The House Appropriations Subcommittee passed a draft 2013 spending bill Wednesday that dramatically slashes healthcare outlays in a 8-6 vote.

Among other provisions, the measure would defund the new health law’s controversial Independent Payment Advisory Board, rescind $1.6 billion from the Center for Medicare & Medicaid Innovation, cut $1 billion from the Prevention and Public Health Fund, and eliminate funding for the Agency for Healthcare Research and Quality. Additionally, it would ban federal funding for patient-centered outcomes research, according to the American Hospital Association. If enacted, these cuts would likely have a direct or indirect effect on long-term care providers.

Conversely, the bill does boost spending for the National Institutes of Health and the Centers for Medicare & Medicaid Services, the Centers for Disease Control and Prevention and other agencies, Democratic critics charge that it’s little more than an attempt to tear down the ACA piece by piece.

The new fiscal year begins Oct. 1.

Click here to read the bill’s full text.