,,ii  #aacth ,,congress  #b;d ,session  
,s4 #bjfd  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,february #bg1 
#bjad ,mr4 ,roberts introduced the      
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to provide for the repeal of
 certain provisions of the ,patient     
,protection and ,affordable ,care ,act  
that have the effect of rationing health
 care4  #a4 ,short title  ,this ,act may
 be cited as the ,four ,rationers       
,repeal ,act of #bjad4  #b4 ,repeal of  
the ,independent ,payment ,advisory     
,board ,effective as of the enactment of
 the ,patient ,protection and           
,affordable ,care ,act 7,public ,law    
#aaa-adh71 sections #cdjc and #ajcbj of 
such ,act 7including the amendments made
 by such sections7 are repealed1 and any
 provision of law amended by such       
sections is hereby restored as if such  
sections had not been enacted into law4 
#c4 ,repeal of the ,center for ,medicare
 and ,medicaid ,innovation  7a7 ,in     

general ,section #aaae;,a of the ,social
 ,security ,act 7#db ,u4,s4,c4 #acae;a7 
is repealed4  7b7 ,conforming amendments
  7#a7 ,title ,,xviii of ,,ssa ,section 
#ahii7;b77#d7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #acie;jjj7b77#d77 is
 amended by striking any of the         
following and all that follows through  
the period at the end of subparagraph   
7,b7 and inserting the independence at  
home medical practice pilot program     
under section #ahff;,e44  7#b7 ,title   
,,xix of ,,ssa ,section #aijb7;a7 of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#acif;a7a77 is amended-- 7,a7 in        
paragraph 7#gi71 by adding and after the
 semicolon at the end2  7,b7 in         
paragraph 7#hj71 by striking 2 and and  
inserting a period2 and  7,c7 by        
striking paragraph 7#ha74  7#c7 ,,phsa  
,section #icc of the ,public ,health    
,service ,act 7#db ,u4,s4,c4 #bii;b-#cc7
 is amended-- 7,a7 by striking          
subsection 7f72 and  7,b7 by            
redesignating subsection 7g7 as         

subsection 7f74  7#d7 ,,ppaca ,the      
,patient ,protection and ,affordable    
,care ,act 7,public ,law #aaa-adh7 is   
amended-- 7,a7 in section #bgje 7#db    
,u4,s4,c4 #acae;a note7-- 7i7 in        
subsection 7a71 by striking shall1 in   
coordination and that follows through   
establish and inserting shall establish2
 and  7ii7 in subsection 7d77#b71 by    
striking section #aaae;,a7b77#c7 of the 
,social ,security ,act 7as so added7 and
 inserting the ,social ,security ,act2  
and  7,b7 in section #ajcbh7;b7 7#db    
,u4,s4,c4 #aciew-#ajd note71 by striking
 or to study and all that follows       
through #cjba4  7c7 ,effective date ,the
 amendments made by this section shall  
take effect on the date of enactment of 
this ,act4  #d4 ,repeal of certain      
,united ,states ,preventive ,services   
,task ,force authority  7a7 ,authority  
,to determine benefits ,section         
#bgac7;a7 of the ,public ,health        
,service ,act 7#db ,u4,s4,c4            
#cjj;gg-#ac7;a77 is amended-- 7#a7 by   

striking paragraph 7#a72  7#b7 in       
paragraph 7#c71 by striking not         
described in paragraph 7#a72 and  7#c7  
by redesignating paragraphs 7#b7 through
 7#e7 as paragraphs 7#a7 through 7#d71  
respectively4  7b7 ,repeal of ,community
 ,preventive ,services ,task ,force     
,section #djjc of the ,patient          
,protection and ,affordable ,care ,act  
7,public ,law #aaa-adh7 is repealed and 
the provisions of the ,public ,health   
,service ,act amended by such section   
are restored or revived as if such      
section #djjc had not been enacted4  #e4
 ,prohibition on ,certain ,uses of ,data
 ,obtained from ,comparative            
,effectiveness ,research2 ,accounting   
for ,personalized ,medicine and         
,differences in ,patient ,treatment     
,response  7a7 ,in general              
,notwithstanding any other provision of 
law1 the ,secretary of ,health and      
,human ,services-- 7#a7 shall not use   
data obtained from the conduct of       
comparative effectiveness research1     

including such research that is         
conducted or supported using funds      
appropriated under the ,american        
,recovery and ,reinvestment ,act of     
#bjji 7,public ,law #aaa-e7 or          
authorized or appropriated under the    
,patient ,protection and ,affordable    
,care ,act 7,public ,law #aaa-adh71 to  
deny or delay coverage of an item or    
service under a ,federal health care    
program 7as defined in section          
#aabh;,b7f7 of the ,social ,security    
,act 7#db ,u4,s4,c4 #acbj;a-#g;b7f7772  
and  7#b7 shall ensure that comparative 
effectiveness research conducted or     
supported by the ,federal ,government   
accounts for factors contributing to    
differences in the treatment response   
and treatment preferences of patients1  
including patient-reported outcomes1    
genomics and personalized medicine1 the 
unique needs of health disparity        
populations1 and indirect patient       
benefits4  7b7 ,rule of construction    
,nothing in this section shall be       

construed as affecting the authority of 
the ,commissioner of ,food and ,drugs   
under the ,federal ,food1 ,drug1 and    
,cosmetic ,act or the ,public ,health   
,service ,act4