Verma has led the powerful federal agency since March 2017. Since then, the CMS has pursued a number of new policy initiatives. Perhaps most controversial has been the agency's work on Medicaid work requirements. Under Verma's watch, the CMS issued guidance to states on what it would take to get a waiver approved, which has happened for seven states so far. She has also been at the forefront of the agency's push for hospital price transparency and modifications to alternative pay models.