Press Releases

Dr. Roe Introduces Legislation to Eliminate the Independent Payment Advisory Board

HR 452 – The Medicare Decisions Accountability Act

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Washington, January 26, 2011 | comments

WASHINGTON D.C. – Today, U.S. Congressman Phil Roe, M.D. (TN-01) introduced HR 452 – The Medicare Decisions Accountability Act, which would eliminate the Independent Payment Advisory Board (IPAB) that was created in President Obama’s Affordable Care Act.


Dr. Roe, joined by several cosponsors of HR 452, held a press conference in the Capitol to unveil this important legislation.


The following are some statements by Dr. Roe’s regarding HR 452:


The creation of the IPAB is a flawed mandate in Obamacare that must be repealed. This board’s sole purpose is to control Medicare costs – giving this board the authority to approve and deny funding for care. The IPAB does not have a mandate to improve patient care, but simply to meet a budget. Naturally, my concern is that this board will harm patient care.

In addition, the IPAB will lack full Congressional Oversight, compromising its accountability to the American people. This simply cannot be allowed to happen. We have bipartisan agreement around the idea that unelected bureaucrats shouldn't be able to make unaccountable decisions.


Therefore, I've introduced legislation to repeal the provision creating this board, with a number of Republicans joining me as a cosponsor and 50 Democrats expressing in a 2009 letter their opposition to creating this board as well. It's time we act and repeal this provision before the board makes a decision that can't be reversed.




Tucked away in the 2,000-plus pages of the health care law is a provision that would create a harmless-sounding entity called the IPAB. The IPAB's sole intention will be to determine whether Medicare is spending more than is budgeted and, if so, to make cuts that then will be fast-tracked with very little opportunity for congressional input. In effect, with the creation of this board, Congress has ceded much of its authority to oversee Medicare. This board does not have a mandate to improve patient care - it has a mandate to meet a budget, and that harms patient care.


A detailed op-ed regarding the repeal of the IPAB can be found in the Washington Times.


Republicans are not the only ones concerned about the role of the IPAB. In December 2009, 75 Democrats and some Republicans wrote a letter to Nancy Pelosi, expressing strong opposition to the board.


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