If the IPAB process is triggered in 2017, what happens next?

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If the IPAB process is triggered in 2017, what happens next? JAN 2018 15th: IPAB submits proposal to President & Congress 25th: HHS Sec. submits proposal to Congress (if IPAB doesn’t) APR 2017 Medicare actuaries determine if Medicare growth rate exceeds target growth rate APR 1, 2018 Deadline for Congressional committees to act OCT 1, 2018 FY payment rate recommendations effective JAN 1, 2019 CY payment rate recommendations effective SEP 1, 2017 IPAB submits draft recommendations to MedPAC & HHS Sec. MAR 1, 2018 HHS Sec. & MedPAC report on IPAB proposal AUG 15, 2018 HHS Sec. implements recommendations SOURCE: Kaiser Family Foundation, “The Independent Payment Advisory Board: A New Approach to Controlling Medicare Spending,” 2011, http://kff.org/health-reform/issue-brief/the-independent-payment-advisory-board-a-new/.