As IPAB cuts loom, support for repeal grows


Dec. 2, 2016
Efforts to repeal the Independent Payment Advisory Board (IPAB) are gaining momentum as the threat of Medicare cuts appears increasingly likely. The IPAB was instituted as part of the Affordable Care Act and would task a 15-member panel of appointed officials with containing Medicare costs if costs exceed certain levels. If a board is not appointed, the Secretary of the U.S. Department of Health and Human Services would be responsible for making cuts. These cuts would only be overridden by a supermajority in the Senate (60 votes) ― a provision that members of Congress see as undermining congressional authority. 

Currently, no members have been appointed to the IPAB board and spending has not yet exceeded the target at which recommendations would be required. However, current predictions indicate that spending in 2017 could trigger cuts in 2019.