated hirings or training to offset the caseload inundation and loss of regional expertise.
• Please provide a detailed analysis of anyways responsibilities of the Boston RO which will be absorbed by HHS headquarters, including the current and new responsibilities of any headquarters staff assuming responsibilities and any anticipated hirings to offset the caseload inundation and loss of regional expertise.
• Please provide a detailed analysis of the anticipated additional wait times for services previously provided by staff at the Region 1 RO, such as the approval of Medicaid State Plan Amendments, enrollments of new providers into Medicare, surveys of nursing homes, child care licensing inspections, state plan approvals, and cost allocation agreements.
• Please explain the Administration’s plan for the now-vacant real estate that previously housed the Boston RO.

Congresswoman Pressley has been a leading voice in Congress speaking out against Elon Musk and Donald Trump’s unprecedented assault on our democracy and federal agencies, and she has been a steadfast advocate for protecting the essential services that federal workers and agencies provide.

• On April 9, 2025, Rep. Pressley led lawmakers in sending a letter to Trump’s trade official demanding he resign from holding multiple positions with clear conflicts of interest that would further harm federal workers.
• On March 28, 2025, Rep. Pressley issued a statement slamming Trump’s executive order to end collective bargaining rights for hundreds of thousands of federal employees.
• On March 21, 2025, Rep. Pressley led Massachusetts lawmakers in a letter to the Office of Personnel Management (OPM) sharply criticizing and demanding answers about the impact of the Musk-Trump Administration’s mass firings of federal workers in Massachusetts.
• On March 11, 2025, Rep. Pressley spoke out against the U.S. Department of Education’s mass layoffs of over 1,300 workers, which effectively guts the agency.
• On March 11, 2025, Rep. Pressley voted against Republicans’ shameful government budget bill, which would harm vulnerable families and provide a blank check for Elon Musk and Donald Trump to continue their unprecedented assault on our democracy. She later issued a statement condemning its final passage in the Senate.
• On March 11, 2025, Rep. Pressley joined 13 of her colleagues on a letter to the Department of Homeland Security demanding answers and the immediate release of Columbia student Mahmoud Khalil, whose illegal abduction is an attack on his constitutional right to free speech and due process.
• On March 4, 2025, Rep. Pressley walked out of the House chamber in protest during Donald Trump’s presidential joint address to Congress.
• On March 4, 2025, Rep. Pressley welcomed Claire Bergstresser, an Everett constituent, dedicated public servant, AFGE union member, and former HUD worker who was unjustly terminated as part of Musk and Trump’s assault on federal agencies as her guest to the presidential joint address to Congress.
• On February 28, 2025, Rep. Pressley led 85 lawmakers in a letter urging the Office of Special Counsel to immediate reinstate and expand protections for all unfairly fired federal workers.
• On February 28, 2025, Rep. Pressley joined over 200 Democrats in filing an amicus brief defending the Consumer Financial Protection Bureau before a U.S. District Court.
• On February 26, 2025, in a House Oversight Committee hearing, Rep. Pressley discussed what true government efficiency looks like and denounced Elon Musk and Donald Trump for utilizing DOGE to gut the essential services that keep people safe, fed, and housed.
• On February 25, 2025, in a House Oversight Committee hearing, Rep. Pressley condemned Elon Musk’s abuse of government efficiency through the fraudulent Department of Government Efficiency (DOGE).
• On February 25, 2025, Rep. Pressley delivered a floor speech in which she railed against Republicans’ cruel budget resolution that would slash Medicaid by nearly $1 trillion.
• On February 20, 2025, Rep. Pressley and her Haiti Caucus Co-Chairs issued a statement condemning the Trump Administration’s decision to end Temporary Protected Status (TPS) for Haiti.
• On February 13, 2025, in a House Financial Services Committee hearing, Rep. Pressley emphasized the critical role of the Consumer Financial Protection Bureau (CFPB) in safeguarding consumers and sharply criticized Donald Trump and Elon Musk for halting the critical work of the agency.
• On February 10, 2025, Rep. Pressley rallied with Senator Elizabeth Warren, Ranking Member Maxine Waters, and advocates to protest Donald Trump and Elon Musk’s unlawful takeover of the Consumer Financial Protection Bureau (CFPB)
• On February 11, 2025, in a House Financial Services Committee hearing, Rep. Pressley criticized the Trump-Musk administration for halting the critical work of the Consumer Financial Protection Bureau (CFPB) with crypto scams on the rise.
• On February 10, 2025, Rep. Pressley issued a statement slamming the Trump Administration’s harmful cuts to National Institutes of Health (NIH) funding to support hospitals, universities, and research institutions conducting lifesaving research.
• On February 10, 2025, as Trump and Musk threaten to dismantle the essential work of the U.S. Department of Education, Rep.  Pressley delivered a powerful floor speech to affirm the role of public education in American democracy.
• On February 6, 2025, in a House Oversight Committee hearing, Rep. Pressley delivered a powerful rebuke of Republicans’ efforts to gut diversity, equity and inclusion (DEI) initiatives and eliminate essential services for vulnerable communities.
• On February 5, 2025, Rep. Pressley rallied outside the U.S. Department of Treasury to protest Elon Musk’s unlawful assault on federal agencies and our democracy.
• On January 30, 2025, Rep. Pressley slammed Donald Trump for blaming the tragic plane crash at Reagan National Airport, which killed over 60 people, including some families from Massachusetts, on diversity, equity and inclusion initiatives.
• In January 2025, Rep. Pressley issued a statement slamming Trump’s illegal freeze on federal grants and loans and its harmful impact on vulnerable communities.
• On January 23, 2025, Rep. Pressley delivered an impassioned floor speech condemning Republicans’ cruel anti-abortion bill that criminalizes providers and denies families care.
• On January 23, 2025, Rep. Pressley joined her colleagues to reintroduce the Neighbors Not Enemies Act, a bill to repeal an outdated law that has been used to target innocent immigrants without due process rights.
• On January 22, 2025, Rep. Pressley issued a statement condemning the Trump Administration’s harmful executive actions on diversity, equity, and inclusion (DEI).

###