The House of Representatives voted today to repeal the Affordable Care Act’s Independent Payment Advisory Board (IPAB) by a vote of 223-181. Seven Democrats voted to repeal the board, while 10 Republicans opposed the effort. The goal of the board is to recommend ways to trim Medicare costs when outlays exceed certain targets. Opponents claim the board would lead to “rationing,” despite the fact that Rep. Paul Ryan (R-WI) proposed similar panels in his 2009 health plan. The bill is expected to fail in the Senate, and the White House had threatened a veto.