The Independent Payment Advisory Board or IPAB was created in 2010 by the Affordable Care Act and requires either the board or the Secretary of Health and Human Services to make unilateral cuts to Medicare if spending exceeds certain targets.
Ultimately, these cuts could harm beneficiaries by limiting their access to needed medications and treatments. Worst of all, these cuts are mandatory and can supersede Medicare policies and laws passed by Congress.
A proposal from IPAB can only be overridden by new legislation from Congress that would garner equal cost cutting for Medicare or legislation to completely discontinue IPAB. If Congress fails to pass one of these options, the cuts automatically become law and neither the courts nor the White House can reverse them. Essentially, the power of this board would be largely unchecked and virtually exempt from constitutional checks and balances.
Fortunately, policymakers and advocates alike are opposed to IPAB. Over 500 groups have spoken out against the negative consequences of IPAB. Additionally, legislators in both the House and Senate and from both parties have supported repeal.
We are leading the charge against IPAB and focusing on solutions that put less emphasis on cost-cutting and more on what is best for patients.