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H.R. 849 (115th): Protecting Seniors Access to Medicare Act

The text of the bill below is as of Oct 31, 2017 (Reported by House Committee).

Summary of this bill

Source: Republican Policy Committee

H.R. 849 amends the Patient Protection and Affordable Care Act (PPACA) to terminate the Independent Payment Advisory Board (IPAB).

The Independent Payment Advisory Board (IPAB) was established as part of the Patient Protection and Affordable Care Act and is charged with developing proposals to reduce Medicare spending. The board consists of fifteen appointed members that may make recommendations regarding Medicare cuts without Congressional oversight or input. Additionally, IPAB proposals are considered under fast-track procedures that limit Congress’s ability to modify the amount of cuts to Medicare and automatically put the proposal into effect if Congress fails to act. IPAB has yet to be constituted because the conditions that trigger IPAB …


Union Calendar No. 273


1st Session

H. R. 849

[Report No. 115–373, Part I]


February 3, 2017

(for himself, Mr. Ruiz, Mr. Meehan, Mr. Gosar, Mr. Hurd, Mr. Bost, Mr. Abraham, Mr. King of Iowa, Mrs. Brooks of Indiana, Mr. Hensarling, Mrs. Wagner, Mr. Bucshon, Mr. Marshall, and Mr. Allen) introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committees on Energy and Commerce, and Rules, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned

October 31, 2017

Additional sponsors: Mr. Emmer, Mr. Wenstrup, Mr. Wilson of South Carolina, Mr. Frelinghuysen, Mr. Ferguson, Mrs. Blackburn, Mr. Hudson, Mr. O'Rourke, Mr. Jenkins of West Virginia, Mr. Griffith, Ms. Sinema, Mr. Mast, Mr. Royce of California, Mr. Bera, Mr. Rouzer, Mrs. Comstock, Mr. Massie, Ms. Rosen, Mr. Costello of Pennsylvania, Mr. Fortenberry, Mr. Babin, Mrs. Noem, Mr. Gibbs, Mr. Barr, Mr. Walberg, Mr. Sam Johnson of Texas, Mr. Courtney, Mr. Jody B. Hice of Georgia, Mr. O'Halleran, Mr. Peters, Ms. Brownley of California, Mr. Graves of Georgia, Mr. Cook, Mrs. Walorski, Mr. Olson, Mr. Kelly of Pennsylvania, Mr. Stewart, Mr. Webster of Florida, Mr. Mullin, Mr. Messer, Mr. Larson of Connecticut, Mr. Ted Lieu of California, Mr. Grothman, Mr. Tipton, Mr. Lamborn, Mr. Farenthold, Mr. Diaz-Balart, Mr. Cole, Mr. Harris, Ms. Sánchez, Mr. McKinley, Mr. Palazzo, Mr. Flores, Mr. Pittenger, Mr. LaMalfa, Mr. Huizenga, Ms. Herrera Beutler, Mr. Rodney Davis of Illinois, Mr. Poe of Texas, Ms. Barragán, Mr. Smith of Missouri, Mr. Weber of Texas, Mr. Lance, Mr. Bilirakis, Mr. Long, Mr. Hill, Ms. Tenney, Mr. Kustoff of Tennessee, Mr. Katko, Mr. Rothfus, Mr. Johnson of Ohio, Mr. Carbajal, Mr. Arrington, Mr. Marchant, Mr. Conaway, Mr. Posey, Mr. DeSantis, Mr. Chabot, Mr. Smucker, Ms. Jenkins of Kansas, Mr. Guthrie, Mr. Amodei, Mr. Nunes, Mr. Bishop of Michigan, Mr. Turner, Mr. Young of Alaska, Mr. Palmer, Mr. Sensenbrenner, Mrs. Murphy of Florida, Mr. Schneider, Mr. David Scott of Georgia, Mr. Barletta, Mr. Rice of South Carolina, Mr. Graves of Missouri, Mr. Walker, Mr. Thompson of Pennsylvania, Mr. Yoho, Mr. Aderholt, Mr. Gottheimer, Mr. Valadao, Mr. Biggs, Mr. Cárdenas, Ms. Esty of Connecticut, Mr. Sean Patrick Maloney of New York, Mr. Pascrell, Mr. Peterson, Mr. Thompson of Mississippi, Mr. Roskam, Mr. Carter of Georgia, Mr. Rokita, Mr. King of New York, Mr. Russell, Mr. Reed, Mrs. Black, Mr. Suozzi, Mr. Harper, Mr. Culberson, Mr. Jones, Mr. Joyce of Ohio, Mr. Collins of Georgia, Mr. Byrne, Mr. Kelly of Mississippi, Mr. Budd, Mr. Bergman, Mr. Lewis of Minnesota, Mr. Moolenaar, Mr. Lynch, Mrs. Roby, Mr. Kinzinger, Mr. Holding, Ms. Granger, Mr. Paulsen, Mr. Crawford, Mr. Womack, Mr. Curbelo of Florida, Ms. Stefanik, Mr. Rogers of Alabama, Ms. Eddie Bernice Johnson of Texas, Mr. Meadows, Mr. Meeks, Mr. Hastings, Mr. Denham, Mr. LoBiondo, Mr. Smith of Texas, Mr. Pearce, Mr. Banks of Indiana, Mr. Duffy, Mr. Veasey, Mr. Sanford, Mr. Carter of Texas, Mrs. Mimi Walters of California, Mr. Dunn, Mr. Murphy of Pennsylvania, Mr. Collins of New York, Mr. Hultgren, Mr. Garrett, Mr. Ross, Mr. Shuster, Mr. Thomas J. Rooney of Florida, Mr. Bridenstine, Mr. Fleischmann, Mr. Smith of Nebraska, Mr. Austin Scott of Georgia, Mr. Goodlatte, Mr. Loudermilk, Mr. Donovan, Mr. LaHood, Mr. Norcross, Mr. Luetkemeyer, Mr. Buck, Mrs. Torres, Ms. McSally, Mr. Duncan of South Carolina, Mr. Buchanan, Mr. Scalise, Mr. Faso, Mr. McCaul, Mr. DesJarlais, Mr. Calvert, Mr. Newhouse, Mr. Bacon, Mr. Shimkus, Mr. Latta, Mr. Duncan of Tennessee, Mr. Gowdy, Mrs. Love, Mr. Gene Green of Texas, Mr. Brat, Mr. Tiberi, Mr. Sessions, Mr. Vela, Mr. Coffman, Mr. Brooks of Alabama, Mr. MacArthur, Mr. Gonzalez of Texas, Ms. Hanabusa, Mr. Fitzpatrick, Mr. Taylor, Mrs. Watson Coleman, Mr. Trott, Mr. Thornberry, Mr. Graves of Louisiana, Mr. Comer, Mr. Barton, Mr. Stivers, Mr. Yoder, Mr. Williams, Ms. DeGette, Mr. McHenry, Mr. Kilmer, Mr. Davidson, Mr. Amash, Mr. Cramer, Mr. Marino, Mr. Johnson of Georgia, Ms. Frankel of Florida, Mr. Schweikert, Mr. Zeldin, Mr. Hollingsworth, Mr. Westerman, Mr. Renacci, Mr. Jordan, Mr. Gallagher, Mr. Mooney of West Virginia, Mr. Mitchell, Mr. Issa, Mr. Sires, Mr. Upton, Mr. Franks of Arizona, Ms. Clarke of New York, Mr. Hunter, Mrs. McMorris Rodgers, Mr. Bishop of Utah, Ms. Ros-Lehtinen, Mr. Blum, Mr. Knight, Mr. Poliquin, Mr. Rutherford, Mrs. Handel, Mr. Young of Iowa, Mr. Ratcliffe, Ms. Cheney, Mr. Gohmert, Mr. Smith of New Jersey, Mr. Francis Rooney of Florida, Mr. Johnson of Louisiana, Mr. Lucas, Mr. Reichert, Mr. Norman, Mr. Gianforte, Mr. Dent, Mr. Capuano, Mrs. Hartzler, Mr. McClintock, Ms. Foxx, Ms. Plaskett, and Mr. Labrador

October 31, 2017

Reported from the Committee on Ways and Means with an amendment

Strike out all after the enacting clause and insert the part printed in italic

October 31, 2017

The Committees on Energy and Commerce and Rules discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed

For text of introduced bill, see copy of bill as introduced on February 3, 2017


To repeal the provisions of the Patient Protection and Affordable Care Act providing for the Independent Payment Advisory Board.


Short title

This Act may be cited as the Protecting Seniors Access to Medicare Act.


Repeal of the independent payment advisory board

Effective as of the enactment of the Patient Protection and Affordable Care Act (Public Law 111–148), sections 3403 and 10320 of such Act (including the amendments made by such sections) are repealed, and any provision of law amended by such sections is hereby restored as if such sections had not been enacted into law.

October 31, 2017

Reported from the Committee on Ways and Means with an amendment

October 31, 2017

The Committees on Energy and Commerce and Rules discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed