The House of Representatives is likely to vote this week on repealing the Independent Payment Advisory Board (IPAB) and capping medical malpractice awards. The IPAB, included in the Affordable Care Act, is intended to recommend changes to the Medicare program to save money. If it becomes fully operational, any recommended changes will be implemented unless Congress votes on alternative plans. Significant changes to the Medicare program are very politically charged and the IPAB was authorized to help implement the difficult choices. Its future in the Senate is unclear, though the Obama Administration has supported the program and has proposed expanding its mission to create more savings.