Go to Content Go to Navigation Go to Navigation Go to Site Search Homepage
Randy Pate

Former Director of the Center for Consumer Information and Insurance Oversight (HHS)

Appointed By Secretary of Health: April 2017

Who is Randy Pate?

At the Centers for Medicare and Medicaid Services (CMS), Randy Pate led the office that oversees the Affordable Care Act (ACA). Pate had the power to write ACA Marketplace rules that restrict access to birth control and reproductive care — as well as the power NOT to enforce access and affordability protections for these services. He left CMS in late 2020.

Now is the time to protect conscience rights and encourage caring individuals of all faiths and backgrounds to seek careers in the health professions.”

Learn the top 3 ways to protect reproductive health and rights today

What Randy Pate Controlled

Centers for Medicare & Medicaid Services (CMS) at the U.S. Department of Health and Human Services

CMS oversees Medicare, Medicaid, and the Children's Health Insurance Program (CHIP), providing health care for one in four Americans. CMS also is responsible for managing HealthCare.gov., as well as health care privacy and certain nationwide provider quality standards.

Policies Randy Pate helped bring about


Background on Randy Pate

Heritage Foundation Fellow

In 2009, Randy Pate was a fellow for the ultra-conservative Heritage Foundation — which has advocated against access to safe and legal abortion and care at Planned Parenthood health centers.

Opposing Women’s Health Care, ACA

As a commentator for The Daily Signal, Pate authored several pieces that promoted undermining women’s health care and used misleading claims about taxpayer funding for abortion and birth control to undermine the ACA.

Daily Signal
Abandoning the Health Insurance Marketplace

Under Pate’s watch, the administration drastically cut funding for advertising and outreach to help Americans sign up for insurance through the ACA.

Chicago Tribune
Helping Anti-Reproductive Health Administrator Seema Verma

At CMS, Randy Pate worked for CMS Administrator Seema Verma. She started her tenure saying she would restrict access to reproductive health care under Medicare and Medicaid. These programs provide the most health care to women of all ages — particularly women of color, who face systemic barriers to care.

Tracking Trump: Seema Verma
Promoting Discrimination in Health Care

Pate was instrumental in formulating the Bush administration’s “conscience” regulation, which protected health workers who refused to provide a full spectrum of care and information. Now the Trump administration has issued a similar rule.


Abortion is under attack - we need you.

Protect repro health and rights. Make your gift by December 31 and it will DOUBLE in impact.

heart emoji

We need
your support

heart emoji

We need
your support