Trump administration drops Biden plan for Medicare to cover weight-loss drugs
- The Trump administration announced that the Centers for Medicare and Medicaid Services will not cover weight loss drugs for obesity treatment as of April 4.
- The Biden administration's proposal to cover these drugs was found to potentially cost taxpayers $35 billion over the next decade but was deemed 'not appropriate at this time' by a CMS spokesperson.
- Legislation from 2003 prohibits Medicare from covering medication specifically for weight loss, impacting coverage options.
- This decision does not affect existing coverage for drugs prescribed for diabetes, such as Ozempic and Mounjaro.
105 Articles
105 Articles
Medicare Won’t Expand Coverage of Anti-Obesity Drugs
The Centers for Medicare and Medicaid Services (CMS) announced on April 4 that it would not start covering anti-obesity drugs for its beneficiaries. This decision was reflected in a final ruling, released the same day, that sought to modernize and improve Medicare Advantage, Medicare Prescription Drug Benefits (Part D), Medicare cost plans, and Programs of All-Inclusive Care for the Elderly. It stated that it did not intend to finalize Part D co…
Trump reverses Biden decision to cover weight loss drugs under Medicare and Medicaid
The Centers for Medicare & Medicaid Services will not cover drugs when exclusively used for weight loss, like Ozempic or Wegovy, the Trump administration announced. The Biden administration previously put forward a rule aimed at reinterpreting a statute that prevented the federal government from covering drugs “when used for weight loss,” as opposed to treating diabetes. But the Trump administration believes finalizing such a proposal “is not ap…
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