Who is Biden’s Health Secretary and What Are Their Responsibilities?

Professional healthcare executive in modern government office building, reviewing health policy documents at desk, serious expression, natural lighting, professional attire
Xavier Becerra serves as Biden's HHS Secretary, overseeing Medicare, Medicaid, FDA, and CDC. Confirmed March 2021, he leads 83,000 employees managing health programs for 300+ million Americans.
Professional healthcare executive in modern government office building, reviewing health policy documents at desk, serious ex

Who is Biden’s Health Secretary and What Are Their Responsibilities?

The Short AnswerXavier Becerra serves as Secretary of the Department of Health and Human Services (HHS) under President Biden, overseeing all federal health programs including Medicare, Medicaid, and the FDA. He was confirmed by the Senate in March 2021 and is responsible for protecting the health of all Americans through policy implementation and regulatory oversight of programs affecting over 300 million people.

The Health Secretary is one of the most influential positions in the federal government, shaping healthcare policy, drug regulation, disease prevention, and access to medical services for the entire nation. Xavier Becerra’s appointment marked a significant moment in healthcare leadership, bringing decades of legal and healthcare policy experience to the role during a critical period of pandemic response and healthcare system transformation.

Who is Xavier Becerra and What is His Background?

Quick Answer: Becerra is a former California Attorney General and U.S. Congressman with a legal background and extensive experience in healthcare policy and consumer protection.

Xavier Becerra served as California’s Attorney General from 2017 to 2021, where he defended the Affordable Care Act in court and pursued healthcare fraud cases. Before that, he represented California’s 34th Congressional District for 24 years in the U.S. House, serving on the Energy and Commerce Committee. His background in law and healthcare advocacy positioned him uniquely to lead HHS during the Biden administration’s healthcare expansion agenda.

What Are the Main Responsibilities of the HHS Secretary?

Quick Answer: The HHS Secretary oversees Medicare, Medicaid, the CDC, FDA, NIH, and manages federal health programs affecting over 300 million Americans and a budget exceeding $2 trillion.

As HHS Secretary, Becerra leads 11 operating divisions including the Centers for Medicare & Medicaid Services (CMS), which administers healthcare for seniors and low-income Americans. He sets priorities for the Centers for Disease Control and Prevention (CDC), oversees the Food and Drug Administration’s pharmaceutical and medical device approvals, and directs the National Institutes of Health’s research initiatives. The Secretary also manages public health emergency responses and coordinates with state health departments on disease surveillance and prevention programs.

Within HHS, the Secretary supervises healthcare executives managing critical agencies responsible for drug safety, disease prevention, and healthcare access. This includes oversight of pharmaceutical regulatory compliance and approval processes that affect medication availability nationwide.

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What Major Health Initiatives Has Biden’s Health Secretary Implemented?

Quick Answer: Becerra has focused on pandemic response, expanding access to affordable healthcare, negotiating lower prescription drug prices, and strengthening maternal health initiatives.

Under Becerra’s leadership, HHS implemented the Biden administration’s drug pricing negotiation authority, allowing Medicare to negotiate directly with pharmaceutical companies for reduced medication costs. The department expanded COVID-19 vaccination and treatment programs, pursued health equity initiatives addressing disparities in underserved communities, and promoted maternal health programs to reduce maternal mortality rates in the United States.

How Does the HHS Secretary Influence Telehealth and Healthcare Delivery?

Quick Answer: The HHS Secretary sets policy on telehealth expansion, Medicare coverage decisions, and healthcare access programs that directly impact how Americans receive care.

The HHS Secretary influences telehealth policy through CMS coverage and reimbursement decisions. Becerra’s administration expanded telehealth services during the pandemic, allowing remote patient monitoring for chronic disease management and ensuring Medicare beneficiaries access virtual care options. These decisions shape healthcare innovation and healthcare interoperability standards affecting delivery systems nationwide.

Healthcare team in conference room discussing Medicare and Medicaid policy, diverse professionals around table with healthcar

What Controversies or Challenges Has Biden’s Health Secretary Faced?

Quick Answer: Becerra has faced criticism from Republican lawmakers over healthcare expansion policies, prescription drug pricing negotiations, and pandemic response decisions.

Becerra’s tenure has included debates over Medicaid expansion, healthcare costs, and drug pricing policies. Republican critics have challenged his approach to healthcare regulation and questioned pandemic response strategies. Additionally, his previous role defending California’s healthcare policies prompted discussions about his regulatory philosophy and balance between government oversight and private healthcare operations.

How Does the Health Secretary’s Role Compare to Previous Administrations?

Quick Answer: Biden’s HHS Secretary has prioritized different healthcare priorities than Trump’s administration, focusing more on expanding coverage and addressing health equity.

Becerra’s HHS emphasizes Affordable Care Act expansion and Medicare drug price negotiations, contrasting sharply with the Trump administration’s focus on deregulation and healthcare market competition. The Biden approach prioritizes universal access expansion and government-negotiated pricing, representing fundamentally different healthcare philosophies about government’s role in healthcare delivery and cost management.

Frequently Asked Questions

What is Xavier Becerra’s salary as HHS Secretary?

Quick Answer: Cabinet secretaries earn $221,400 annually, set by federal law for executive branch positions at that level.

This salary is standard across all Cabinet-level positions regardless of the specific department or administration.

How many people work at HHS under the Secretary?

Quick Answer: HHS employs approximately 83,000 federal employees across all divisions and agencies.

This makes HHS one of the largest federal agencies by workforce size, managing complex healthcare programs and research initiatives.

Does the HHS Secretary require Senate confirmation?

Quick Answer: Yes, the HHS Secretary requires Senate confirmation as a Cabinet-level position, with hearings and voting required.

Becerra was confirmed 50-49 in March 2021, one of the closest Cabinet confirmation votes in recent history. The HHS official website provides detailed information on departmental structure and leadership roles.


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