IB 
Union Calendar No. 284 
112TH CONGRESS 
2D SESSION 
H. R. 452 
[Report No. 112–412, Parts I and II] 
To repeal the provisions of the Patient Protection and Affordable Care Act 
providing for the Independent Payment Advisory Board. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 26, 2011 
Mr. ROE of Tennessee (for himself, Mr. BURGESS, Mr. POSEY, Mrs. BLACK-
BURN, Mr. PAUL, Mr. WESTMORELAND, Mr. LAMBORN, Mr. JONES, Mr. 
LONG, Mr. SESSIONS, Mr. CRAWFORD, Mr. ROONEY, Mr. DUNCAN of 
Tennessee, Mr. GARY G. MILLER of California, Mr. NUNNELEE, Mr. 
FRELINGHUYSEN, Mr. HUNTER, Mr. CONAWAY, Mr. HALL, Mr. BROUN 
of Georgia, Mr. COFFMAN of Colorado, Mr. COBLE, Mr. THOMPSON of 
Pennsylvania, and Mr. ROHRABACHER) introduced the following bill; 
which was referred to the Committee on Ways and Means, and in addi-
tion to the Committees on Rules and Energy and Commerce, for a period 
to be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
MARCH 13, 2012 
Reported from the Committee on Ways and Means with an amendment 
[Strike out all after the enacting clause and insert the part printed in italic] 
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COURTNEY, Mr. BILIRAKIS, Mr. BACA, Mr. MATHESON, Mrs. ADAMS, 
Mr. DUNCAN of South Carolina, Mr. AMODEI, Mr. BARROW, Mr. KLINE, 
Mr. PASCRELL, Mr. GRAVES of Georgia, Mr. REYES, Mr. MACK, Mr. 
ROSS of Arkansas, Mr. CRENSHAW, Mr. CARNAHAN, Mr. ADERHOLT, and 
Mr. HASTINGS of Washington 
MARCH 16, 2012 
Reported from the Committee on Energy and Commerce with an amendment 
[Strike out all after the enacting clause and insert the part printed in boldface roman] 
MARCH 16, 2012 
The Committee on Rules discharged; committed to the Committee of the 
Whole House on the State of the Union and ordered to be printed 
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A BILL 
To repeal the provisions of the Patient Protection and Af-
fordable Care Act providing for the Independent Pay-
ment Advisory Board. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medicare Decisions 
Accountability Act of 2011’’. 
SEC. 2. REPEAL OF THE INDEPENDENT PAYMENT ADVI-
SORY BOARD. 
Effective as of the enactment of the Patient Protec-
tion and Affordable Care Act (Public Law 111–148), sec-
tions 3403 and 10320 of such Act (including the amend-
ments made by such sections) are repealed, and any provi-
sion of law amended by such sections is hereby restored 
as if such sections had not been enacted into law. 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medicare Decisions Ac-
countability Act of 2011’’. 
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, but excluding subsection (d) of sec-
tion 1899A of the Social Security Act, as added and amend-
ed by such sections) are repealed, and any provision of law 
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amended by such sections is hereby restored as if such sec-
tions had not been enacted into law. 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medicare 
Decisions Accountability Act of 2011’’. 
SEC. 2. REPEAL OF THE INDEPENDENT PAYMENT ADVI-
SORY BOARD. 
Effective as of the enactment of the Pa-
tient Protection and Affordable Care Act 
(Public Law 111–148), sections 3403 and 10320 
of such Act (including the amendments made 
by such sections, but excluding subsection (d) 
of section 1899A of the Social Security Act, as 
added and amended by such sections) are re-
pealed, and any provision of law amended by 
such sections is hereby restored as if such sec-
tions had not been enacted into law. 
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Union Calendar No. 284 
112TH CONGRESS 
2D SESSION 
H. R. 452 
[Report No. 112–412, Parts I and II] 
A BILL 
To repeal the provisions of the Patient Protection 
and Affordable Care Act providing for the Inde-
pendent Payment Advisory Board. 
MARCH 16, 2012 
Reported from the Committee on Energy and Commerce 
with an amendment 
MARCH 16, 2012 
The Committee on Rules discharged; committed to the 
Committee of the Whole House on the State of the 
Union and ordered to be printed 
VerDate Mar 15 2010 
23:15 Mar 16, 2012
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