• Repeal the Independent Payment Advisory Board


    The Independent Payment Advisory Board is a component of the Affordable Care Act that has generated bipartisan opposition because of its ability to independently advance across-the-board Medicare spending cuts. IPAB is activated when the Centers for Medicare & Medicaid Services determines that Medicare’s growth rate exceeds the agency’s target. This year might be the first in which that occurs. The Academy long-believed that the board’s authority, including the ability to enact arbitrary cuts to physicians and other providers, would harm efforts to preserve access to patient care.   

    What the Academy is doing 

    Democrats and Republicans have both soured on IPAB’s authority after sustained efforts by the Academy and other stakeholders in medicine. We've shown them how the arbitrary nature of potential cuts could hurt patients. The Academy supported a congressional appropriations bill that eliminated funding for the Independent Payment Advisory Board. Its defunding leaves all Medicare fee decisions in the hands of the Trump administration.   

    Next step 

    The Academy continues to push for a full IPAB repeal. This issue continues to have strong bipartisan support. Sen. Ron Wyden, D-Ore., recently became the most prominent member of his party to seek its repeal. Sen. John Cornyn, R-Texas, is also pushing forward with his own legislation. In the U.S. House of Representatives, Rep. Phil Roe, MD, R-Tenn., is generating bipartisan support for a similar proposal.