On February 10, the U.S. Senate confirmed Tom Price as Secretary of Health and Human Services (HHS). The following week, after Andrew Puzder withdrew his candidacy, President Trump announced his nomination of Alexander Acosta for Secretary of Labor. As the newly confirmed Secretary of HHS, Price is in a pivotal position to shape the future of the Affordable Care Act (ACA) and other health policies. However, as Secretary of Labor, Acosta will also have a significant but little-discussed role in health policy, vested in the Employee Benefit Security Administration (EBSA) within the Department of Labor (DOL).