Opening Statement, Subcommittee Chairman Joe Pitts

“One of the most worrisome provisions in PPACA and a provision that highlights the administration‟s fundamental approach to health reform is the creation of the Independent Payment Advisory Board or IPAB. The IPAB embodies what is objectionable in the President‟s health care system overhaul and how the administration‟s approach to health reform is fundamentally different […]

Opening Statement, Subcommittee Chairman Fred Upton

“Day after day, unnerving new details of the health care law are uncovered. The IPAB can certainly be counted among the issues that have only increased in controversy as lawmakers, patients, and doctors learn more about it’s vast power and potentially devastating consequences. I thank the witnesses for being here today for what is perhaps […]

David P. Roe, MD, US House of Representatives (R-TN)

“In addition to degrading access to and quality of care, IPAB has two significant structural problems—it is both unaccountable and unworkable. The board is empowered to make recommendations regarding Medicare without any input from the Congress. Don’t just take my word for it, former OMB Director Peter Orszag has called IPAB the single biggest yielding […]

Allyson Schwartz, US House of Representatives (D-PA)

“My decision to support repeal of the Independent Payment Advisory Board (IPAB) reflects my confidence in the many cost-containment measures in the law. Health care reform has the potential to fundamentally transform the health care delivery and payment systems by creating a variety of models for improved delivery of care by incentivizing high quality, greater […]

John Cornyn, US Senate (R-TX)

“Something must be done about the unsustainable growth rate of the Medicare program.  We should all be able to agree on that. Like many Americans and many members of the committee, however, I believe that IPAB is not the answer.  Members of the committee are familiar with how the IPAB is supposed to function. Here […]

George Miller, US House of Representatives (D-CA)

“The Independent Payment Advisory Board is about strengthening the Medicare program. Without innovation and evidence-based decision-making, Medicare will be put in jeopardy. And the forces calling for ending Medicare as we know it will gain the upper hand. The American people have firmly rejected the Republican budget plan to end Medicare. That is why we […]

Kathleen Sebelius, Secretary, HHS

“But when it comes to Medicare’s future, we can’t take any chances. That’s why the law created the Independent Payment Advisory Board (IPAB) as a backstop to ensure Medicare remains solvent for years to come. The IPAB will be made up of 15 health experts. The Affordable Care Act provides for consultation between the President […]

Avik Roy, Senior Analyst, Monness, Crespi, Hardt & Co.; Senior Fellow, Heartland Institute

“IPAB focuses on reducing provider payments, which is unlikely to work.  Global reimbursement cuts, of the kind mandated by the Sustainable Growth Rate and by IPAB, are highly unlikely to work. We all know that Congress has repeatedly overridden the SGR provisions with so-called “doc fix” legislation. In addition, doctors and hospitals undermine these reimbursement […]

Christopher M. Davis, Analyst on Congress and the Legislative Process Congressional Research Service, Library of Congress

“The Act establishes special “fast track” parliamentary procedures governing House and Senate committee consideration, and Senate floor consideration, of legislation implementing the IPAB’s proposal. These mandates the immediate introduction of the legislation in Congress, and establish deadlines for committee and Senate floor consideration, as well as limit the amending process. PPACA establishes a second “fast […]

Diane Cohen, Senior Attorney, Goldwater Institute

“The Goldwater Institute‟s legal challenge to the “Patient Protection and Affordable Care Act,” is unique among the lawsuits challenging the Act because ours is the only one that challenges the constitutionality of IPAB. We believe the creation of IPAB represents the most sweeping delegation of congressional authority in history, a delegation that is anathema to […]

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