Assistant Secretary for Health USHHS primary advisor on US public health
The assistant secretary for health (ASH ) is a senior U.S. government official within the U.S. Department of Health and Human Services (HHS) who serves as the primary advisor to the secretary of health and human services on matters involving the nation's public health, and provides strategic and policy direction to the Public Health Service agencies and Commissioned Corps .
The position is a statutory Senate-confirmed presidential appointment (42 U.S.C. § 202 ), who may be a civilian, or a uniformed four-star admiral of the PHS Commissioned Corps and is nominated for appointment by the president .[ 2] [ 3] The president may also nominate a civilian appointee to also be appointed a direct commission in the commissioned corps if the nominee so chooses.[ 3] [ 4] The assistant secretary's office and its staff make up the Office of the Assistant Secretary for Health (OASH).
History
The Office of the Assistant Secretary for Health and Scientific Affairs was established on January 1, 1967, following Reorganization Plan No. 3 of 1966 .[ 5] The new position supplanted the surgeon general as the head of the PHS, with all PHS component heads now reporting to the assistant secretary.[ 5] [ 6] [ 7] [ 8] This was seen as undermining the chain of command of the PHS Commissioned Corps , beginning a long-term shift where Commissioned Corps officers were more responsible to the agencies they were stationed in than to the corps itself.[ 8]
The office was renamed the Office of the Assistant Secretary for Health following the Department of Education Organization Act in 1972.[ 5]
In 1995, supervision of the agencies within PHS was shifted to report directly to the secretary of health and human services . This transformed the assistant secretary for health from a supervisory position in the direct chain of command, into an advisory one.[ 8]
In 2010, the office's name was changed from Office of Public Health and Science to Office of the Assistant Secretary for Health.[ 9]
Office of the Assistant Secretary for Health
As of 2018, the Office of the Assistant Secretary for Health oversees 12 core public health offices, 10 regional health offices, and 10 presidential and secretarial advisory committees.[ 10]
The stars, shoulder boards, and sleeve stripes of the Assistant Secretary for Health if serving in the U.S. Public Health Service Commissioned Corps.
List
No.
Assistant secretary
Term
Pay schedule or Service branch
Portrait
Name
Took office
Left office
Term length
1 Philip R. Lee November 2, 1965 1969 3 years Executive Schedule IV
2 Roger O. Egeberg July 14, 1969 1971 2 years Executive Schedule IV
3 Merlin K. DuVal July 1, 1971 January 20, 1973 1 year, 203 daysExecutive Schedule IV
4 Charles C. Edwards April 18, 1973 January 5, 1975 1 year, 262 daysExecutive Schedule IV
5 Theodore Cooper July 1, 1975 1977 2 years Executive Schedule IV
6 Vice Admiral Julius B. Richmond July 13, 1977 May 14, 1981 3 years, 305 daysU.S. Public Health Service
7 Edward Brandt Jr. 1981 1984 3 years Executive Schedule IV
8 Robert E. Windom 1986 1989 3 years Executive Schedule IV
9 Admiral James O. Mason 1989 1993 4 years U.S. Public Health Service
10 Philip R. Lee July 2, 1993 1998 5 years Executive Schedule IV
11 AdmiralDavid Satcher February 13, 1998 January 20, 2001 2 years, 342 daysU.S. Public Health Service
- Rear Admiral Arthur J. Lawrence [ 11] Acting January 20, 2001 February 8, 2002 1 year, 19 daysU.S. Public Health Service
12 Eve Slater February 8, 2002 February 5, 2003 362 daysExecutive Schedule IV
- Rear AdmiralCristina V. Beato Acting February 5, 2003 January 4, 2006 2 years, 333 daysU.S. Public Health Service
13 AdmiralJohn O. Agwunobi January 4, 2006 September 4, 2007 1 year, 243 daysU.S. Public Health Service
- Don J. Wright Acting September 4, 2007 March 28, 2008 206 daysExecutive Schedule IV
14 AdmiralJoxel García March 28, 2008 January 20, 2009 298 daysU.S. Public Health Service
- Rear AdmiralSteven K. Galson Acting January 22, 2009 June 22, 2009 151 daysU.S. Public Health Service
15 Howard K. Koh June 22, 2009 August 1, 2014 5 years, 40 daysExecutive Schedule IV
- Karen B. DeSalvo [ 12] Acting October 2014 January 3, 2017 More than 2 years Executive Schedule IV
- Don J. Wright Acting January 4, 2017 February 15, 2018 1 year, 42 daysExecutive Schedule IV
16 AdmiralBrett P. Giroir February 15, 2018 January 19, 2021 2 years, 339 daysU.S. Public Health Service
- Rear AdmiralFelicia L. Collins Acting January 21, 2021 March 26, 2021 64 daysU.S. Public Health Service
17 AdmiralRachel L. Levine [ 13] March 26, 2021 January 20, 2025 3 years, 300 daysU.S. Public Health Service
- Leith J. States[ 14] Acting January 20, 2025 May 26, 2025 126 daysExecutive Schedule IV
- Dorothy Fink [ 15] Acting May 26, 2025 Incumbent 123 daysExecutive Schedule IV
References
^ a b If also serving in uniform as a Public Health Service Commissioned Corps officer.
^ "PHSCC Uniforms" . Archived from the original on May 13, 2008. Retrieved January 19, 2008 .
^ a b "42 USC 207. Grades, ranks, and titles of commissioned corps" . Retrieved January 19, 2008 .
^ "Regular Corps Assimilation Program" (PDF) . Archived from the original (PDF) on May 8, 2010. Retrieved January 19, 2008 .
^ a b c "Records of the Office of the Assistant Secretary for Health [OASH]" . National Archives . August 15, 2016. Retrieved August 29, 2020 .
^ History, mission, and organization of the Public Health Service . U.S. Public Health Service. 1976. pp. 3– 4, 20, 22.
^ "A Common Thread of Service: A History of the Department of Health, Education, and Welfare" . U.S. Department of Health, Education, and Welfare . July 1, 1972. Secretary Cohen. Archived from the original on June 25, 2018. Retrieved September 1, 2020 – via HHS Office of the Assistant Secretary for Planning and Evaluation.
^ a b c Landman, Keren (August 29, 2019). "For America's Public Health Officers, Questions of Duty and Purpose" . Undark Magazine . Retrieved July 11, 2020 .
^ "Office of the Assistant Secretary for Health (ASH)" . September 22, 2010. Archived from the original on September 22, 2010. Retrieved October 17, 2018 .
^ "Office of the Assistant Secretary for Health (OASH)" . HHS.gov . March 30, 2016. Archived from the original on October 9, 2010. Retrieved October 17, 2018 .
^ "Rear Admiral Arthur J. Lawrence" . Council on Strategic Risks . April 24, 2020. Retrieved April 27, 2021 .
^ Received a recess appointment extension on January 1, 2016, under 5 U.S.C. § 3346 (b)(2), to continue serving as the Acting Assistant Secretary for Health until the end of fiscal year 2016.
^ Received her commission and four-star rank on October 19, 2021.
^ "Leith J. States, M.D., M.P.H." U.S. Department of Health and Human Services . January 20, 2025. Archived from the original on January 24, 2025. Retrieved January 25, 2025 .
^ "Dr. Dorothy Fink" . U.S. Department of Health and Human Services . Retrieved May 31, 2025 .
External links