Trump Administration Rejects Medicare Coverage for Anti-Obesity Drugs
The decision halts a Biden-era proposal to expand access to costly weight-loss medications, citing fiscal concerns and maintaining existing restrictions.
- The Centers for Medicare and Medicaid ServicesMedicare will not cover anti-obesity drugs like Wegovy and Zepbound under the Trump administration's policy.
- The Biden administration's proposal aimed to classify obesity as a chronic disease, expanding drug coverage to over 7 million Medicare and Medicaid beneficiaries.
- The Congressional Budget Office estimated the proposed expansion would cost $35 billion over nine years, raising concerns about fiscal sustainability.
- Currently, Medicare covers GLP-1 medications for diabetes and heart disease but prohibits coverage for drugs used solely for weight loss.
- CMS indicated it may revisit the issue in the future, pending further review of the drugs’ benefits and financial impacts on federal and state budgets.