Health Secretary Robert F. Kennedy Jr.’s 'Make America Healthy Again' agenda has driven deep restructuring at HHS, including job cuts and program changes that critics say could hollow scientific leadership and disrupt research funding flows. Georgetown and NIH advisers removed or sidelined contend the changes risk weakening long‑term public‑health capacity. Concurrently, RFK Jr.’s push to let states restrict SNAP purchases produced waivers in five states limiting items covered by food assistance. Universities that run nutrition programs, SNAP outreach, public‑health clinics or food‑security research should prepare for operational challenges, shifting partner priorities and potential new funding gaps as state waivers and federal policy evolve.