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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.
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