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Refusal to Submit Names
5 years ago

May 9, 2012
Permalink CONTACT:
Kevin Smith (Boehner), 202-225-0600
Don Stewart (McConnell), 202-224-2979    Speaker Boehner, Leader McConnell: “We Respectfully Decline to Recommend Appointments” to ObamaCare IPAB 

WASHINGTON, DC – House Speaker John Boehner (R-OH) and Senate Republican Leader Mitch McConnell (R-KY) today sent the following letter to President Obama informing him that they will be declining to recommend appointments to the Independent Payment Advisory Board (IPA. “We believe Congress should repeal IPAB,” they wrote, “just as we believe we ought to repeal the entire health care law” which is driving up costs and making it harder for small businesses to hire new workers.

Click here for a PDF of the letter and find the full text below:

May 9, 2013

The President
The White House
1600 Pennsylvania Avenue NW
Washington, DC 20500

Dear Mr. President,

We write to respond to your March 29, 2013 letter requesting that we submit the names of individuals to serve on the Individual Payment Advisory Board (IPA, which was created in the Patient Protection and Affordable Care Act (Public Law 111-148).  Because the law will give IPAB’s 15 unelected, unaccountable individuals the ability to deny seniors access to innovative care, we respectfully decline to recommend appointments.

As you know, we opposed the Patient Protection and Affordable Care Act because we knew it would increase health costs, impose costly burdens on job creators, and raid Medicare to pay for a massive new entitlement.  In order to allow supporters to claim that the law’s Medicare cuts would be realized in the future, it tasked IPAB with reducing payments to providers or eliminating payments for certain treatments and procedures altogether.  These reduced payments will force providers to stop seeing Medicare patients, the same way an increased number of doctors have stopped taking Medicaid patients.  This will lead to access problems, waiting lists and denied care for seniors.

The unfortunate result is that decisions which impact America’s seniors will be made in the absence of the democratic process, without the system of checks and balances that would normally apply to important matters of public policy.  Yet your recent budget called for expanding IPAB by tasking it with making even larger cuts to Medicare than those called for in the health law, even though the trustees of the Medicare program have told us that IPAB’s provider cuts would be “difficult to achieve in practice,” because of the denied care that seniors would experience.

We believe Congress should repeal IPAB, just as we believe we ought to repeal the entire health care law.  In its place, we should work in a bipartisan manner to develop the long-term structural changes that are needed to strengthen and protect Medicare for today’s seniors, their children, and their grandchildren.  We hope establishing this board never becomes a reality, which is why full repeal of the Affordable Care Act remains our goal. 


John Boehner                                                                              Mitch McConnell
Speaker of the House of Representatives                            Senate Republican Leader

5 years ago

Margaret, thank you for sharing this and THANK YOU Speaker Boehner and Sen. McConnell.  It appears that the Republicans are working to achieve something for us and I appreciate that.  I would hope that people write them and thank them as the more they know we support their efforts the easier it will be for them to continue to push for this.

Remember we are part of the problem with our policy of not saying anything to the right people; we can complain to each other but it is not the place where the complaints need to go.  No one in Congress will change anything if they don't know that the people want it changed.  So be part of the solution instead of part of the problem. 

5 years ago

Well stated!

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