She began her career as a program examiner and lead Medicaid analyst in the Office of Management and Budget (OMB).[5] In that role,she also analyzed aspects of Medicare spending.[6] She also worked as a staffer for Democratic members of the United States House Committee on Ways and Means before joining the Center for Consumer Information and Insurance Oversight,where she was tasked with managing policy related to the Affordable Care Act.[7][8]
After the end of the Obama administration,Brooks-LaSure became the managing director of the Health Division of national law firm Manatt,Phelps &Phillips. She also served on the Virginia Health Benefit Exchange Advisory Committee.[5] Her name was included in the Time 2024 list of influential people in health.[9]
Administrator of the Centers for Medicare and Medicaid Services
On April 22,2021,the committee deadlocked on her nomination in a party-line vote,which resulted in an additional discharge vote being needed for her nomination to appear before the full Senate for a confirmation vote.[12]
On May 12,2021,her nomination was discharged from the committee by a vote of 51–48.[13] On May 25,2021,Brooks-LaSure was confirmed by the Senate by a vote of 55–44.[14] On May 27,2021,she was sworn in by Secretary Xavier Becerra.[15]
CMS vs. FDA Alzheimer Controversy
On April 7,2022,CMS restricted anti-amyloid Alzheimer immunotherapies,approved by the Food and Drug Administration,to “coverage with evidence development.”[16] CMS never before required registry studies for FDA-approved drug coverage and the decision resulted in no coverage for the class of medications.[17] The restriction meant that over 2,000 patients with Alzheimer's per day progressed from mild to more severe disease,thus outside appropriate use.[18] On July 6,2023 (455 days later and 910,000 progressed patients),with the FDA approval of a second anti-amyloid therapy,CMS covered a drug in this class with a registry requirement.[19]
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