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Congressional Research Service
Version 00 · Introduced in Senate · Jul 8, 2015
Four Rationers Repeal Act of 2015
This bill repeals provisions of the Patient Protection and Affordable Care Act (PPACA) related to the establishment of the Independent Payment Advisory Board (also known as the Independent Medicare Advisory Board), effective as of enactment of PPACA. (The purpose of the board is to develop proposals to reduce the growth rate of Medicare spending without restricting benefits or modifying eligibility.) Provisions amended by the repealed provisions are restored.
This bill amends the Public Health Service Act and title XI, title XVIII (Medicare), and title XIX (Medicaid) of the Social Security Act to eliminate the Center for Medicare and Medicaid Innovation. (The purpose of the center is to test innovative payment and service delivery models to reduce expenditures while preserving or enhancing the quality of care.)
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Group health plans and health insurers are no longer required to cover, without cost-sharing, certain items and services recommended by the United States Preventive Services Task Force (USPSTF).
The Agency for Healthcare Research and Quality is no longer required to convene the USPSTF.
The Community Preventive Services Task Force is eliminated. (This task force developed recommendations regarding community preventive interventions based on scientific evidence.)
The Department of Health and Human Services may not use comparative effectiveness research to deny or delay coverage of an item or service under a federal health care program. Comparative effectiveness research conducted or supported by the federal government must account for factors contributing to differences in the treatment response and treatment preferences of patients.
People & committees
Sen. Roberts, Pat [R-KS] · R–KS
Legislative record
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Read twice and referred to the Committee on Finance.
Introduced in Senate
Primary sources
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Source last updated: Aug 12, 2025. Consult Congress.gov for the current record.
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