{"bills":[{"photos":{"featured":"https://assets.causes.com/bill/photo/hr1190-114/featured_protecting-seniors-access-to-medicare-act-of-2015-1454548095.jpg","featured_large":"https://assets.causes.com/bill/photo/hr1190-114/featured_large_protecting-seniors-access-to-medicare-act-of-2015-1454548095.jpg","shareable":"https://n.causes.com/share-images/bills/hr1190-114.png"},"introduced_on":"2015-03-02","title_override":"Medicare Cuts: Is it Time to Shut Down the Independent Payment Advisory Board?","summary_override":"

This bill would repeal sections of the Affordable Care Act (ACA) that established an Independent Payment Advisory Board (IPAB) — the group responsible for thinking of proposals to reduce Medicare spending. It would also restore the legal provisions that were repealed to create the IPAB.

The IPAB is a 15-member panel that recommends ways to keep Medicare spending from growing at a faster rate than the targets set by the Centers for Medicare and Medicaid Services (CMS). So, for example, the IPAB tries to reduce projected Medicare spending by:

0.5 percent in 2015
1.0 percent in 2016
1.25 percent in 2017
1.5 percent in 2018 and later.

Under current law, if Congress doesn't pass a bill by August 15 (every year) that reaches the saving goals listed above, the IPAB’s recommendations are automatically put into affect. The IPAB can't offer recommendations that would ration care, increase revenues, change benefits, or modify eligibility.

","official_title":"To repeal the provisions of the Patient Protection and Affordable Care Act providing for the Independent Payment Advisory Board.","short_title":"Protecting Seniors' Access to Medicare Act of 2015","popular_title":null,"short_summary":"Protecting Seniors' Access to Medicare Act of 2015\n\n(Sec. 2) Repeals sections of the Patient Protection and Affordable Care Act (and restores provisions of law amended by those sections) related to the establishment of an Independent Payment Advisory Board to develop proposals to reduce the per capita rate of growth in spending under title XVIII (Medicare) of the Social Security Act.\n\n(Sec. 3) Rescinds specified appropriations to the Prevention and Public Health Fund for FY2017-FY2026 and each fiscal year thereafter.","summarized":true,"cost":7100000000,"cost_commentary":"The CBO estimates that implementing this bill would have no budgetary impact between 2015 and 2021, but would increase spending by $7.1 billion over the 2022-2025 period due to increased spending on Medicare. This amounts to about $1.8 billion annually for those years. The CBO calls this estimate “extremely uncertain” because it is unclear if the IPAB trigger for reducing Medicare spending that exists under current law would still be effective after a repeal. As a result, this CBO estimate covers a broad range of possible effects.","impact":"Seniors enrolled in Medicare and their families that would otherwise be affected by cuts to Medicare, Congress, CMS, the IPAB.","argument_for":"The IPAB was a terrible idea. They are an unelected panel that recommend spending cuts based on an arbitrary scale. It has too much power — if Congress doesn’t pass legislation meeting their reduction rates — Medicare spending is automatically cut.","argument_against":"Medicare spending needs to be reined in one way or another, it's increasing every year at an unsustainable rate. The IPAB ensures that the necessary cuts happen, even if Congress can't agree on a bill that would temper spending. 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Make your voice heard about the issues you care about. \r\n","page_title":"Federal Agencies Legislation - Vote on Bills, Stay informed, Hold Your Reps Accountable","icons":{"black":"https://assets.causes.com/issue/icon/federal-agencies/black_federal-agencies-1429042054.svg","grey":"https://assets.causes.com/issue/icon/federal-agencies/grey_federal-agencies-1429042054.svg","white":"https://assets.causes.com/issue/icon/federal-agencies/white_federal-agencies-1429042054.svg"},"cover_image_url":null,"is_following":false},{"id":"transparency","name":"Transparency","slug":"transparency","description":"Vote on the latest federal legislation regarding Transparency. Make your voice heard about the issues you care about. \r\n","page_title":"Transparency Legislation - Vote on Bills, Stay informed, Hold Your Reps Accountable","icons":{"black":"https://assets.causes.com/issue/icon/transparency/black_transparency-1453508996.svg","grey":"https://assets.causes.com/issue/icon/transparency/grey_transparency-1453508996.svg","white":"https://assets.causes.com/issue/icon/transparency/white_transparency-1453508996.svg"},"cover_image_url":null,"is_following":false}],"users":[{"name":"Austin","vote_count":92,"photos":{"large":"https://assets.causes.com/user/avatar/default-with-flags.png","small":"https://assets.causes.com/user/avatar/default-with-flags.png","tiny":"https://assets.causes.com/user/avatar/default-with-flags.png"},"links":{"following":"/api/users/NZaRw1m6/following","followers":"/api/users/NZaRw1m6/followers"},"about_me":null,"twitter_id":null,"facebook_id":null,"youtube_id":null,"google_plus_id":null,"website":null,"slug":null,"issue_count":22,"is_following":null,"influence_score":240,"influence_level":20,"follower_count":1,"following_count":10,"position_count":46,"id":"NZaRw1m6","partner_id":null}],"bill_position":{"flagged":false,"id":"465a28de-78db-42da-8125-7b6c9663718c","argument_for":null,"argument_against":"I understand the doctors point of view that they don't want to treat patients with Medicare because they don't make enough however if your going to repeal a law make sure you have a solution in place to make up for its short comings. 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Medicare Cuts: Is it Time to Shut Down the Independent Payment Advisory Board?