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H.R. 849: Protecting Seniors’ Access to Medicare Act of 2017

Nov 2, 2017 at 5:11 p.m. ET. On Passage of the Bill in the House.

This was a vote to pass H.R. 849 (115th) in the House.

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 activity have yet to be met. This condition is determined by the Chief Actuary of CMS annually and consists of whether the projected five-year average growth in per capita Medicare program spending exceeds a specified target.

Source: Republican Policy Committee


All Votes R D
Yea 71%
Nay 26%
Not Voting 3%

Passed. Simple Majority Required. Source:

Ideology Vote Chart

Key: R Yea D Yea D Nay
Seat position based on our ideology score.

Cartogram Map

Each hexagon represents one congressional district.

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Vote Details

Notes: The Speaker’s Vote? “Aye” or “Yea”?
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Statistically Notable Votes

Statistically notable votes are the votes that are most surprising, or least predictable, given how other members of each voter’s party voted and other factors.

All Votes

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