Independent Payment Advisory Board Up for Repeal Vote



Independent Payment Advisory Board IPAB (IPAB)

Established in Affordable Care Act (ACA, P.L. 111-148 and P.L. 111-152), the IPAB—a 15 member independent panel, to be appointed by the president and confirmed by the Senate— is charged with enforcing a limit on Medicare spending growth.  IPAB members are expected to be nationally recognized experts in health finance, payment, economics, actuarial science, or health facility and health plan management.  The board will have broad authority to craft and execute new Medicare policies (including changes to provider reimbursement) with limited Congressional input.  In general, unless Congress acts to block the proposals within a brief and limited time period and identify similar savings elsewhere, CMS will implement the policy recommendations.  The first IPAB proposal must be submitted to Congress and the president beginning in 2014.  The IPAB is expected to save $15.5 billion over 10 years.  Additional information on this provision has not yet been published.

In opposition to the IPAB, Senators John Cornyn (R-Texas), Orrin Hatch (R-Utah), Jon Kyl (R-Ariz.), Pat Roberts (R-Kan.), and Tom Coburn (R-Okla.) July 27 introduced the “Health Care Bureaucrats Elimination Act” (S. 3653), which would repeal the IPAB.  In a joint statement, Senator Cornyn said the IPAB would “put power in the hands of politically-appointed Washington bureaucrats.”  Senator Roberts added the IPAB will lead to rationing and that access to quality care will be “threatened by the decisions made behind closed doors by an unelected board and unaccountable government officials.”  Similar legislation, the “Medicare Decisions Accountability Act of 2010” (H.R. 4985), was introduced March 25 in the House by Representative David Roe (R-Texas).  As of August 30, S. 3653 had 11 co-sponsors and H.R. 4985 had 54 co-sponsors.

I had almost forgotten about this with so much else happening.  Since it affects many my age, I really should have been following this.  Thank goodness medical groups  like the one below ARE looking out for us on this.



House Prepares to Vote on Independent Payment Advisory Board Repeal
June 16, 2015 10:15 AM

The U.S. House of Representatives is set to vote this week on legislation to repeal the Independent Payment Advisory Board (IPAB), as well as a bill repealing the medical device tax and other health care legislation.
As previously reported, the House Ways and Means Committee approved the IPAB repeal bill along with several other health care bills earlier this month. All the Republican members of the Committee as well as seven of the Democrats voted in support.
While the IPAB repeal bill has bipartisan support in the House, it still needs to pass the Senate. Later this week, the House may also consider multiple Medicare Advantage bills approved by the Ways and Means Committee earlier this month.

The National Association for Home Care & Hospice (NAHC) strongly supports the IPAB repeal legislation. In May, NAHC joined over 500 other health care organizations in sending a letter to federal lawmakers urging them to repeal IPAB.

In the letter, NAHC and the other organizations stated: “The potential impact of this board causes deep concern among our organizations and the millions of Americans we represent. IPAB proponents suggest that the board will be an asset in developing needed healthcare delivery reforms. That goal, however, is not realistically achievable. The law requires IPAB to achieve scoreable savings within a one-year time period. Thus, instead of pursuing long-term reforms that may not achieve immediate savings, IPAB is more likely to consider short-term savings in the form of payment cuts for healthcare providers. This was, in fact, the conclusion of the Congressional Budget Office, which stated that IPAB is most likely to focus on payment rates or methodologies for services provided by non-exempt providers.”

On Friday the Congressional Budget Office released a summary estimating that the IPAB repeal legislation would not affect spending between 2015 and 2021. However, CBO estimated that the legislation would increase direct spending by $7.1 billion over the 2022-2025 period. NAHC has received information that House Leadership is planning to use a small portion of the Prevention and Public Health Fund (PPHF) from FY2017-FY2025 to offset the cost of the legislation.

NAHC Report will continue to provide updates regarding the status of the IPAB repeal legislation.


The slang for this is Death Panel.  I understand this repeal has wide support.  Thank goodness.  The same type agency in England makes those seriously ill wait months and sometimes years for appointments.  Basically letting patients die from lack of care.  As if there aren’t enough issues to create high blood pressure, here is one more to add to the list.


About Uriel

Retired educator and constitutionalist
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6 Responses to Independent Payment Advisory Board Up for Repeal Vote

  1. Buck says:

    It looks to me like Congress is abrogating their legislative responsibilities once again.

  2. Kathy says:

    I had this on a back burner too, Uriel, and had forgotten that a 15 member panel gets to make health decisions for the entire USA. Let’s hope this gets repealed, and frankly, I dream of a SCOTUS decision voiding it in its entirety. It is just a dream though.

    When you read the words ‘save $15.5 billion over 10 years’, replace the word save with cost, and then double it. After all, this is the government we’re talking about.

    • Uriel says:

      It may be we can only negate one thing at a time. But that is one small victory. The guy running this Loves British panel. Honestly it is simply a scam to kill off the sick or defenseless. An article I read said though that few who were approached for seat on the panel accepted. So there is hope that humanity still lives in most people.

  3. Garnet92 says:

    Haven’t you heard? Sarah Palin called it a “death panel” and was soundly bashed for using that terminology (even though it’s true). I’ll be happy to see ACA die from a thousand cuts if that’s what it takes to kill it, this IPAB advisory board is another nail in the coffin – if it’s repealed.

    • Uriel says:

      Me too Garnet. Puncture it till the balloon deflates. I don’t care but get it gone ! And his standing army with it.