The Trump administration plan to withdraw the United States from the World Health Organization has triggered a hiring freeze, suspended investments and a travel reduction within the organization.

It means some open jobs at the Audie Murphy VA Hospital and military hospitals such as Wilford Hall and Brooke Army Medical Center will go unfilled.

A federal hiring freeze is a big deal in St. Louis, where the government is one of the area's biggest employers.

Trump’s freeze this time around is set to expire after 90 days, though agencies will first have to submit plans—in consultation with OMB and Musk’s Department of Government Efficiency—to permanently reduce their rolls through efficiencies and attrition. The Internal Revenue Service will face a longer freeze, per Trump’s order.

New Hampshire Gov. Kelly Ayotte is tightening the belt of state government ahead of what promises to be a grueling budget process, with state leaders expected to face difficult decisions amid projected revenue shortfalls and declining federal funding.

The World Health Organization is freezing hiring, suspending investments and cutting non-essential travel in response to US President Donald Trump’s decision to take the US out of the global body.