The Independent Payment Advisory Board (IPAB) was established by Sections 3403 and 10320 of the Patient Protection and Affordable Care Act. The IPAB is charged by that law with developing proposals to “reduce the per capita rate of growth in Medicare spending.”
Under the terms of the Act, the IPAB is to be composed of 15 members appointed by the President with the advice and consent of the Senate.
The Chairman of the IPAB is appointed by the President from among the 15 members of the Board and the position is also subject to Senate confirmation.
In addition to the President’s 15 IPAB appointments, the Secretary of Health and Human Services, the Administrator of the Center for Medicare and Medicaid Services (CMS), and the Administrator of the Health Resources and Services Administration (HRSA) serve as ex-officio nonvoting members of the Board.
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Many, including Sarah Palin, have described the IPAB as "Death Panels", because the main function of IPAB is to reduce or restrict expensive medications or treatments from the weak, seriously ill, seriously injured, the elderly and/or defenseless individuals based strictly on cost.
Notice the sharp drop at about 55 Years of age for Medical treatments.