Becerra lauds his tenure

Presented by AMAC Action: Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
Jan 15, 2025 View in browser
 
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By Carmen Paun

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With Chelsea Cirruzzo and David Lim

Driving the Day

HHS Secretary Xavier Becerra unveils his official portrait.

HHS Secretary Xavier Becerra unveils his official portrait in Washington on Jan. 14, 2025. | Chelsea Cirruzzo/POLITICO

BECERRA’S FINAL ACT — During the unveiling of his official portrait on Tuesday, HHS Secretary Xavier Becerra, who will soon depart the agency, highlighted the record number of people who have signed up for health insurance since he took the helm of the sprawling agency — and President Joe Biden’s role in it, Chelsea reports.

“There have never been more Americans in the history of the United States who have had access to a health care plan, to a doctor, to a hospital, than under this president,” Becerra said.

In an interview with POLITICO, he credited his tenure with leaving “America stronger and healthier than we found it.”

Over the past four years, Becerra played a role in some central issues of Biden’s presidency: Covid-19, the 2022 Supreme Court decision overturning Roe v. Wade and the implementation of legislation tasking Medicare with negotiating drug prices.

Still, in each case, Becerra played a supporting role while Biden and the White House took the lead.

On Covid: The pandemic defined the first year of Becerra’s tenure at HHS.

To POLITICO, the outgoing HHS secretary insisted it was tough to fight social media disinformation on vaccines, but said his department “overachieved” with the resources it had.

He carefully sidestepped directly addressing misinformation spread by his potential successor, Robert F. Kennedy Jr., an anti-vaccine activist tapped by President-elect Donald Trump to replace him.

“I certainly hope that if Americans recognize that loved ones are alive today because of the lifesaving treatments made available to them, in some cases, without cost, like vaccines,” he said. “I hope people recognize that their children should get vaccinated for everything from chicken pox to polio.”

On abortion: In Becerra’s words, when it came to protecting reproductive health care, “everywhere we were given a chance to take a swing, we have swung.”

And the blame for the fall of Roe, he lays firmly at the feet of the U.S. Supreme Court.

“We have done everything in our power to protect a woman's access to health care. I can't say the same for six people on the Supreme Court,” he said.

But HHS’ handling of migrant children was a low point. His early difficulties in managing the influx at the southern border in 2021 cost him influence in the White House, government officials who spoke with POLITICO in 2021 said.

What’s next? Before Becerra leaves his role, HHS is expected to propose lowering nicotine in tobacco products. Becerra also hinted that he “would love” his department to negotiate lower prescription drug prices following a first round of drug price negotiation.

Becerra has remained coy on what his plans are after HHS, though as POLITICO has reported he's had conversations about running for California governor.

WELCOME TO WEDNESDAY PULSE. I’m Carmen Paun, POLITICO’s global health reporter. I call today the Super-Wednesday, with no less than seven (!) nomination hearings in the Senate. What will you be watching for? Let me know at cpaun@politico.com or on X @carmenpaun.

A message from AMAC Action:

The Inflation Reduction Act took billions from the Medicare Part D prescription drug program to fund electric vehicle tax credits and green energy investments, and now seniors’ prescription drug premiums are skyrocketing. Seniors are calling on Congress to pause the Inflation Reduction Act and return those funds back to Medicare where they belong. Visit PauseTheIRA.com.

 
HHS Update

President-elect Donald Trump greets Robert F. Kennedy Jr., his selection for Health and Human Services secretary, at a rally.

President-elect Donald Trump greets Robert F. Kennedy Jr., his selection for Health and Human Services secretary, at a rally. | Alex Brandon/AP

GUARDRAILS AGAINST RFK JR. A swift staffing buildout of Robert F. Kennedy Jr.’s health department is underway — before he even gets a confirmation hearing in the Senate, POLITICO’s Adam Cancryn and David Lim report.

The push aims to surround Kennedy with conservative policymakers who can compensate for his lack of government experience and MAGA credentials — while also ensuring the White House can keep close tabs on an HHS nominee who many Trump aides still don’t fully trust, said a half-dozen Republicans familiar with the transition's activities, who were granted anonymity to discuss private deliberations.

The list of health officials includes:

John Brooks, a former first-term Trump health official running the transition’s HHS landing team, is returning as CMS chief operating officer.

Drew Snyder is expected to run the CMS Medicaid program.

Abe Sutton is in line to lead the CMS Innovation Center.

Chris Klomp will helm the Medicare program.

Alec Aramanda is expected to be Klomp’s deputy.

Stephanie Carlton is set to be chief of staff to CMS administrator nominee Mehmet Oz.

Stefanie Spear, Kennedy’s press secretary on his 2024 campaign, is set to be his deputy chief of staff at HHS.

Public Health

DANGERS OF ALCOHOL — A highly anticipated federal draft study on the relationship between alcohol and health links alcohol use to increased mortality for seven types of cancer, aligning with a recent call from the U.S. surgeon general to put cancer warning labels on alcoholic beverages, Chelsea reports.

The study, by an HHS panel of experts, also contradicts a separate congressionally mandated study released by an independent panel late last year that didn’t draw many conclusions on cancer risk and alcohol, other than linking moderate drinking with a higher risk of breast cancer, compared to non-drinkers.

Why it matters: Both reports are meant to influence federal dietary recommendations which will be updated this year under the new administration. Trump and RFK Jr. don’t drink, but neither have made their thoughts on alcohol widely known.

The HHS panel stated in the draft released Tuesday that the risk of dying from alcohol use starts at low levels of consumption. Higher alcohol use increases the risk of death from cancers including breast, liver, colorectal, and esophageal.

Members of Congress and the alcohol industry are likely to criticize the findings, after accusing HHS of convening a biased panel of experts who are anti-alcohol to influence dietary guidelines.

Instead, the industry has called for new dietary guidance to consider a December report, led by the National Academies of Sciences, Engineering and Medicine. That report said moderate drinking is associated with lower risk of mortality and risk of death from cardiovascular disease.

 

A message from AMAC Action:

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Global Health

WHY WHO IS GOOD FOR AMERICA — The World Health Organization that incoming president Donald Trump is expected to pull out of is good for the United States in ways that aren’t always obvious.

That’s according to Loyce Pace, the outgoing HHS assistant secretary in the Office of Global Affairs.

WHO does a lot of work responding to disease outbreaks around the world, often helping to keep a lid on them, Pace said in an interview. “It's hard for people to really understand, or for those success stories to resonate with people, because that isn't what makes headlines,” she said.

The WHO also sets standards for medicines and other health products that help America trade globally, Pace said.

“If the WHO didn’t exist, we would need to create it,” she added.

Congress

E&C REPUBLICANS PLOT COST SAVINGS — Energy and Commerce Committee Republicans are “throwing mud up against the wall to see what sticks,” Rep. Buddy Carter (R-Ga.), chair of the Energy and Commerce Health Subcommittee, said after a meeting Tuesday to discuss where they might find billions of dollars in potential cuts to health care programs.

The potential cuts could come from changes to Medicaid and to pharmacy benefit managers, which negotiate drug prices on behalf of insurers, POLITICO’s Ben Leonard reports. There’s been a major bipartisan push to regulate the PBMs’ business practices to lower drug costs for consumers.

The E&C GOP members also talked about how to recapture savings from eliminating enhanced premium subsidies for Affordable Care Act plans.

Why it matters: Finding cost savings will be key to financing Trump's domestic policy agenda, including extending the 2017 tax cuts, which congressional Republicans want to advance as quickly as possible through the budget reconciliation process.

IN THE STATES

NEVADA’S OPTION — The Biden administration has approved a public health insurance option in Nevada, making it the third state to offer a government-run marketplace plan, POLITICO’s Kelly Hooper reports.

Colorado and Washington are the two other states to offer public option plans on their Affordable Care Act marketplaces.

Why it matters: The approval is expected to save the federal government $322 million over five years, according to CMS, and make health plans more affordable in Nevada.

The savings are predicated on plan premiums costing less than private insurance options on the state’s marketplace.

AROUND THE AGENCIES

NIH BOSS TO RESIGN — National Institutes of Health Director Monica Bertagnolli plans to resign after a year heading up the $47 billion biomedical research agency, she announced Tuesday.

The cancer surgeon briefly led the National Cancer Institute before taking the helm at NIH — making her the second woman to hold the agency’s top job after Bernadine Healy, POLITICO’s Erin Schumaker reports.

In the aftermath of Trump’s victory, Bertagnolli reminded her staff that the NIH, the world’s leading funder of health research, has historically risen above the political fray.

“I want to acknowledge that change can leave us feeling uncertain,” she wrote in an email shared with POLITICO. “I do not want to dismiss those feelings, but I do want to remind everyone that throughout our 137-year history, the NIH mission has remained steadfast, and our staff committed to the important work of biomedical research in the service of public health.”

Why it matters: Republican anger over the agency’s handling of the pandemic before Bertagnolli’s arrival has thrust the NIH into the partisan maelstrom.

Trump’s pick to replace Bertagnolli is Jay Bhattacharya, a Stanford University physician and economist known for criticizing the government’s pandemic response. He advocates a major shakeup of the agency.

WHAT WE'RE READING

POLITICO’s Maya Kaufman and Katelyn Cordero report that NY Gov. Kathy Hochul offered a scattershot vision for the future of health care in the state.

POLITICO’s Lauren Gardner on FTC’s report concluding that PBMs marked up generics for chronic illnesses.

The BBC writes about “the mystery of why Covid-19 seems to be becoming milder.”

A message from AMAC Action:

The IRA took money from Medicare Part D to fund EV tax credits under the guise of a fake “drug price negotiation.” As premiums are skyrocketing, seniors are demanding their money back.

70% of seniors are calling on Congress to pause the Inflation Reduction Act.

85% of them want the money that was taken from Medicare to fund EV tax credits to be returned to Medicare where it belongs.

Congress: It’s time to pause the IRA and fix what it broke, first by giving money back to Medicare.

Visit PauseTheIRA.com to learn more.

 
 

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