{"id":14486,"date":"2024-12-06T14:44:27","date_gmt":"2024-12-06T14:44:27","guid":{"rendered":"https:\/\/nhcoa.org\/es\/?p=14486"},"modified":"2024-12-06T14:44:29","modified_gmt":"2024-12-06T14:44:29","slug":"recent-biden-harris-administration-proposal-aims-to-expand-medicare-coverage","status":"publish","type":"post","link":"https:\/\/nhcoa.org\/es\/recent-biden-harris-administration-proposal-aims-to-expand-medicare-coverage\/","title":{"rendered":"Recent Biden-Harris Administration Proposal Aims to Expand Medicare Coverage"},"content":{"rendered":"\n<figure class=\"wp-block-image aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/nhcoa.org\/es\/wp-content\/uploads\/2024\/12\/Blog-header-2024-12-06T084142.289-1024x576.png\" alt=\"\" class=\"wp-image-14490\" style=\"width:550px\" srcset=\"https:\/\/nhcoa.org\/es\/wp-content\/uploads\/2024\/12\/Blog-header-2024-12-06T084142.289-980x551.png 980w, https:\/\/nhcoa.org\/es\/wp-content\/uploads\/2024\/12\/Blog-header-2024-12-06T084142.289-480x270.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-1 wp-block-paragraph\">On November 26th, 2024, the Biden-Harris administration issued a proposal for the <strong>expansion of Medicare coverage<\/strong>, specifically under <strong>Medicare Advantage<\/strong> and <strong>Medicare Part-D<\/strong>. The proposal speaks on an intention to<strong> lower drug costs under the plans, but also specifically proposes the coverage of anti-obesity medications (AOMs) for Medicare recipients<\/strong>. It is currently set for the 2026 Contract Year, and is of course yet to be approved.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"has-black-color has-text-color has-link-color wp-elements-2 wp-block-paragraph\" style=\"font-size:15px\"><em>\u201cIn recognition of the prevailing medical consensus that obesity is a disease, CMS is proposing to reinterpret the statute to no longer exclude anti-obesity medications for the treatment of obesity from coverage under Medicare Part D and to require Medicaid programs to cover these medications when used to treat obesity,\u201d <\/em>from The Centers for Medicare &amp; Medicaid Services (CMS), on the Biden-Harris Administration\u2019s proposal.<\/p>\n<\/blockquote>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-3 wp-block-paragraph\" style=\"font-size:15px\">The National Hispanic Council on Aging has long advocated for the coverage of AOMs for Medicare recipients, like many other organizations within the field of aging. <strong>NHCOA supports this proposal and its overt intention to both lessen the financial burden on older adults, as well as to better alleviate the strain on daily health experienced by many older adults who experience obesity<\/strong>. Outside of this proposal from the White House, many organizations concerned with the health of older adults and\/or the obesity epidemic have advocated for this expansion via the Treat and Reduce Obesity Act (TROA).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-4 wp-block-paragraph\" style=\"font-size:16px\"><strong>Why is AOM coverage important?<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-5 wp-block-paragraph\" style=\"font-size:15px\">When it comes to treating obesity, most of us will think of physical activity and nutrition therapy. <strong>However, there is a much broader continuum of care than just exercising more and following a healthy diet, including pharmacotherapy, the use of prescribed medications such as anti-obesity medications (AOMs)<\/strong>.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-6 wp-block-paragraph\" style=\"font-size:15px\">Many of these medications have already been approved by the US Food and Drug Administration, but are currently not covered by Medicare. This leaves Medicare beneficiaries with either no access to these drugs, or with the financial burden of paying completely out of pocket. <strong>Nutrition therapy, behavioral therapy, and physical activity are certainly important aspects of treatment for obesity, but they often just aren\u2019t enough, leaving obese patients with severe health risks and financial strain.<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-7 wp-block-paragraph\" style=\"font-size:15px\">Even nutrition therapy is often incredibly hard to follow or maintain. Healthy foods can be expensive, and often even inaccessible to certain areas. For more information, see our previous post on Food Insecurity, <a href=\"https:\/\/nhcoa.org\/es\/knowing-the-battle-against-cvd-finding-nutritious-foods-in-the-u-s\/\">here<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-8 wp-block-paragraph\" style=\"font-size:16px\"><strong>Obesity is not just the result of bad habits, it\u2019s a disease.<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-9 wp-block-paragraph\" style=\"font-size:15px\">Just as CMS has stated, obesity has come to be recognized as a disease. In fact, the Centers for Disease Control and Prevention (CDC) refers to obesity as \u201ca common, serious, and costly chronic disease.\u201d Those living with obesity are managing an ongoing and worsening condition, which poses severe risks to their overall health and will likely accrue other conditions due to that risk. <strong>According to the CDC, obesity heightens the risk of such other chronic diseases as type-2 diabetes, arthritis, asthma, sleep apnea, and cardiovascular disease (CVD).<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-10 wp-block-paragraph\" style=\"font-size:15px\">CVD is the leading cause of death in both men and women in the United States. <strong>The CDC reports that 58% of adults with obesity in the US have high blood pressure, putting them at great risk of developing CVD, and that 23% of obese adults have been diagnosed with diabetes<\/strong>. These other chronic diseases aren\u2019t just worsening the quality of life for obese individuals, but adding more and more medical fees to manage.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-11 wp-block-paragraph\" style=\"font-size:15px\"><strong>Expanding coverage of Medicare to include AOMs isn\u2019t just a big step forward for the obesity epidemic.<\/strong> It has the potential to create a dramatic improvement to the lives of over 40% of the country, from their quality of life to their wallets.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-12 wp-block-paragraph\" style=\"font-size:15px\"><strong>References:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; \u201cFACT SHEET: Biden-Harris Administration [\u2026],\u201d Briefing Room, Statements and Releases. The White House. 11\/26\/2024. https:\/\/www.whitehouse.gov\/briefing-room\/statements-releases\/2024\/11\/26\/fact-sheet-biden-harris-administration-takes-latest-step-to-lower-prescription-drug-costs-by-proposing-expanded-coverage-of-anti-obesity-medications-for-americans-with-medicare-and-medicaid\/<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; \u201cBiden-Harris Administration Announces [\u2026],\u201d Newsroom, Press Releases. Centers for Medicare &amp; Medicaid Services. 11\/26\/2024. https:\/\/www.cms.gov\/newsroom\/press-releases\/biden-harris-administration-announces-medicare-advantage-and-medicare-part-d-prescription-drug<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; \u201cAdult Obesity Facts,\u201d Obesity. The Centers for Disease Control and Prevention. 5\/14\/2024. https:\/\/www.cdc.gov\/obesity\/adult-obesity-facts\/index.html<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; \u201cAbout Obesity,\u201d Obesity. The Centers for Disease Control and Prevention. 1\/23\/2024. https:\/\/www.cdc.gov\/obesity\/php\/about\/index.html<\/p>\n","protected":false},"excerpt":{"rendered":"<p>On November 26th, 2024, the Biden-Harris administration issued a proposal for the expansion of Medicare coverage, specifically under Medicare Advantage and Medicare Part-D. The proposal speaks on an intention to lower drug costs under the plans, but also specifically proposes the coverage of anti-obesity medications (AOMs) for Medicare recipients. It is currently set for the [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":14490,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","cybocfi_hide_featured_image":"yes","footnotes":""},"categories":[9],"tags":[477,337,6,442,255,48,333,331],"class_list":["post-14486","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-anti-obesity","tag-aom","tag-medicare","tag-medicare-part-d","tag-medications","tag-obesity","tag-part-d","tag-pills"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Recent Biden-Harris Administration Proposal Aims to Expand Medicare Coverage - NHCOA<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nhcoa.org\/es\/recent-biden-harris-administration-proposal-aims-to-expand-medicare-coverage\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Recent Biden-Harris Administration Proposal Aims to Expand Medicare Coverage - NHCOA\" \/>\n<meta property=\"og:description\" content=\"On November 26th, 2024, the Biden-Harris administration issued a proposal for the expansion of Medicare coverage, specifically under Medicare Advantage and Medicare Part-D. 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