Medicare Physician Payment Reform: Repeal of Independent Payment Advisory Board (IPAB)

ASCRS supports repeal of IPAB, a provision included in the Patient Protection and Affordable Care Act (PPACA). The board is to be made up of 15 unelected, unaccountable members appointed by the President and is required to make recommendations to Congress on how to lower costs to the Medicare program and Medicare physician payment policies. When Medicare growth exceeds the given target, the IPAB must propose actions to reduce Medicare spending without causing a reduction in patient benefits. This effectively means IPAB’s focus will be on reductions to physician reimbursements. The creation of IPAB will cause myriad problems, ranging from deficiencies in patient care to lower provider reimbursement rates. ASCRS is actively engaged with the medical community to repeal IPAB.

IPAB Repeal has strong bipartisan support in Congress and is a top priority for ASCRS and the medical community. IPAB repeal is also considered a key target in bipartisan efforts to improve PPACA during the 114th Congress.

ASCRS opposes IPAB and therefore supports legislation to repeal the IPAB.

114th Congress IPAB repeal legislation: 

  • H.R. 1190, Protecting Seniors’ Access to Medicare Act, introduced by Representatives Philip Roe, MD (R-TN) and Linda Sanchez, (D-CA). This legislation had 206 original bipartisan co-sponsors, and is now co-sponsored by 222 members--or more than half the House of Representatives.
  • S. 141, Protecting Senior’s Access to Medicare Act, introduced by Senator John Cornyn (R-TX). This legislation has 37 co-sponsors.   

H.R. 1190 passed the House  on June 23, 2015 by a vote of 244-154.

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