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Centers for Medicare & Medicaid Services Leadership

Chiquita Brooks-LaSure, Administrator

Chiquita Brooks-LaSure

Chiquita Brooks-LaSure is the  Administrator for the Centers for Medicare and Medicaid Services (CMS), where she will oversee programs including Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), and the HealthCare.gov health insurance marketplace.

A former policy official who played a key role in guiding the Affordable Care Act (ACA) through passage and implementation, Brooks-LaSure has decades of experience in the federal government, on Capitol Hill, and in the private sector.

As deputy director for policy at the Center for Consumer Information and Insurance Oversight within the Centers for Medicare & Medicaid Services, and earlier at the Department of Health & Human Services as director of coverage policy, Brooks-LaSure led the agency’s implementation of ACA coverage and insurance reform policy provisions.

Earlier in her career, Brooks-LaSure assisted House leaders in passing several health care laws, including the Medicare Improvements for Patients and Providers Act of 2008 and the ACA, as part of the Democratic staff for the U.S. House of Representatives’ Ways and Means Committee.

Brooks-LaSure began her career as a program examiner and lead Medicaid analyst for the Office of Management and Budget, coordinating Medicaid policy development for the health financing branch. Her role included evaluating policy options and briefing White House and federal agency officials on policy recommendations with regard to the uninsured, Medicaid and the Children’s Health Insurance Program.

Centers for Medicaid & CHIP Services Leadership

Daniel Tsai, Deputy Administrator and Director


Daniel Tsai is the Deputy Administrator and Director of the Center for Medicaid and CHIP Services (CMCS). Daniel comes from the Commonwealth of Massachusetts where he served as the Assistant Secretary for MassHealth and Medicaid Director. His tenure has focused on building a robust and sustainable Medicaid program that ensures equitable coverage and reshapes how health care is delivered for two million individuals and families in the state.

Daniel has helped lead Massachusetts Medicaid through its most significant restructuring since the 1990s through its landmark 2016 Medicaid 1115 waiver. Under these reforms, MassHealth implemented one of the most at-scale shifts to value-based care in the nation. Through the waiver, MassHealth also launched a unique program committing significant investments for nutritional and housing supports to address the social determinants of health for high cost, at-risk individuals. In addition, during his tenure, the agency has made critical investments in strengthening community health centers, behavioral health, and home and community-based services.

Having worked closely with organizations across almost every aspect of health care, including a diverse range of Medicaid programs and provider organizations, Daniel brings extensive experience across Medicaid, Medicare, and working with stakeholders to design and implement innovative models for health care coverage, delivery and payment.

Daniel earned a Bachelor of Arts in Applied Mathematics and Economics from Harvard University, summa cum laude.

If you are interested in requesting Deputy Administrator Tsai speak at an upcoming event please submit this request form.  

Anne Marie Costello, Deputy Director


Anne Marie Costello serves as Deputy Director for the Center for Medicaid & CHIP Services (CMCS) within the Centers for Medicare & Medicaid Services (CMS) at the U.S. Department of Health and Human Services (HHS). Previously, Anne Marie was Director of the Children and Adults Health Programs Group (CAHPG) in CMCS. There, she directed CMS’s work on eligibility, enrollment, quality of care measurement, and quality improvement initiatives for children and adults served by Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program (BHP), leading the development of national policy for low-income children and adults enrolled in Medicaid, CHIP, and BHP. She led the implementation of quality improvement initiatives on maternal and child health, children’s oral health and prevention, and special initiatives related to the Agency’s response to the Zika virus and the Flint water crisis.

Anne Marie is a nationally recognized expert on health policy and has extensive experience implementing Medicaid, CHIP, and BHP policies and operations at the federal and state levels. Before joining CMS, she held a number of leadership positions in state and local government and in the nonprofit sector. Anne Marie also served as the Director of the Bureau of Compliance at the New York State Department of Health. She was responsible for oversight of Medicaid policy implementation in New York City and implementation of statewide outreach and enrollment initiatives.

Anne Marie holds a Master of Public Health degree from Hunter College.

If you are interested in requesting Deputy Director Costello speak at an upcoming event please submit this request form.  

Sara Vitolo, Deputy Director


Sara Vitolo is the Deputy Director for the Center for Medicaid & CHIP Services (CMCS) within the Centers for Medicare & Medicaid Services (CMS).

Prior to joining CMCS, Sara was Deputy Director of the Medicare-Medicaid Coordination Office (MMCO) within the Centers for Medicare & Medicaid Services (CMS). The Office works to bring together Medicare and Medicaid to effectively integrate benefits, eliminate administrative and regulatory barriers, and improve coordination between the Federal Government and states, enhancing access to quality services for over 12 million individuals who are enrolled in both Medicare and Medicaid.

Before joining MMCO in 2015, Sara worked at the White House Office of Management and Budget in the Health Division, where she focused on Medicare policy. Within CMS, Sara previously served as Special Assistant to the Principal Deputy Administrator of CMS, as Acting Deputy Director of the Medicare Division of Acute Care leading the development of inpatient hospital payment policy, and as an analyst in the Medicare Division of Practitioner Services working on physician fee schedule rate-setting and payment policy.

Prior to Federal service, Sara helped build global health programs at IntraHealth International. Sara received a B.S. in Biology from Stonehill College and an M.S.P.H. in Health Policy from the University of North Carolina at Chapel Hill.

If you are interested in requesting Deputy Director Vitolo speak at an upcoming event please submit this request form.  

Jessica Lee, M.D., Acting Chief Medical Officer


Jessica Lee, MD, MSHP is the acting Chief Medical Officer for Center for Medicaid and CHIP Services, where she leads the center's clinical strategy. Dr. Lee was previously the medical officer in the Division of Quality and Health Outcomes at CMCS, where she led initiatives in quality measures and quality improvement.

Dr. Lee has deep expertise in clinical medicine and quality, and a background in health policy at the health system, state, and federal levels. She has served as a senior health policy analyst at the Government Accountability Office, focusing on payment policy, and has conducted grant-funded research focused on the intersection of health care delivery systems and population health.

Dr. Lee continues to care for patients as a practicing pulmonologist at the University of Pennsylvania and ICU physician at the Corporal Michael J. Crescenz VA Medical Center in Philadelphia. She earned her A.B. with honors from Harvard College and her M.D. from the University of Colorado School of Medicine. She completed internal medicine residency at Brigham & Women’s Hospital and pulmonary and critical care fellowship at the University of Pennsylvania.

If you are interested in requesting Chief Medical Officer Lee speak at an upcoming event please submit this request form.