President-elect Joe Biden has chosen California Attorney General Xavier Becerra as his nominee for HHS secretary. Becerra has led the Democratic states’ court fight to protect the Affordable Care Act.
As California’s attorney general, Becerra has led the coalition of Democratic states defending “Obamacare” from the Trump administration’s latest effort to overturn it, a legal case awaiting a Supreme Court decision next year.
Becerra also led a petition asking the U.S. Supreme Court to hear a case involving 21 state attorneys general challenging the Trump administration’s criteria for handing out Title X funding. He also appealed a challenge to California’s right-to-die law.
In 2020, Becerra filed an antitrust case against Sutter Health, alleging that the not-for-profit healthcare giant was using its market dominance in Northern California to illegally drive up prices.
In 2018, Modern Healthcare ranked Becerra #59 in its list of the 100 Most Influential People.
If confirmed by the Senate, Becerra, 62, will be the first Latino to head HHS, a $1-trillion-plus agency with 80,000 employees and a portfolio that includes drugs and vaccines, leading-edge medical research and health insurance programs covering more than 130 million Americans.
A former senior House Democrat, Becerra played a role in steering the Obama health law through Congress in 2009 and 2010. At the time he would tell reporters that one of the primary motivations for him was having tens of thousands of uninsured people in his Southern California district.
Overseeing the coronavirus response will be the most complicated task Becerra has ever contemplated. By next year, the U.S. will be engaged in a mass vaccination campaign, the groundwork for which has been laid under the Trump administration. Although the vaccines appear very promising, and no effort has been spared to plan for their distribution, it’s impossible to tell yet how well things will go when it’s time to get shots in the arms of millions of Americans.
The core components of HHS are the boots on the ground of the government’s coronavirus response. The Food and Drug Administration oversees vaccines and treatments, while much of the underlying scientific and medical research comes from NIH. The Centers for Disease Control and Prevention takes the lead in detecting and containing the spread of diseases. The Centers for Medicare and Medicaid Services provides insurance coverage for more than 1 in 3 Americans, including vulnerable seniors, as well as many children and low-income people.
Under President Donald Trump, CDC was relegated to a lesser role after agency scientists issued a stark early warning that contradicted Trump’s assurances the virus was under control, rattling financial markets. The FDA was the target of repeated attacks from a president who suspected its scientists were politically motivated and who also wanted them to rubber-stamp unproven treatments.
As California’s attorney general, Becerra jokingly became known in Democratic legal circles as the man who sued Trump more than anyone else. Beyond health care, the lawsuits centered on issues from immigration to environmental policies.
Before he became California’s attorney general, Becerra had served for more than a decade in Congress, representing parts of Los Angeles County. He had also served in the California state assembly after attending law school at Stanford.
His mother was born in Jalisco, Mexico, and emigrated to the U.S. after marrying his father.