What the HHS Reorganization Means for Diagnostics and Why Strategic Partnerships Matter Now More Than Ever
by Scott Robitaille
In late March, the Department of Health and Human Services announced a major internal restructuring. The plan includes the elimination of approximately ten thousand federal positions and the consolidation of several key agencies under a new entity titled the Administration for a Healthy America. This initiative, supported by Health Secretary Robert F. Kennedy Jr., is presented as a means of reducing costs while improving public health outcomes by prioritizing prevention, nutrition, clean water, and environmental safety.
Although the long-term objectives may have merit, the immediate impact will likely include reduced agency capacity, shifting institutional priorities, and heightened uncertainty across the healthcare and diagnostics sectors.

For developers of diagnostic products, particularly those engaged in clinical trials or regulatory submissions, these changes may result in longer response times, diminished access to expert guidance, and disruptions to federally supported programs that are critical to early-stage innovation.
Shifts in Leadership Bring Operational Risk
Several agencies affected by this consolidation, such as the Health Resources and Services Administration, the Assistant Secretary for Preparedness and Response, and the Substance Abuse and Mental Health Services Administration, play important roles in maintaining public health infrastructure, supporting grant programs, and ensuring readiness initiatives. These areas intersect with diagnostics in both direct and indirect ways.
As these agencies are restructured and staffing levels reduced, diagnostics companies may experience challenges such as:
- Difficulty accessing timely regulatory support or consultation
- Uncertainty around evolving submission requirements
- Delays in clinical and regulatory progress
- Limited visibility into changing federal priorities and their practical implications
In Uncertain Times, Experience and Expertise Provide Stability
At MDC Associates, with our deep industry experience, we’ve navigated through recessions, pandemics, and other uncertain times, guiding companies when they need it most. We have witnessed periods of regulatory and structural change before. Whether triggered by budget shifts, new policy directions, or global health emergencies, companies that rely solely on internal processes or outdated strategies often find themselves falling behind.
MDC has spent over 35 years guiding diagnostics companies through complex and evolving landscapes. Our team includes regulatory advisors, clinical operations experts, and quality system professionals. We understand not only the formal requirements but also the operational realities of regulatory and clinical pathways. Whether preparing a 510(k) submission, navigating IVDR requirements, or managing pivotal trials, our ability to anticipate challenges and adapt in real time is a defining strength.
Now Is the Time to Build, Not Pause
The companies that will emerge stronger from this period are those that treat it as an opportunity to strengthen their regulatory and clinical strategies. If your organization is concerned about the effects of this reorganization or looking to reinforce development plans against future disruptions, MDC Associates is here to support your next steps.
Let us discuss how MDC can help keep your diagnostics program on course with clarity, consistency, and compliance.
How is your organization preparing for what lies ahead?
Why MDC Associates?
- Accelerated Path to Market: Over 35 years of IVD expertise across a broad range of technologies and applications, guiding you through regulatory and clinical processes efficiently.
- Regulatory Expertise with Continuous FDA Engagement: Our established, positive relationship with the FDA helps you navigate submissions like Pre-subs, 510(k), De Novo, and PMAs smoothly.
- Practical Quality Expertise: We help you achieve your quality objectives without overwhelming your team with too much too soon. From eQMS to MDSAP and ISO audits, get expert advice and hands-on support.
- Extensive Clinical Site Network: Access a trusted network experienced in supporting high-complexity assays, CLIA-waived tests, and OTC diagnostics, providing fast and reliable performance validation.
- Your Trusted IVD CRO: Beyond strategy, we work as part of your team to execute critical steps in regulatory submissions, clinical trials, and quality systems compliance.