Trump admin shifts course on Medicare GLP-1 coverage
By Maya Goldman
Published on April 22, 2026.
The Trump administration is indefinitely delaying a Medicare pilot program to cover weight-loss drugs, following concerns from health insurance companies. The five-year experiment, BALANCE, would have involved private Medicare insurers paying for drugs like Zepbound and Wegovy as a regular benefit. However, Medicare will still cover these drugs through a transitional program, starting in July and running through 2027. This decision is a setback for the administration after President Trump promised deals with Eli Lilly and Novo Nordisk to reduce prices on GLP-1 drugs in exchange for access to a new pool of patients. The transitional program means seniors can still receive expanded coverage and participating Medicare drug plans don't have to take financial risk.
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