More than 390 Groups Voice Support for Repeal of IPAB

March 21, 2012

This week, the House of Representatives will vote to repeal the so-called Independent Payment Advisory Board (IPAB). Created by the Democrats' health care law, IPAB is a powerful board of 15 unelected and unaccountable bureaucrats whose sole job will be to save money by restricting access to health care for Medicare beneficiaries.

The desire to repeal IPAB is strong and bipartisan across the nation and in Congress. In addition to the over 230 cosponsors of the repeal legislation (H.R. 452), more than 390 groups representing patients, doctors, and employers have written Congress, asking that IPAB be repealed. Here is what they are telling Congress:

Easter Seals, serving 1.6 million children and adults with disabilities:
"The IPAB is not designed to be an instrument of delivery reform or to improve the quality of care. The charge for this Board is to reduce the per capita rate of growth in Medicare spending. For people with disabilities and chronic conditions, it is through better coordination and provision of quality care that real changes in health status can be achieved, not in the reduction of spending per person....[Repeal of IPAB] seems the brighter path for people with disabilities and chronic conditions to assure the most impact from money spent through the Medicare program."

National Military and Veterans Alliance, representing 35 military associations and veterans organizations with a combined membership of more than 3.5 million members:
"[B]ecause Medicare reimbursement rates and coverage determinations are standard measures for some provisions of TRICARE as well as a number of private insurance programs, we have real concerns about the IPAB indirect impact upon military retirees now and particularly in the future as its scope of authority expands....We are concerned that, as currently constituted, IPAB is not even required to consider the impact of its cuts on Medicare patients. And we are most troubled by the way in which Medicare beneficiaries, patient advocates, and the American people have no recourse to its actions."

Alliance of Specialty Medicine, a coalition of national medical societies representing specialty physicians:
"Growing concerns over the rising costs of healthcare are shared by physicians, but we are confident that the IPAB is the wrong solution. The IPAB as it has been described in statute, will simply ratchet down cost in the absence of adequate clinical expertise or the research capacity to examine the national and regional effects of proposed recommendations to ensure patients are not unduly impacted."

California Healthcare Institute (CHI), representing a membership of over 275 leading biomedical companies, academic and research institutions and companies involved in supporting the biomedical community:
"CHI is deeply concerned that the quality of care for our nation's seniors, those with disabilities, and persons with chronic or rare diseases would not be best served by the IPAB... In addition, CHI is troubled with the IPAB's lack of transparency and limited congressional oversight."

Over 350 groups representing all sectors of the healthcare industry, employers of different sizes and geographic locations, as well as purchasers of care, consumers and patients:
"We all share the conviction that the Independent Payment Advisory Board (IPAB) will not only severely limit Medicare beneficiaries' access to care but also increase healthcare costs that are shifted onto the private sector...The IPAB will have unprecedented power with little oversight, even though it has the power to literally change laws previously enacted by Congress. Further, the law specifically prohibits administrative or judicial review of the Secretary's implementation of a recommendation contained in an IPAB proposal. We are deeply concerned about the impact the IPAB will have on patient access to quality healthcare."

Twenty-six members of the Health Care Freedom Coalition, including Americans for Tax Reform, 60 Plus and FreedomWorks:
"The ill-advised quest for ‘cost effectiveness' is doomed to failure. As we have seen in Great Britain, any de facto price controls are likely to do nothing to control the growth of spending. Further, this one-size-fits-all approach to dictating medical care in a country of more than 300 million is ill-advised. If Congress believes that these decisions handed over to IPAB are too much of a hot political potato for it to decide, then perhaps it is a clear indication that this is the wrong course of action."

Coalition for Affordable Health Coverage, representing small and large employers, manufacturers, retailers, insurers, brokers and agents, physician organizations and individual consumers including the International Franchise Association, National Association for the Self Employed, and the U.S. Chamber of Commerce:
"By eliminating the Independent Payment Advisory Board (IPAB), this bill would forestall the possibility of arbitrary Medicare payment reductions that shift cost onto the private sector, reduce household living standards and undercut health system access for Medicare beneficiaries."

American Society for Radiation Oncology, representing more than 10,000 radiation oncology medical professionals who treat more than 1 million cancer patients each year:
"We recognize the need to rein in health care spending. However, we do not believe the IPAB is the way to accomplish this very important goal. Radiation oncologists oppose efforts that may limit patients' access to life-saving cancer treatments. The IPAB has been given the authority to make significant payment cuts to Medicare providers with little oversight from Congress, which could negatively affect access, coverage, and quality of radiation therapy treatments."

National Right to Life Committee:
"[I]t is equally important to understand IPAB's critical role in limiting the ability of Americans of all ages to obtain unrationed health care. The Obama Health Care Law requires IPAB to make recommendations, which the federal Department of Health and Human Services is given coercive power to implement, effectively to limit what resources Americans are allowed to devote to health care for their family so that they cannot even keep up with the rate of medical inflation. In short, IPAB will play a crucial role in limiting the ability of Americans of all ages to spend their own money to save their own lives."

American Medical Association (AMA):
"The AMA has consistently expressed its opposition to the IPAB on several grounds. The IPAB puts important health care payment and policy decisions in the hands of an independent body that has far too little accountability. Major changes in the Medicare program should be decided by elected officials."

List of Supporters

Abigail Alliance
Action CF
AdvaMed
Advocates for Responsible Care
AIDS Delaware
AIDS Drug Assistance Programs Advocacy Association
AIDS Housing Association of Tacoma
AIDS Institute
Alabama Orthopaedic Society
Alabama Podiatric Medical Association
Alaska State Chamber of Commerce
Alaska State Grange
Alder Health Services, Inc.
Alliance for Aging Research
Alliance of Specialty Medicine
ALung Technologies, Inc.
Alzheimer's & Dementia Resource Center
Alzheimer's Arkansas
American Academy of Facial Plastic & Reconstructive Surgery
American Academy of Neurology
American Academy of Otolaryngology – Head and Neck Surgery
American Academy of Physical Medicine and Rehabilitation
American Association for Homecare
American Association for the Study of Liver Diseases
American Association of Clinical Endocrinologists
American Association of Clinical Urologists
American Association of Neurological Surgeons
American Association of Orthopaedic Executives
American Association of Orthopaedic Surgeons
American Autoimmune Related Diseases Association
American College of Emergency Physicians
American College of Emergency Physicians – Indiana Chapter
American College of Mohs Surgeons
American College of Osteopathic Surgeons
American College of Radiology
American College of Rheumatology
American College of Surgeons
American College of Surgeons - Missouri Chapter
American Congress of Obstetricians and Gynecologists
American Gastroenterological Association
American Healthcare Education Coalition
American Hospital Association
American Liver Foundation - Allegheny Division
American Medical Association
American Osteopathic Academy of Orthopedics
American Osteopathic Association
American Physical Therapy Association
American Podiatric Medical Association
American Society of Anesthesiologists
American Society of Breast Surgeons
American Society of Cataract and Refractive Surgery
American Society of General Surgeons
American Society of Nuclear Cardiology
American Society of Plastic Surgeons
American Society of Plastic Surgeons
American Society of Radiation Oncology
American Urological Association
Americans for Prosperity
Americans for Tax Reform
Amigos por la Salud
Arizona BioIndustry Association
Arizona Medical Association
Arizona Podiatric Medical Association
Arizona Urological Society
Arkansas Medical Society
Arkansas Orthopaedic Society
Arkansas Podiatric Medical Association
Associated Industries of Florida
Association for Behavioral Healthcare
Association of Nurses in AIDS Care
Association of American Physicians and Surgeons
Asthma & Allergy Foundation of America - California Chapter
Asthma & Allergy Foundation of America - New England Chapter
Bay Bio
BEACON (Biomedical Engineering Alliance & Consortium), Connecticut
BIOCOM
BioNJ
BioOhio
Biotechnology Industry Organization (BIO)
Bismarck-Mandan Chamber of Commerce
California Healthcare Institute
California Hispanic Chambers of Commerce
California Medical Association
California Orthopaedic Association
California Podiatric Medical Association
California Rheumatology Alliance
California Urological Association
Capital Region Action Against Breast Cancer!
Cardiology Advocacy Alliance
Center of the American Experiment
Center for Freedom and Prosperity
Children's Rare Disease Network
Coalition for Affordable Health Coverage
Coalition of State Rheumatology Organizations
Colorado Academy of Family Physicians
Colorado BioScience Association
Colorado Cross-Disability Association
Colorado Gerontological Society
Colorado Podiatric Medical Association
Colorado Retail Council
Colorado Springs Health Partners
Community Health Charities of Florida
Community Health Charities of Nebraska
Community Oncology Alliance
Concerned Women for America
Congress of Neurological Surgeons
Connecticut Orthopaedic Society
Connecticut Podiatric Medical Association
Connecticut State Urology Society
Council of University Chairs of Obstetrics & Gynecology Organizations
Delaware Academy of Medicine
Delaware Ecumenical Council on Children and Families
Delaware HIV Consortium
Delaware State Orthopaedic Society
Deleware Podiatric Medical Association
Docs 4 Patient Care
Doctor Patient Medical Association
Easter Seals
Easter Seals Crossroads
Easter Seals of Arkansas
Easter Seals of Iowa
Easter Seals of Maine
Easter Seals of Massachusetts
Easter Seals of New Jersey
Easter Seals of South Florida
Easter Seals of Southeastern PA
Easter Seals UCP North Carolina
Elder Care Advocacy of Florida
Florida Chamber of Commerce
Florida Medical Association
Florida Podiatric Medical Association
Florida Society of Neurology
Florida Society of Rheumatology
Florida Society of Thoracic & Cardiovascular Surgeons
Florida State Hispanic Chamber of Commerce
Florida Transplant Survivor's Coalition
Florida Urological Society
Freedom Works
Galen Institute
Georgia Association for Home Health Agencies
Georgia Bio
Georgia Orthopaedic Society
Georgia Podiatric Medical Association
Global Genes
Global Healthy Living Foundation
Grand Rapids Area Chamber of Commerce
HEALS of the South
Healthcare Institute of New Jersey
Healthcare Leadership Council
HealthHIV
Heart Rhythm Society
Hemophilia Foundation of Maryland
Hispanic Leadership Fund
Hoosier Owners and Providers for the Elderly
HSA Coalition
Idaho Medical Association
Idaho Podiatric Medical Association
Illinois Association of Orthopaedic Surgeons
Illinois Biotechnology Industry Organization—iBIO®
Illinois Chamber of Commerce
Indiana Association of Cities and Towns
Indiana Health Care Association
Indiana Health Industry Forum
Indiana Medical Device Manufacturers Council, Inc.
Indiana Neurological Society
Indiana Podiatric Medical Association
Indiana State Medical Association
Indpendent Womens' Voice
InterAmerican College of Physicians & Surgeons
International Franchise Association
International Institute for Human Empowerment
International Society for the Advancement of Spine Surgery
Institute for Liberty
Iowa Orthopaedic Society
Iowa Podiatric Medical Association
Kansas Medical Society
Kansas Podiatric Medical Association
Kansas Urological Association
Kentucky BioAlliance
Kentucky Medical Association
Kentucky Podiatric Medical Association
Kidney Cancer Association of Illinois
Kitchen Table Patriots
Large Urology Group Practice Association
Latino Diabetes Association
Let Freedom Ring
Licensed Professional Counselors Association of Georgia
Louisiana State Medical Society
Lupus Alliance of America - Hudson Valley Affiliate
Lupus Alliance of America - Queens and Long Island Affiliate
Lupus Alliance of America - Southern Tier Affiliate
Lupus Alliance of America - Upstate New York Affiliate
Lupus Foundation of America, DC/MD/VA Chapter
Lupus Foundation of Arkansas
Lupus Foundation of Florida
Lupus Foundation of Mid and Northern New York
Lupus Foundation of Pennsylvania
Lupus Foundation of the Genesee Valley
Mabel Wadsworth Women's Health Center
Maine Health Care Association
Maine Osteopathic Association
Maine Podiatric Medical Association
Maine State Council of Vietnam Veterans of America
Maryland Orthopaedic Association
Maryland State Medical Society
Massachusetts Association for Behavioral Health Systems
Massachusetts Association for Mental Health
Massachusetts Biomedical Initiatives
Massachusetts Medical Device Industry Council
Massachusetts Orthopaedic Association
Massachusetts Podiatric Medical Society
Medical Association of Georgia
Medical Association of the State of Alabama
Medical Society of Delaware
Medical Society of New Jersey
Medical Society of the District of Columbia
Medical Society of the State of New York
Medtronic
Men's Health Network
Mental Health America of Greater Houston
Mental Health America of Indiana
MichBio
Michigan Chamber of Commerce
Michigan College of Emergency Physicians
Michigan Orthopaedic Society
Michigan Podiatric Medical Association
Michigan Society of Anesthesiologists
Minnesota Podiatric Medical Association
Minnesota State Grange
Mississippi Arthritis and Rheumatism Society
Mississippi Orthopaedic Society
Missouri State Medical Association
Missouri Urological Association
Montana Orthopaedic Society
National Alliance on Mental Illness
National Alliance on Mental Illness Colorado
National Alliance on Mental Illness Florida
National Alliance on Mental Illness Georgia
National Alliance on Mental Illness Indiana
National Alliance on Mental Illness Maine
National Alliance on Mental Illness Michigan
National Alliance on Mental Illness NC
National Alliance on Mental Illness Texas
National Association for Home Care & Hospice
National Association for Home Care & Hospice - Indiana Chapter
National Association for Home Care & Hospice - Ohio Chapter
National Association for Uniformed Services
National Association of Manufacturers
National Association of Nutrition and Aging Services Programs
National Association of People with AIDS
National Association of Social Workers NC
National Association of Spine Specialists
National Coalition on Health Care
National Council for Community Behavioral Healthcare
National Council of Negro Women
National Council of Negro Women - Los Angeles View Park Section
National Health Foundation
National Hemophilia Foundation - Delaware Valley Chapter
National Kidney Foundation - Ohio Chapter
National Medical Association
National Minority Quality Forum
National Retail Federation
National Taxpayers Union
NCBIO
Nebraska Academy of Physician Assistants
Nebraska Medical Association
Nebraska Orthopaedic Society
Nebraska Urological Association
Neurofibromatosis Mid-Atlantic
Nevada Orthopaedic Society
Nevada Podiatric Medical Association
Nevada State Medical Association
New Hampshire State Grange
New Horizons Home Health Services
New Jersey Academy of Ophthalmology
New Jersey Mayors Committee of Life Science
New Jersey Podiatric Medical Society
New Mexico Podiatric Medical Association
New York Podiatric Medical Associtation
New York State Rheumatologists Society
New York State Urological Society
North Carolina Association on Aging
North Carolina Psychological Association
North Carolina Rheumatology Association
North Carolina Urological Association
North Dakota Chamber of Commerce
North Dakota Medical Association
North Dakota Policy Council
Northwest Urological Society
Ohio Association of Ambulatory Surgery Centers
Ohio Association of County Behavioral Health Authorities
Ohio Association of Medical Equipment Services
Ohio Hospital Association
Ohio Orthopaedic Society
Ohio State Grange
Ohio State Medical Association
Ohio Urological Society
Ohio Veterans United
Oklahoma Podiatric Medical Association
Oklahoma State Medical Association
Oklahoma State Orthopaedic Society
Oklahoma State Urologic Association
Old North State Medical Society
Oregon Medical Association
Oregon Podiatric Medical Association
Partners in Care Foundation
Partnership for Drug Free North Carolina
Pennsylvania BIO
Pennsylvania Chamber of Business & Industry
Pennsylvania Medical Society
Pennsylvania Orthopaedic Society
Personal Coaching & Psychotherapy for Women
PhRMA
Premier healthcare alliance
RARE Project
Restore America's Voice Foundation
RetireSafe
Rhode Island Medical Society
Rio Grande Foundation, New Mexico Rocky Mountain Stroke Center
Robert Powell Center for Medical Ethics at the National Right to Life Committee
Rural Health IT
Sanfilippo Foundation for Children
Scott and White Healthcare
Society for Cardiovascular Angiography and Interventions
Society for Vascular Surgery
Society of Gynecologic Oncology
Society of Urologic Oncology
South Carolina BIO
South Carolina HIV/AIDS Care Crisis Task Force
South Carolina Medical Association
South Carolina Orthopaedic Association
South Carolina Podiatric Medical Association
South Carolina Urological Association
South Dakota State Orthopaedic Society
South Jersey Geriatric Care PC
South Jersey Senior Networking Group
Southeastern Medical Device Association (SEMDA)
Southwest Michigan Pharmacist Association
Stockton Center on Successful Aging
Syndicus Scientific Services 
Taxpayers Protection Alliance
Tea Party Express
Tea Party Nation
Team Sanfilippo Foundation
Tennessee Medical Association
Tennessee Orthopaedic Society
Tennessee Podiatric Medical Association
Texas Healthcare & Bioscience Institute
Texas Podiatric Medical Association
Texas Urological Society
The Center for Health Care Services
The National Center for Public Policy Research
The Seniors Coaltion
The G.R.E.E.N. Foundation
The National Grange
U.S. Chamber of Commerce
US Health Freedom Coalition
U.S. Pain Foundation
Urology Society of New Jersey
Utah Medical Association
Utah Podiatric Medical Association
Utah State Orthopaedic Society
Unite In Action, Inc.
Vascular Society of New Jersey
Vermont Medical Society
Vermont Podiatric Medical Association
Veterans Health Council
VHA Inc.
Vietnam Veterans of America
Virginia Biotechnology Association
Visiting Nurse Association of Ohio
Washington Biotechnology & Biomedical Association
Washington Free Clinic Association
Washington Osteopathic Medical Association
Washington Rheumatology Association
Washington State Medical Association
Washington State Podiatric Medical Association
Washington State Urology Society
WERAK Foundation
West Virginia Academy of Otolaryngology
West Virginia Chapter of the American College of Cardiology
West Virginia Manufacturer's Association
West Virginia Orthopaedic Society
West Virginia State Medical Association
William "Hicks" Anderson Community Center
Wisconsin Hospital Association
Wisconsin Medical Society
Wisconsin Urological Society
Women Against Prostate Cancer
Wyoming State Grange
60 Plus Association

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