Therefore, the MedPAC Reform bill creates a new MedPAC–the Medicare Payment and Access Commission–and gives the Obama White House and its advisors over-reaching control of several factors governing the economy of the health care system.  The new MedPAC, which is exempted from judicial review, would have the authority to rewrite physician fee schedules, redefine medical necessity, evaluate coverage of treatment options, rewrite beneficiary definitions and coverage, and redesign diagnostic definitions and coverage.

The new MedPAC’s mission would also be to inform new research in health services to adequately address deficiencies in the evidence. However, in reality, this would apparently cripple new treatments and technologies by overshadowing progressive research and treatment algorithms by apparently emphasizing the deficiencies, not the benefits, equaling a denial of care and arresting development of burgeoning technologies. “