AGG Talks: Government Insight for Life Sciences Leaders Podcast Series · Arnall Golden Gregory LLP

How Medicare Regulations Could Affect Access to Gender-Affirming Care: Implications for Life Sciences Companies

·17 min·1 clip
Andrew Choi describes Medicare Conditions of Participation as a 'regulatory force multiplier' that can sidestep Congress to enforce nationwide restrictions.
This episode examines how the federal government could use obscure Medicare Conditions of Participation (COPs) to restrict access to gender-affirming care, particularly for minors, despite Medicare being a program for seniors. Former HHS attorney Andrew Choi explains this regulatory mechanism as a 'force multiplier' that sidesteps legislation and discusses the legal checks, business implications for life sciences companies, and the current political momentum behind such actions.

As heard by us

A dense regulatory discussion showing how policy shifts can ripple through healthcare operations.

This conversation frames Medicare policy as a business problem as much as a legal one. It moves from gender-affirming care and Medicare Conditions of Participation to the practical ways small regulatory changes can affect coverage, reimbursement, PBM formulary shifts, and…

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Why you'd press play

Want to see how a narrow CMS move around Medicare Conditions of Participation could ripple into gender-affirming care access and life sciences strategy?

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