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House Subcommittee Approves Bill to Repeal IPAB

March 2, 2012—The House Energy and Commerce Health Subcommittee Feb. 29 approved by a bipartisan vote of 17-5, the Medicare Decisions Accountability Act of 2011 (H.R. 452) with no amendments.  This legislation would repeal the Independent Payment Advisory Board (IPAB) — a 15-member panel created as part of the Affordable Care Act (ACA, P.L. 111-148 and P.L. 111-152), designed to achieve savings in the Medicare program by enforcing a limit on Medicare spending growth.

Health Subcommittee Chair Joe Pitts (R-Pa.) opened the markup saying, “IPAB is the exact opposite of transparency and accountability. It is merely another example of valuing centralized decision-making by government appointed experts over judgments that should be made between a doctor and patient.” Ultimately, Health Subcommittee Ranking Member Frank Pallone (D-N.J.) voted in favor of the bill; however, he stressed, “My vote in support of abolishing IPAB is not related to my support for the ACA….My opposition to [IPAB] focuses on my belief that Congress must stop ceding legislative power to the executive branch.  For me, this is about Congressional prerogatives being limited.”

Votes on H.R. 452 in the full committee and on the House floor have not been scheduled. The House Ways and Means Health Subcommittee is scheduled to hold a hearing on IPAB March 6.


Len Marquez
Director, Government Relations
Telephone: 202-862-6281


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Washington Highlights, a weekly electronic newsletter, features brief updates on the latest legislative and regulatory activities affecting medical schools and teaching hospitals.

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Jason Kleinman
Sr. Legislative Analyst, Govt. Relations
Telephone: 202-903-0806