Which federal government official has the authority to promulgate rules and regulations in healthcare?

The Secretary of the Department of Health and Human Services (DHHS) plays a critical role in the governance of healthcare at the federal level, having the authority to promulgate rules and regulations that shape various aspects of health policy and administration. This includes oversight of programs like Medicare and Medicaid, enforcing health regulations, and implementing standards established by healthcare laws. The Secretary’s authority is essential for ensuring that healthcare regulations are aligned with legislative intent and public health goals.

Additionally, the DHHS Secretary oversees numerous agencies involved in public health, welfare, and healthcare, effectively leading efforts to maintain and improve the nation's health. This role encompasses ensuring compliance with healthcare laws and protecting public health, significantly influencing regulations regarding healthcare provisions.

While other officials, such as the CMS Administrator and the FDA Commissioner, have specific responsibilities in their respective areas—such as managing the Centers for Medicare & Medicaid Services (CMS) and overseeing food and drug safety—the ultimate authority to create broad healthcare regulations resides with the DHHS Secretary. The roles of these other officials are crucial within the context of healthcare but are limited to particular domains within the overall healthcare regulatory landscape.