I reluctantly rise in opposition to the Protecting Seniors' Access to Medicare Act. It was critical that the Affordable Care Act (ACA) included the cutting edge delivery and payment reforms that it did. But, I have never believed that the Independent Payment Advisory Board (IPAB) will be effectively able to fulfill its stated mission of cost containment. I have concerns with how IPAB will operate and that it gives up important Congressional authority over payment. For these reasons, I am a proud cosponsor of this bill, but once again, the House Republican majority has decided to kill the bipartisanship of this bill with a controversial pay-for. My Republican colleagues continue to prove that they would rather have an anti-ACA talking point rather than a real solution. Since the Affordable Care Act became law, my home state of New Jersey has received more than $20 million for evidence-based programs to prevent heart attacks, strokes, cancer, obesity, and smoking from the ACA's Prevention and Public Health Fund. This bill, as it is being considered today, would completely gut this fund by cutting $8.8 billion--nearly $2 billion more than is needed to pay for repealing IPAB. Mr. Speaker, I urge my Republican colleagues to work with Democrats to find an agreeable way to pay for this bill, and I urge opposition to this bill in its current form.
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