2014 AANS Annual Report - page 43

Reforming the Reform
While the Affordable Care Act (ACA) is the law of the land, organized
neurosurgery has not ceased in advocating significant changes to this
landmark health-care reform law. A top priority remains abolishing the
Independent Payment Advisory Board. The IPAB is a 15-member unelected
and unaccountable government board, whose principal responsibility is to cut
Medicare. In leading the Physician IPAB Repeal Coalition, the AANS, through
the Washington Committee, was instrumental in getting the “Protecting Seniors’
Access to Medicare Act” (H.R. 351/S. 351) introduced. This bill, with hundreds
of bipartisan cosponsors, would repeal the IPAB.
America has a long tradition of excellence and innovation in patient care, and
neurosurgeons have been on the cutting edge of these advancements. To ensure
continued forward progress with medical innovations, the AANS has joined the
fight to repeal the 2.3 percent excise tax levied on the sales of medical devices.
Bipartisan legislation to repeal this tax, the “Protect Medical Innovation Act”
(H.R. 523) in the House, and the “Medical Device Access and Innovation
Protection Act” (S. 232) in the Senate, enjoys significant support in Congress.
Organized neurosurgery has established a tried-and-true formula for working inside the Washington Beltway
to have an impact on health policy. In 2013, the AANS actively engaged its members in the political process
through grassroots activities, calls to action, and participation in NeurosurgeryPAC. Whether in person or
through the AANS/CNS Legislative Action Center, neurosurgeons from all across the country communicated
with members of Congress to on such topics as medical liability reform, Medicare payment, graduate
medical education, and trauma care. Additionally, neurosurgeons attended advocacy conferences like the
Alliance of Specialty Medicine Annual Legislative Conference. Lastly, hundreds of neurosurgeons donated
to NeurosurgeryPAC, thus far bringing total contributions to $375,000 for the 2014 election cycle. More
information about NeurosurgeryPAC, including the current complete list of donors, candidates receiving
NeurosurgeryPAC support and your PAC in action, is available on the
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