On the recordJune 18, 2015
I yield myself such time as I may consume. The real purpose of this bill at this time, indeed, is to take a further effort to repeal ACA. That is really what this is about at this particular moment. The Republican leadership is, yet again, taking aim at ACA. H.R. 1190 would repeal the Independent Payment Advisory Board, IPAB. This would really be the 59th vote to repeal or undermine ACA. Since it passed, we have seen the slowest growth in healthcare prices over any period of that length in nearly 50 years. Growth in per enrollee healthcare spending across both the public and private sectors has been controlled. The three slowest years of growth in real per capita national health expenditures on record were 2011, 2012, and 2013. The ACA, in essence, has changed the healthcare cost landscape, keeping cost increases down and keeping or helping, at least, to keep families out of debt. While we know the Medicare delivery system reforms have been working to deliver value and lower costs, the IPAB was created as a backstop--a backstop--only to come into effect if other efforts weren't successful. This should be clear. IPAB only comes into being if delivery system reforms aren't doing their job to manage Medicare. According to the CBO, Medicare growth rates are projected to remain beneath IPAB targets throughout the entire budget window, thereby not triggering the Board's provisions until 2024.…





