By Sarah Jane Tribble, KFF Health News, Henry Larweh, KFF Health News

A little-known federal agency that sends more than $12 billion annually to support community health centers, addiction treatment services, and workforce initiatives for America’s neediest people has been hobbled by the Trump administration’s staffing purges.

The cuts are “just a little astonishing,” said Carole Johnson, who previously led the Health Resources and Services Administration. She left the agency in January with the administration change and has described the sweeping staff cuts as a “big threat” to the agency’s ability to distribute billions of dollars in grants to hospitals, clinics, nonprofits, and other organizations nationwide.

Since February, about a quarter of workers at HRSA — including analysts,

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