Four Rationers Repeal Act of 2014

Summary: Four Rationers Repeal Act of 2014 - Repeals sections of the Patient Protection and Affordable Care (PPACA) (and restores provisions of law amended by such sections) related to the establishment of an Independent Payment Advisory Board to develop and submit detailed proposals to reduce the per capita rate of growth in Medicare spending to the President for Congress to consider. Amends title XI of the Social Security Act to repeal provisions establishing the Center for Medicare and Medicaid Innovation. Amends the Public Health Service Act, with respect to coverage of preventive health services by a group health plan or health insurance issuer, to repeal provisions that prohibit cost sharing requirements for evidence-based items or services that have in effect a rating of &quot;A&quot; or &quot;B&quot; in the current recommendations of the United States Preventive Services Task Force. (Such ratings are based upon determinations of net benefit by the Task Force.) Repeals PPACA requirements that: (1) the Director of the Agency for Healthcare Research and Quality convene an independent Preventive Services Task Force, and (2) the Director of the Centers for Disease Control and Prevention (CDC) convene an independent Community Preventive Services Task Force. Restores provisions of law amended by such provisions. Prohibits the Secretary of Health and Human Services (HHS) from using data obtained from comparative effectiveness research, including any conducted or supported using funds appropriated under the American Recovery and Reinvestment Act of 2009 (ARRA) or authorized or appropriated under the Patient Protection and Affordable Care Act, to deny or delay coverage of an item or service under a federal health care program. Requires the Secretary to ensure that comparative effectiveness research conducted or supported by the federal government accounts for factors contributing to differences in the treatment response and preferences of patients, including patient-reported outcomes, genomics and personalized medicine, the unique needs of health disparity populations, and indirect patient benefits.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Four Rationers Repeal Act of 2014''.

SEC. 2. 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.

SEC. 3. REPEAL OF THE CENTER FOR MEDICARE AND MEDICAID INNOVATION.

    (a) In General.--Section 1115A of the Social Security Act (42 
U.S.C. 1315a) is repealed.
    (b) Conforming Amendments.--
            (1) Title xviii of ssa.--Section 1899(b)(4) of the Social 
        Security Act (42 U.S.C. 1395jjj(b)(4)) is amended by striking 
        ``any of the following'' and all that follows through the 
        period at the end of subparagraph (B) and inserting ``the 
        independence at home medical practice pilot program under 
        section 1866E.''.
            (2) Title xix of ssa.--Section 1902(a) of the Social 
        Security Act (42 U.S.C. 1396a(a)) is amended--
                    (A) in paragraph (79), by adding ``and'' after the 
                semicolon at the end;
                    (B) in paragraph (80), by striking ``; and'' and 
                inserting a period; and
                    (C) by striking paragraph (81).
            (3) PHSA.--Section 933 of the Public Health Service Act (42 
        U.S.C. 299b-33) is amended--
                    (A) by striking subsection (f); and
                    (B) by redesignating subsection (g) as subsection 
                (f).
            (4) PPACA.--The Patient Protection and Affordable Care Act 
        (Public Law 111-148) is amended--
                    (A) in section 2705 (42 U.S.C. 1315a note)--
                            (i) in subsection (a), by striking ``shall, 
                        in coordination'' and that follows through 
                        ``establish'' and inserting ``shall 
                        establish''; and
                            (ii) in subsection (d)(2), by striking 
                        ``section 1115A(b)(3) of the Social Security 
                        Act (as so added)'' and inserting ``the Social 
                        Security Act''; and
                    (B) in section 10328(b) (42 U.S.C. 1395w-104 note), 
                by striking ``or to study'' and all that follows 
                through ``3021''.
    (c) Effective Date.--The amendments made by this section shall take 
effect on the date of enactment of this Act.

SEC. 4. REPEAL OF CERTAIN UNITED STATES PREVENTIVE SERVICES TASK FORCE 
              AUTHORITY.

    (a) Authority To Determine Benefits.--Section 2713(a) of the Public 
Health Service Act (42 U.S.C. 300gg-13(a)) is amended--
            (1) by striking paragraph (1);
            (2) in paragraph (3), by striking ``not described in 
        paragraph (1)''; and
            (3) by redesignating paragraphs (2) through (5) as 
        paragraphs (1) through (4), respectively.
    (b) Repeal of Community Preventive Services Task Force.--Section 
4003 of the Patient Protection and Affordable Care Act (Public Law 111-
148) is repealed and the provisions of the Public Health Service Act 
amended by such section are restored or revived as if such section 4003 
had not been enacted.

SEC. 5. PROHIBITION ON CERTAIN USES OF DATA OBTAINED FROM COMPARATIVE 
              EFFECTIVENESS RESEARCH; ACCOUNTING FOR PERSONALIZED 
              MEDICINE AND DIFFERENCES IN PATIENT TREATMENT RESPONSE.

    (a) In General.--Notwithstanding any other provision of law, the 
Secretary of Health and Human Services--
            (1) shall not use data obtained from the conduct of 
        comparative effectiveness research, including such research 
        that is conducted or supported using funds appropriated under 
        the American Recovery and Reinvestment Act of 2009 (Public Law 
        111-5) or authorized or appropriated under the Patient 
        Protection and Affordable Care Act (Public Law 111-148), to 
        deny or delay coverage of an item or service under a Federal 
        health care program (as defined in section 1128B(f) of the 
        Social Security Act (42 U.S.C. 1320a-7b(f))); and
            (2) shall ensure that comparative effectiveness research 
        conducted or supported by the Federal Government accounts for 
        factors contributing to differences in the treatment response 
        and treatment preferences of patients, including patient-
        reported outcomes, genomics and personalized medicine, the 
        unique needs of health disparity populations, and indirect 
        patient benefits.
    (b) Rule of Construction.--Nothing in this section shall be 
construed as affecting the authority of the Commissioner of Food and 
Drugs under the Federal Food, Drug, and Cosmetic Act or the Public 
Health Service Act.