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Opinion: Bipartisan House effort would protect seniors and disabled in NJ

1/20/2018

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Trenton, NJ - In early November, the House of Representatives voted to abolish a federal panel that would have put Medicare benefits at risk for nearly 1.5 million senior and disabled New Jerseyans. These Medicare beneficiaries won’t be safe until the Senate follows the House’s lead. The Independent Payment Advisory Board has the power to restructure Medicare if the program’s spending surpasses a certain threshold. Medicare hasn’t gone over the limit yet. But if it eventually did, President Trump would be required by law to appoint 15 unelected individuals to serve on the panel. If the president doesn’t act, the secretary of Health and Human Services would assume the panel’s authority. Only a supermajority in Congress could override any ensuing recommendations. 
The IPAB can’t directly cut Medicare benefits. But it can do so indirectly, by slashing reimbursements for surgical procedures and advanced medications.  Such cuts would cause doctors to lose money on each patient they treat. Doctors and clinics would eventually stop offering those services. IPAB’s cuts would effectively put certain drugs and procedures off limits for Medicare patients.
The advisory board would likely target the highly popular Medicare Part D prescription drug program, which provides seniors and individuals living with disabilities with access to affordable prescription drug coverage. For over 10 years, Part D has allowed beneficiaries to choose from a range of private plans that best meet their needs. Insurers have to compete with each other for beneficiaries’ business. That competition keeps prices low. Several surveys show 90 percent or more of beneficiaries are satisfied with their Part D coverage.

Restricting patients’ access to medicines covered by Part D would put people’s lives at risk. The program has reduced newly enrolled seniors’ mortality rates by more than 2 percent annually, according to a University of Illinois study.  Part D prescription coverage also helped reduce hospitalizations by 8 percent during the program’s first four years, according to a separate Johns Hopkins review.  
Restricting patients’ access to vital medicines would reverse these trends. That’s why New Jersey health advocacy groups have long sought the IPAB’s repeal. Our organizations, BioNJ and the HealthCare Institute of New Jersey, as well as patient and provider organizations like the Medical Society of New Jersey and Easter Seals of New Jersey have written to Congress urging such reform. 
Many members of New Jersey’s congressional delegation listened. Representatives Rodney Frelinghuysen, Josh Gottheimer, Leonard Lance, Frank LoBiondo, Tom MacArthur, Donald Norcross, Bill Pascrell, Albio Sires, Chris Smith, and Bonnie Watson Coleman joined in a compelling bipartisan effort that passed HR 849, the “Protecting Seniors Access to Medicare Act.”
U.S. Senators Cory Booker and Bob Menendez would do New Jerseyans a great service by supporting similar legislation in Congress’ upper chamber. Fifteen unelected officials shouldn’t have the power to determine which treatments tens of millions of seniors can access. Congress should reclaim its rightful authority over Medicare and put an end to the IPAB for good.
Debbie Hart is president and CEO of BioNJ. Dean J. Paranicas is president and CEO of the HealthCare Institute of New Jersey. Hart and Paranicas are co-chairs of We Work for Health – New Jersey. 
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