{"id":17455,"date":"2025-04-04T22:47:49","date_gmt":"2025-04-04T22:47:49","guid":{"rendered":"https:\/\/site.itshrt.com\/worldnews\/trump-rejects-proposal-for-medicare-to-cover-wegovy-and-other-obesity-drugs\/"},"modified":"2025-04-04T22:47:49","modified_gmt":"2025-04-04T22:47:49","slug":"trump-rejects-proposal-for-medicare-to-cover-wegovy-and-other-obesity-drugs","status":"publish","type":"post","link":"https:\/\/site.itshrt.com\/worldnews\/trump-rejects-proposal-for-medicare-to-cover-wegovy-and-other-obesity-drugs\/","title":{"rendered":"Trump Rejects Proposal for Medicare to Cover Wegovy and Other Obesity Drugs"},"content":{"rendered":"<p> <script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<\/p>\n<div data-testid=\"companionColumn-0\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">The Trump administration on Friday rejected a Biden plan that would have required Medicare and Medicaid to cover obesity drugs and expanded access for millions of people.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Under the law that established Medicare\u2019s Part D drug benefits, the program was forbidden from paying for drugs for \u201cweight loss.\u201d The Biden administration\u2019s proposal <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2024\/11\/26\/upshot\/obesity-drugs-medicare-medicaid.html\" title=\"\">last November<\/a> had attempted to sidestep that ban by arguing that the drugs would be allowed to treat the disease of obesity and its related conditions.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Expanding coverage of the drugs would have cost the federal government billions of dollars. The Biden administration estimated the federal expense at about $35 billion over 10 years.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The decision announced Friday was part of a <a class=\"css-yywogo\" href=\"https:\/\/public-inspection.federalregister.gov\/2025-06008.pdf\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">larger 438-page regulation<\/a> updating parts of the programs through which beneficiaries get drug and private medical coverage. The latest revision did not explain why Medicare should not cover the drugs.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-1\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Catherine Howden, a spokeswoman for the Centers for Medicare and Medicaid Services, said in an email that the agency believes expanding coverage \u201cis not appropriate at this time.\u201d But she said the agency had not ruled out coverage and \u201cmay consider future policy options\u201d for the drugs.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The most popular weight loss drugs come from Novo Nordisk, which sells its medicine as Wegovy for weight loss and as Ozempic for diabetes, and from Eli Lilly, which sells its product as Zepbound for weight loss and Mounjaro for diabetes.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Medicare, the government insurance program for Americans over 65 and people with disabilities, does cover the drugs for patients with diabetes, and a much smaller subset of people who have both obesity and another health condition, like heart problems or sleep apnea. The Biden plan would have extended coverage to patients who were obese but did not have those diseases. Medicare officials had estimated around 3.4 million more people would have chosen to take the drugs under the policy.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Robert F. Kennedy Jr., the health secretary, has been vocal in his <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2024\/11\/22\/health\/rfk-jr-ozempic-drugs-fda.html\" title=\"\">criticism<\/a> of the weight loss drugs, saying they are inferior to consuming healthy food.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The drugs have been shown in clinical trials to have benefits far beyond weight loss, like preventing heart attacks and strokes.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-2\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Proponents of expanded coverage have argued that the government\u2019s expenditure on the drugs would pay for itself in the long run. Patients, they say, would become healthier and that would prevent expensive medical bills. It\u2019s not clear yet whether such savings will materialize.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">State Medicaid programs, which provide health care for the poor, can currently choose whether to cover the drugs, and <a class=\"css-yywogo\" href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/medicaid-coverage-of-and-spending-on-glp-1s\/#:~:text=KFF's%20annual%20budget%20survey%20found,in%20FY%202025%20or%20later.\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">some do<\/a>. If the broader Medicare policy had been finalized, coverage would have been required in every state.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The obesity drugs cost Medicare and Medicaid hundreds of dollars per patient each month, though the exact prices are secret.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Many employers and private health insurance plans do not cover the drugs. Some, including state employee benefit plans in <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2024\/01\/26\/business\/obesity-drugs-insurance-north-carolina.html\" title=\"\">North Carolina<\/a> and <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2024\/06\/25\/health\/obesity-ozempic-wegovy-west-virginia.html\" title=\"\">West Virginia<\/a>, dropped coverage of the drugs after their popularity surged, citing high costs.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Eli Lilly and Novo Nordisk now offer their products for <a class=\"css-yywogo\" href=\"https:\/\/lillydirect.lilly.com\/pharmacy\/zepbound\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">$350<\/a> to <a class=\"css-yywogo\" href=\"https:\/\/www.novocare.com\/obesity\/products\/wegovy\/savings-offer.html\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">$500<\/a> a month to patients who pay with their own money instead of going through insurance. But until recently, patients sometimes had to pay over $1,300 a month.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-3\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Without insurance coverage, many patients on Medicare and Medicaid have been relying on inexpensive copycat versions of the drugs produced through a drug-ingredient mixing process known as compounding. These versions, which were allowed because the brand-name drugs were in short supply, can cost less than $200 a month. But regulators have ordered such sales to <a class=\"css-yywogo\" href=\"https:\/\/www.fda.gov\/drugs\/drug-safety-and-availability\/fda-clarifies-policies-compounders-national-glp-1-supply-begins-stabilize\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">wind down soon<\/a> because supply of the brand-name products has improved.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Republicans in Congress have expressed some interest in requiring Medicare to cover the drugs. The idea was included in a <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/interactive\/2025\/01\/28\/upshot\/2025-republican-policy-proposals.html\" title=\"\">list of policy options<\/a> produced by the House Budget Committee earlier this year. But it does not appear to be a major priority right now.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Novo Nordisk\u2019s Wegovy will be <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2025\/01\/17\/health\/medicare-prices-ozempic-wegovy.html\" title=\"\">subject to price negotiations<\/a> with Medicare this year. Barring further changes, the government stands to pay that lower negotiated price starting in 2027 only for patients who have both obesity and one of the other health conditions the drugs have been shown to improve. That process has the potential to reduce the long-term costs of coverage.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<br \/><a href=\"https:\/\/www.nytimes.com\/2025\/04\/04\/health\/trump-wegovy-obesity-drugs-medicare.html\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Trump administration on Friday rejected a Biden plan that would have required Medicare and Medicaid to cover obesity drugs<\/p>\n","protected":false},"author":1,"featured_media":17456,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38],"tags":[103,114,139,135,144,138,104,915,908,140,141,134,219,916,113,111,142],"class_list":["post-17455","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-science","tag-biden","tag-donald-j","tag-drugs-pharmaceuticals","tag-fees-and-rates","tag-health-and-human-services-department","tag-health-insurance-and-managed-care","tag-joseph-r-jr","tag-kennedy","tag-medicaid","tag-medicare","tag-obesity","tag-prices-fares","tag-regulation-and-deregulation-of-industry","tag-robert-f-jr","tag-trump","tag-united-states-politics-and-government","tag-weight"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Trump Rejects Proposal for Medicare to Cover Wegovy and Other Obesity Drugs 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