“IPAB” might be a new term to many Americans, but it is a very necessary AND scary "lynchpin" of Obamacare. The IPAB is actually all-powerful.
For all practical purposes, the cost-cutting “recommendations” which the IPAB would “propose” for “consideration” will be implemented nearly automatically, with the full authority of the Federal government. And, for all practical purposes, the IPAB will become a new agency of the executive branch, with near-dictatorial authority to cut healthcare spending where and when and for whom it sees fit.
Section 10320 (which can be found way down on page 2210 of the new law) grants the IPAB (beginning in 2015) the authority to limit all healthcare expenditures, that is, all healthcare expenditures, and not just expenditures by Medicare or government-run programs.
Furthermore, it designates that these “recommendations” may be implemented by the Secretary of HHS or other Federal agencies “administratively” (that is, without the interference of Congress).
While the IPAB may begin by only controlling the cost of Medicare, it already has the authority to control all healthcare spending, including private spending.
Section 3403, the section that creates the IPAB and spells out its functions, contains some remarkable language that, most likely, has never been seen before in American legislative history. To wit:
“It shall not be in order in the Senate or the House of Representatives to consider any bill, resolution, amendment, or conference report that would repeal or otherwise change this subsection.”
So, the astounding truth, is that the IPAB and all its designated dictatorial functions are in force for perpetuity. Our Congress has passed legislation that purports to bind all future Congresses from altering it in any way.