▁in ▁total ▁private ▁health ▁care ▁exp end it ures . ▁ ▁Every ▁year , ▁on ▁September ▁ 1 , ▁IP AB ▁was ▁to ▁submit ▁a ▁draft ▁proposal ▁to ▁the ▁Secretary ▁of ▁Health ▁and ▁Human ▁Services . ▁On ▁January ▁ 1 5 ▁of ▁the ▁next ▁year , ▁IP AB ▁was ▁to ▁submit ▁a ▁proposal ▁to ▁Congress . ▁If ▁IP AB ▁failed ▁to ▁meet ▁this ▁dead line , ▁the ▁H HS ▁was ▁to ▁create ▁its ▁own ▁proposal . ▁Congress ▁was ▁to ▁consider ▁this ▁proposal ▁under ▁special ▁rules . ▁Congress ▁could ▁not ▁consider ▁any ▁am end ment ▁to ▁the ▁proposal ▁that ▁would ▁not ▁achieve ▁similar ▁cost ▁redu ctions ▁unless ▁both ▁houses ▁of ▁Congress , ▁including ▁a ▁three - fif th s ▁super ▁majority ▁in ▁the ▁Senate , ▁voted ▁to ▁wa ive ▁this ▁requirement . ▁If ▁Congress ▁failed ▁to ▁adopt ▁a ▁substitute ▁provision ▁by ▁August ▁ 1 5 , ▁H HS ▁was ▁to ▁implement ▁the ▁proposal ▁as ▁originally ▁submitted ▁to ▁Congress . ▁ ▁M emb ership ▁and ▁term ▁of ▁office ▁IP AB ▁was ▁to ▁be ▁composed ▁of ▁fifteen ▁members ▁appointed ▁by ▁the ▁President , ▁subject ▁to ▁Senate ▁confirm ation . ▁The ▁Secretary ▁of ▁Health ▁and ▁Human ▁Services , ▁the ▁Administr ator ▁of ▁the ▁Center ▁for ▁Medic are ▁and ▁Med ica id ▁Services , ▁and ▁the ▁Administr ator ▁of ▁the ▁Health ▁Resources ▁and ▁Services ▁Administration ▁were ▁to ▁serve ▁ex ▁offic io ▁as ▁non v oting ▁members . ▁In ▁making ▁the ▁appoint ments , ▁the ▁President ▁was ▁to ▁consult ▁with ▁the ▁Major ity ▁Le ader ▁of ▁the ▁Senate ▁concerning