IB 
Union Calendar No. 273 
115TH CONGRESS 
1ST SESSION 
H. R. 849 
[Report No. 115–373, Part I] 
To repeal the provisions of the Patient Protection and Affordable Care Act 
providing for the Independent Payment Advisory Board. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 3, 2017 
Mr. ROE of Tennessee (for himself, Mr. RUIZ, Mr. MEEHAN, Mr. GOSAR, Mr. 
HURD, Mr. BOST, Mr. ABRAHAM, Mr. KING of Iowa, Mrs. BROOKS of 
Indiana, Mr. HENSARLING, Mrs. WAGNER, Mr. BUCSHON, Mr. MAR-
SHALL, and Mr. ALLEN) introduced the following bill; which was referred 
to the Committee on Ways and Means, and in addition to the Committees 
on Energy and Commerce, and Rules, for a period to be subsequently de-
termined by the Speaker, in each case for consideration of such provisions 
as fall within the jurisdiction of the committee concerned 
OCTOBER 31, 2017 
Additional sponsors: Mr. EMMER, Mr. WENSTRUP, Mr. WILSON of South 
Carolina, Mr. FRELINGHUYSEN, Mr. FERGUSON, Mrs. BLACKBURN, Mr. 
HUDSON, Mr. O’ROURKE, Mr. JENKINS of West Virginia, Mr. GRIFFITH, 
Ms. SINEMA, Mr. MAST, Mr. ROYCE of California, Mr. BERA, Mr. 
ROUZER, Mrs. COMSTOCK, Mr. MASSIE, Ms. ROSEN, Mr. COSTELLO of 
Pennsylvania, Mr. FORTENBERRY, Mr. BABIN, Mrs. NOEM, Mr. GIBBS, 
Mr. BARR, Mr. WALBERG, Mr. SAM JOHNSON of Texas, Mr. COURTNEY, 
Mr. JODY B. HICE of Georgia, Mr. O’HALLERAN, Mr. PETERS, Ms. 
BROWNLEY of California, Mr. GRAVES of Georgia, Mr. COOK, Mrs. 
WALORSKI, Mr. OLSON, Mr. KELLY of Pennsylvania, Mr. STEWART, Mr. 
WEBSTER of Florida, Mr. MULLIN, Mr. MESSER, Mr. LARSON of Con-
necticut, Mr. TED LIEU of California, Mr. GROTHMAN, Mr. TIPTON, Mr. 
LAMBORN, Mr. FARENTHOLD, Mr. DIAZ-BALART, Mr. COLE, Mr. HAR-
RIS, Ms. SA´NCHEZ, Mr. MCKINLEY, Mr. PALAZZO, Mr. FLORES, Mr. 
PITTENGER, Mr. LAMALFA, Mr. HUIZENGA, Ms. HERRERA BEUTLER, 
Mr. RODNEY DAVIS of Illinois, Mr. POE of Texas, Ms. BARRAGA´N, Mr. 
SMITH of Missouri, Mr. WEBER of Texas, Mr. LANCE, Mr. BILIRAKIS, 
Mr. LONG, Mr. HILL, Ms. TENNEY, Mr. KUSTOFF of Tennessee, Mr. 
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KATKO, Mr. ROTHFUS, Mr. JOHNSON of Ohio, Mr. CARBAJAL, Mr. 
ARRINGTON, Mr. MARCHANT, Mr. CONAWAY, Mr. POSEY, Mr. DESANTIS, 
Mr. CHABOT, Mr. SMUCKER, Ms. JENKINS of Kansas, Mr. GUTHRIE, Mr. 
AMODEI, Mr. NUNES, Mr. BISHOP of Michigan, Mr. TURNER, Mr. 
YOUNG of Alaska, Mr. PALMER, Mr. SENSENBRENNER, Mrs. MURPHY of 
Florida, Mr. SCHNEIDER, Mr. DAVID SCOTT of Georgia, Mr. BARLETTA, 
Mr. RICE of South Carolina, Mr. GRAVES of Missouri, Mr. WALKER, Mr. 
THOMPSON
of 
Pennsylvania, 
Mr. 
YOHO, 
Mr. 
ADERHOLT, 
Mr. 
GOTTHEIMER, Mr. VALADAO, Mr. BIGGS, Mr. CA´RDENAS, Ms. ESTY of 
Connecticut, Mr. SEAN PATRICK MALONEY of New York, Mr. PASCRELL, 
Mr. PETERSON, Mr. THOMPSON of Mississippi, Mr. ROSKAM, Mr. CAR-
TER of Georgia, Mr. ROKITA, Mr. KING of New York, Mr. RUSSELL, Mr. 
REED, Mrs. BLACK, Mr. SUOZZI, Mr. HARPER, Mr. CULBERSON, Mr. 
JONES, Mr. JOYCE of Ohio, Mr. COLLINS of Georgia, Mr. BYRNE, Mr. 
KELLY of Mississippi, Mr. BUDD, Mr. BERGMAN, Mr. LEWIS of Min-
nesota, Mr. MOOLENAAR, Mr. LYNCH, Mrs. ROBY, Mr. KINZINGER, Mr. 
HOLDING, Ms. GRANGER, Mr. PAULSEN, Mr. CRAWFORD, Mr. WOMACK, 
Mr. CURBELO of Florida, Ms. STEFANIK, Mr. ROGERS of Alabama, Ms. 
EDDIE BERNICE JOHNSON of Texas, Mr. MEADOWS, Mr. MEEKS, Mr. 
HASTINGS, Mr. DENHAM, Mr. LOBIONDO, Mr. SMITH of Texas, Mr. 
PEARCE, Mr. BANKS of Indiana, Mr. DUFFY, Mr. VEASEY, Mr. SAN-
FORD, Mr. CARTER of Texas, Mrs. MIMI WALTERS of California, Mr. 
DUNN, Mr. MURPHY of Pennsylvania, Mr. COLLINS of New York, Mr. 
HULTGREN, Mr. GARRETT, Mr. ROSS, Mr. SHUSTER, Mr. THOMAS J. 
ROONEY of Florida, Mr. BRIDENSTINE, Mr. FLEISCHMANN, Mr. SMITH 
of Nebraska, Mr. AUSTIN SCOTT of Georgia, Mr. GOODLATTE, Mr. 
LOUDERMILK, Mr. DONOVAN, Mr. LAHOOD, Mr. NORCROSS, Mr. 
LUETKEMEYER, Mr. BUCK, Mrs. TORRES, Ms. MCSALLY, Mr. DUNCAN 
of South Carolina, Mr. BUCHANAN, Mr. SCALISE, Mr. FASO, Mr. 
MCCAUL, Mr. DESJARLAIS, Mr. CALVERT, Mr. NEWHOUSE, Mr. BACON, 
Mr. SHIMKUS, Mr. LATTA, Mr. DUNCAN of Tennessee, Mr. GOWDY, Mrs. 
LOVE, Mr. GENE GREEN of Texas, Mr. BRAT, Mr. TIBERI, Mr. SES-
SIONS, Mr. VELA, Mr. COFFMAN, Mr. BROOKS of Alabama, Mr. MAC-
ARTHUR, Mr. GONZALEZ of Texas, Ms. HANABUSA, Mr. FITZPATRICK, 
Mr. TAYLOR, Mrs. WATSON COLEMAN, Mr. TROTT, Mr. THORNBERRY, 
Mr. GRAVES of Louisiana, Mr. COMER, Mr. BARTON, Mr. STIVERS, Mr. 
YODER, Mr. WILLIAMS, Ms. DEGETTE, Mr. MCHENRY, Mr. KILMER, Mr. 
DAVIDSON, Mr. AMASH, Mr. CRAMER, Mr. MARINO, Mr. JOHNSON of 
Georgia, Ms. FRANKEL of Florida, Mr. SCHWEIKERT, Mr. ZELDIN, Mr. 
HOLLINGSWORTH, Mr. WESTERMAN, Mr. RENACCI, Mr. JORDAN, Mr. 
GALLAGHER, Mr. MOONEY of West Virginia, Mr. MITCHELL, Mr. ISSA, 
Mr. SIRES, Mr. UPTON, Mr. FRANKS of Arizona, Ms. CLARKE of New 
York, Mr. HUNTER, Mrs. MCMORRIS RODGERS, Mr. BISHOP of Utah, 
Ms. ROS-LEHTINEN, Mr. BLUM, Mr. KNIGHT, Mr. POLIQUIN, Mr. RUTH-
ERFORD, Mrs. HANDEL, Mr. YOUNG of Iowa, Mr. RATCLIFFE, Ms. CHE-
NEY, Mr. GOHMERT, Mr. SMITH of New Jersey, Mr. FRANCIS ROONEY 
of Florida, Mr. JOHNSON of Louisiana, Mr. LUCAS, Mr. REICHERT, Mr. 
NORMAN, Mr. GIANFORTE, Mr. DENT, Mr. CAPUANO, Mrs. HARTZLER, 
Mr. MCCLINTOCK, Ms. FOXX, Ms. PLASKETT, and Mr. LABRADOR 
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OCTOBER 31, 2017 
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] 
OCTOBER 31, 2017 
The Committees on Energy and Commerce and Rules discharged; committed 
to the Committee of the Whole House on the State of the Union and or-
dered to be printed 
[For text of introduced bill, see copy of bill as introduced on February 3, 2017] 
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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 ‘‘Protecting Seniors Ac-
cess to Medicare Act’’. 
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. 
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Union Calendar No. 273 
115TH CONGRESS 
1ST SESSION 
H. R. 849 
[Report No. 115–373, Part I] 
A BILL 
To repeal the provisions of the Patient Protection 
and Affordable Care Act providing for the Inde-
pendent Payment Advisory Board. 
OCTOBER 31, 2017 
Reported from the Committee on Ways and Means with 
an amendment 
OCTOBER 31, 2017 
The Committees on Energy and Commerce and Rules 
discharged; committed to the Committee of the Whole 
House on the State of the Union and ordered to be 
printed 
VerDate Sep 11 2014 
22:16 Oct 31, 2017
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PO 00000
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