
The head of the U.S. Department of Health and Human Services (HHS) is a pivotal role in overseeing the nation's public health, welfare, and social service programs. As of the latest information, this position is held by the Secretary of Health and Human Services, who is appointed by the President and confirmed by the Senate. The Secretary is responsible for managing a vast array of critical initiatives, including healthcare policy, disease prevention, medical research, and social services, making this role essential in addressing the health and well-being of millions of Americans.
| Characteristics | Values |
|---|---|
| Name | Xavier Becerra |
| Position | Secretary of Health and Human Services |
| Appointed by | President Joe Biden |
| Assumed office | March 19, 2021 |
| Preceded by | Alex Azar |
| Political party | Democratic |
| Education | Stanford University (BA), Stanford Law School (JD) |
| Previous positions | Attorney General of California (2017-2021), Member of the U.S. House of Representatives from California's 34th district (2013-2017), California's 31st district (2003-2013), and California's 30th district (1993-2003) |
| Notable achievements | First Latino to serve as Secretary of HHS, played a key role in implementing the Affordable Care Act |
| Responsibilities | Oversees the U.S. Department of Health and Human Services, including agencies like CDC, FDA, and NIH |
| Current focus | COVID-19 pandemic response, healthcare reform, and public health initiatives |
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What You'll Learn
- Current HHS Secretary: Name, appointment date, and key responsibilities of the current Health and Human Services Secretary
- Nomination Process: Steps involved in nominating and confirming the head of Health and Human Services
- Historical Leaders: Past HHS Secretaries, their tenures, and notable contributions to healthcare policy
- Role Overview: Primary duties and authority of the Health and Human Services Secretary in U.S. government
- Recent Initiatives: Key programs or policies led by the current HHS Secretary

Current HHS Secretary: Name, appointment date, and key responsibilities of the current Health and Human Services Secretary
As of the most recent information available, the current Secretary of the U.S. Department of Health and Human Services (HHS) is Xavier Becerra. He was sworn into office on March 19, 2021, following his confirmation by the U.S. Senate. Becerra is the first Latino to serve as HHS Secretary, bringing a wealth of experience from his previous roles as Attorney General of California and as a member of the U.S. House of Representatives. His appointment by President Joe Biden marked a significant shift in the department’s leadership, with a focus on expanding healthcare access, addressing health disparities, and responding to the ongoing challenges posed by the COVID-19 pandemic.
Becerra’s key responsibilities as HHS Secretary encompass overseeing a vast portfolio of programs and agencies dedicated to protecting the health and well-being of all Americans. This includes managing the Centers for Medicare & Medicaid Services (CMS), which administers healthcare coverage for millions of Americans, and the Centers for Disease Control and Prevention (CDC), which plays a critical role in public health surveillance and disease prevention. Additionally, he leads the Food and Drug Administration (FDA), ensuring the safety and efficacy of drugs, medical devices, and food products, and the National Institutes of Health (NIH), which funds groundbreaking medical research.
One of Becerra’s primary focuses has been strengthening the nation’s response to the COVID-19 pandemic. Under his leadership, HHS has worked to expand vaccine distribution, improve testing capacity, and provide resources to healthcare providers. He has also prioritized addressing health equity, aiming to reduce disparities in healthcare access and outcomes for underserved communities, including racial and ethnic minorities, rural populations, and low-income individuals.
Another critical area of responsibility for Becerra is implementing policies to expand healthcare coverage. He has been a vocal advocate for protecting and expanding the Affordable Care Act (ACA) and has worked to increase enrollment in health insurance marketplaces. Additionally, he has emphasized the importance of mental health and substance abuse treatment, allocating resources to combat the opioid crisis and improve access to mental health services.
Becerra also plays a pivotal role in budgeting and policy development for HHS, which has an annual budget of over $1 trillion. He works closely with Congress to secure funding for critical programs and initiatives, ensuring that the department can effectively carry out its mission. His leadership is instrumental in shaping the Biden administration’s healthcare agenda, including efforts to lower prescription drug costs, improve maternal health, and advance public health infrastructure.
In summary, Xavier Becerra, appointed on March 19, 2021, serves as the current HHS Secretary with a mandate to lead the department in addressing pressing health challenges. His responsibilities span pandemic response, healthcare access, health equity, and the oversight of key agencies like the CDC, FDA, and NIH. Through his leadership, Becerra aims to improve the health and well-being of all Americans while advancing the administration’s healthcare priorities.
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Nomination Process: Steps involved in nominating and confirming the head of Health and Human Services
The nomination process for the head of the Department of Health and Human Services (HHS) is a critical and structured procedure, ensuring that the individual appointed to this vital role is qualified, vetted, and approved through a rigorous system of checks and balances. This process is a cornerstone of the U.S. executive branch's commitment to maintaining high standards in public service leadership. Here is an overview of the steps involved:
Identification and Nomination: The journey begins with the President of the United States identifying a potential candidate for the position of HHS Secretary. This individual is typically chosen based on their expertise in healthcare, public health, or related fields, as well as their leadership capabilities. The President's decision may also consider political affiliations and the need for a diverse and representative administration. Once a candidate is selected, the President officially nominates them, marking the start of a comprehensive evaluation process.
Senate Committee Review: After the nomination, the Senate Committee on Health, Education, Labor, and Pensions (HELP) takes center stage. This committee is tasked with thoroughly examining the nominee's qualifications, experience, and suitability for the role. The committee holds confirmation hearings, providing a platform for senators to question the nominee on various aspects of healthcare policy, their vision for the department, and their ability to manage a large federal agency. These hearings are crucial for assessing the nominee's competence and gaining insight into their potential leadership style.
Committee Vote and Recommendation: Following the hearings, the HELP Committee deliberates and votes on whether to approve the nomination. If the committee votes in favor, it sends a recommendation to the full Senate for confirmation. This step is essential as it provides an initial stamp of approval and indicates the nominee's likelihood of success in the final confirmation vote.
Senate Confirmation: The final stage of the process lies with the full Senate. Here, all senators have the opportunity to debate and vote on the nomination. A simple majority is required for confirmation. This step ensures that the nominee has broad support across the Senate and allows for a comprehensive review by the entire legislative body. Once confirmed, the new HHS Secretary can be sworn into office, ready to take on the responsibilities of leading one of the most critical departments in the federal government.
This nomination and confirmation process is designed to be thorough and transparent, allowing for public scrutiny and ensuring that the head of HHS is well-qualified and capable of addressing the nation's health and human services needs. It is a vital mechanism for maintaining the integrity and effectiveness of the U.S. healthcare system's leadership.
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Historical Leaders: Past HHS Secretaries, their tenures, and notable contributions to healthcare policy
The U.S. Department of Health and Human Services (HHS) has been led by a series of influential secretaries who have shaped healthcare policy in significant ways. One notable historical leader is Oveta Culp Hobby, the first Secretary of HHS (then known as the Department of Health, Education, and Welfare) from 1953 to 1955 under President Dwight D. Eisenhower. Hobby was a trailblazer as the first woman to hold a Cabinet-level position in the U.S. government. Her tenure focused on expanding public health programs and improving healthcare access, particularly for underserved populations. She also played a key role in establishing the Social Security Disability Insurance program, laying the groundwork for future safety net initiatives.
Another pivotal figure is Joseph A. Califano Jr., who served as HHS Secretary from 1977 to 1979 under President Jimmy Carter. Califano's tenure was marked by significant policy advancements, including the expansion of Medicaid and the implementation of the Health Maintenance Organization (HMO) Act of 1973, which encouraged the growth of managed care. He also championed initiatives to combat substance abuse and improve mental health services. Califano's efforts to strengthen the Food and Drug Administration (FDA) and enhance consumer protections left a lasting impact on public health regulation.
Donna Shalala, appointed by President Bill Clinton, served as HHS Secretary from 1993 to 2001, making her the longest-serving secretary in the department's history. Shalala's leadership was characterized by her focus on healthcare reform, children's health, and the implementation of the State Children's Health Insurance Program (SCHIP), which provided coverage to millions of uninsured children. She also oversaw the modernization of the FDA and the expansion of women's health initiatives. Her tenure was marked by a commitment to evidence-based policy and the integration of public health into broader social welfare programs.
Tommy Thompson, who served under President George W. Bush from 2001 to 2005, is remembered for his response to the 2001 anthrax attacks and his leadership during the early stages of the global fight against HIV/AIDS. Thompson played a crucial role in the creation of the President's Emergency Plan for AIDS Relief (PEPFAR), a landmark initiative that has saved millions of lives worldwide. He also focused on strengthening the nation's preparedness for public health emergencies and improving the efficiency of Medicare and Medicaid programs.
Lastly, Kathleen Sebelius, appointed by President Barack Obama, served from 2009 to 2014 and was instrumental in the implementation of the Affordable Care Act (ACA), often referred to as Obamacare. Sebelius oversaw the expansion of health insurance coverage to millions of Americans, the establishment of health insurance marketplaces, and the prohibition of insurance denials based on pre-existing conditions. Her tenure also included efforts to improve healthcare quality, reduce costs, and address health disparities. Her leadership during the ACA's rollout, despite initial challenges, marked a transformative period in U.S. healthcare policy.
These historical leaders exemplify the critical role of HHS Secretaries in shaping healthcare policy, addressing public health crises, and advancing access to care. Their contributions continue to influence the department's mission and the broader landscape of American healthcare.
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Role Overview: Primary duties and authority of the Health and Human Services Secretary in U.S. government
The Health and Human Services (HHS) Secretary is a pivotal figure in the U.S. government, tasked with overseeing a vast department that plays a critical role in safeguarding the health and well-being of the American people. As the head of the Department of Health and Human Services, the Secretary is responsible for administering programs that protect the health of all Americans and provide essential human services, particularly for those who are least able to help themselves. This role encompasses a broad spectrum of duties, from public health initiatives to social service programs, making it one of the most comprehensive and impactful positions in the federal government.
One of the primary duties of the HHS Secretary is to lead the nation’s response to public health emergencies, including pandemics, natural disasters, and bioterrorism threats. This involves coordinating with other federal agencies, state and local governments, and international partners to ensure a swift and effective response. The Secretary also oversees the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH), and the Food and Drug Administration (FDA), which are critical in preventing and controlling diseases, advancing medical research, and ensuring the safety of food, drugs, and medical devices. Through these agencies, the Secretary has the authority to issue guidelines, regulations, and policies that shape the nation’s healthcare landscape.
In addition to public health, the HHS Secretary is responsible for managing programs that provide essential human services to vulnerable populations. This includes overseeing the Administration for Children and Families (ACF), which administers programs such as Head Start, child welfare services, and assistance for low-income families. The Secretary also leads the Centers for Medicare & Medicaid Services (CMS), which administers the Medicare and Medicaid programs, ensuring healthcare access for millions of elderly, disabled, and low-income Americans. The authority to allocate funding, set policy priorities, and implement reforms in these programs gives the Secretary significant influence over the social safety net in the United States.
Another critical aspect of the HHS Secretary’s role is advancing health equity and addressing disparities in healthcare access and outcomes. This involves developing and implementing policies that reduce barriers to care, improve health literacy, and promote preventive services for underserved communities. The Secretary also has the authority to fund research and initiatives aimed at understanding and mitigating health disparities, ensuring that all Americans have the opportunity to achieve their highest level of health. This focus on equity is integral to the department’s mission and reflects the Secretary’s commitment to justice and fairness in healthcare.
Finally, the HHS Secretary serves as a key advisor to the President and other federal leaders on matters related to health and human services. This includes providing recommendations on legislative proposals, budget priorities, and policy initiatives that impact the department’s mission. The Secretary also represents the United States in international forums, collaborating with global partners to address transnational health challenges and advance global health security. Through these duties and authorities, the HHS Secretary plays a vital role in shaping the health and well-being of the nation, ensuring that the department’s programs and policies meet the evolving needs of the American people.
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Recent Initiatives: Key programs or policies led by the current HHS Secretary
As of the latest information, the current head of the U.S. Department of Health and Human Services (HHS) is Xavier Becerra. Appointed in March 2021, Secretary Becerra has been at the forefront of several critical initiatives aimed at addressing public health challenges, expanding healthcare access, and promoting equity. Under his leadership, HHS has launched and advanced key programs and policies that reflect the Biden administration’s priorities in health and human services.
One of the most significant recent initiatives led by Secretary Becerra is the expansion of the Affordable Care Act (ACA) and efforts to reduce health insurance costs. HHS has implemented policies to increase enrollment in ACA marketplaces, including extending open enrollment periods and enhancing outreach to underserved communities. Additionally, the department has introduced measures to lower prescription drug costs, such as supporting the Inflation Reduction Act’s provisions that allow Medicare to negotiate drug prices and cap out-of-pocket expenses for seniors. These efforts aim to make healthcare more affordable and accessible for millions of Americans.
Another key focus of Secretary Becerra’s tenure has been addressing the opioid crisis and mental health challenges. HHS has allocated substantial funding to expand access to treatment and recovery services for individuals struggling with substance use disorders. The department has also launched initiatives to integrate mental health and substance use disorder services into primary care settings, ensuring a more holistic approach to healthcare. Notably, the 988 Suicide & Crisis Lifeline, a nationwide three-digit number for mental health emergencies, was launched under Becerra’s leadership, marking a significant step in improving crisis response and support.
Secretary Becerra has also prioritized health equity and maternal health, particularly in response to disparities highlighted by the COVID-19 pandemic. HHS has launched programs to reduce maternal mortality and morbidity rates, especially among Black and Indigenous women, who face disproportionately higher risks. These initiatives include funding for community-based organizations, improving data collection on maternal health outcomes, and expanding access to prenatal and postpartum care. Additionally, HHS has focused on addressing social determinants of health, such as housing and food insecurity, to tackle systemic inequities in healthcare.
In response to the ongoing COVID-19 pandemic and future public health threats, Secretary Becerra has overseen efforts to strengthen the nation’s public health infrastructure. This includes investments in vaccine distribution, testing, and treatment, as well as initiatives to improve pandemic preparedness. HHS has also worked to combat misinformation and build public trust in vaccines and public health measures. Under Becerra’s leadership, the department has emphasized the importance of global health cooperation, recognizing that addressing pandemics requires international collaboration.
Finally, Secretary Becerra has championed initiatives to support children and families, particularly through the Administration for Children and Families (ACF). HHS has expanded access to childcare, early childhood education, and family support services, addressing the needs of working families. Programs like the Child Care and Development Fund (CCDF) have received increased funding to improve affordability and quality of childcare. These efforts reflect a broader commitment to fostering healthy development and economic stability for families across the nation. Through these initiatives, Secretary Becerra continues to shape HHS’s role in advancing the health and well-being of all Americans.
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Frequently asked questions
As of October 2023, Xavier Becerra is the current Secretary of Health and Human Services.
The head of HHS oversees policies and programs related to public health, welfare, and social services, including Medicare, Medicaid, and the Centers for Disease Control and Prevention (CDC).
The Secretary of HHS is nominated by the President of the United States and must be confirmed by the U.S. Senate.
The first Secretary of HHS was Patricia Roberts Harris, appointed in 1979 when the department was established.
Yes, the Secretary of HHS serves at the pleasure of the President and can be removed or replaced by the President at any time.











































