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Alex Azar

Secretary of Health and Human Services (HHS)

Nominated by Trump: 11-13-2017

Who is Alex Azar?

Alex Azar previously worked for big pharma and, before that, served as deputy secretary of the Department of Health and Human Services (HHS) under President George W. Bush. Alex Azar has been an outspoken opponent of the Affordable Care Act and its birth control mandate, as well as many other health care programs he’s tasked with leading. Since he was confirmed to his position in January 2018, Azar has driven policy changes that reduce access to health care.

“The mission of the HHS is to enhance the health and well-being of all Americans, and this includes the unborn.”

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Here is what Alex Azar controls

U.S. Department of Health and Human Services (HHS)

HHS is charged with protecting the health of all Americans. The Trump-Pence administration has slowly reshaped HHS to roll back reproductive rights and limit access to health care.

Related Issues

Title X

Planned Parenthood

Sex Education

Refusal Policies

Birth Control Coverage


The Title X Gag Rule

The Health Agenda

Abortion Coverage

Background on Alex Azar

Restricting Medicaid

Alex Azar’s first act as secretary was to approve a Medicaid work restriction that could take away basic health care coverage for hundreds of thousands of people, mostly women.

Funding Anti-Abortion Efforts

Alex Azar donated thousands of dollars to politicians and organizations that work to eliminate access to abortion.

Open Secrets
Ignoring the Benefits of the ACA Birth Control Mandate

Nearly 63 million women now have access to birth control without copayments thanks to the ACA’s birth control mandate, which guarantees no-copay birth control coverage in the country’s insurance plans. Nationwide, the ACA’s birth control benefit saved women an estimated $1.4 billion on birth control pills the first year (2013) that the law was in effect.

Making Abortion Coverage Less Accessible

Under Alex Azar’s watch, HHS’s Center for Medicare and Medicaid Services (CMS) proposed a rule to impose an onerous system to bill consumers for abortion coverage in ACA insurance plans. The CMS billing rule would make it much more difficult for people to get abortion coverage through the ACA because plans are expected to drop abortion coverage entirely rather than jump through unnecessary bureaucratic hoops.

Tracking Trump: Abortion Coverage
Interfering in Abortion Access

Alex Azar defended efforts to block young undocumented women’s access to safe, legal abortion.

Planned Parenthood Action Newsroom
Letting Bosses Control Birth Control Access

Alex Azar believes employers should be able to control a woman’s birth control options. To actually let bosses deny birth control coverage in their employee insurance plans, Alex Azar is weakening the Affordable Care Act (ACA)'s birth control coverage mandate.

Ignoring Over-the-Counter Birth Control Prices

Without no-copay coverage, an IUD could cost more than $1,300 out-of-pocket, and birth control pills could cost up to $600 per year. Taking away birth control coverage will make it harder for millions of people to get the care they need. Forty percent of Black women ages 18-44 say they couldn’t afford more than $10 a month for birth control if they had to pay out of pocket.

Planned Parenthood: Birth control methods & costs
Furthering What Tom Price Started

Although Alex Azar is the Trump-Pence administration’s current secretary of Health and Human Services (the pharma exec was confirmed on January 24, 2018), he’s not the first. Azar got the job after Tom Price resigned amid scandal. Price’s legacy includes sabotaging ACA enrollment and making other changes to roll back the ACA. Alex Azar is building on Tom Price’s legacy by reducing people's access to health care from his perch atop HHS.