[Congressional Record Volume 145, Number 150 (Friday, October 29, 1999)]
[Senate]
[Pages S13553-S13555]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
By Mr. DASCHLE (for himself and Mr. Johnson):
S. 1831. A bill to protect and provide resources for the Social
Security System, to reserve surpluses to protect, strengthen and
modernize the Medicare Program, and for other purposes; to the
Committee on the Budget and the Committee on Governmental Affairs,
jointly, pursuant to the order of August 4, 1977, with instructions
that if one committee reports, the other committee have 30 days to
report or be discharged.
medicaid eligibility restoration act of 1999
Mr. DASCHLE. Mr. President, today I introduce the Medicaid
Eligibility Restoration Act of 1999, which fixes a major problem
recently created in the health care safety net.
My bill addresses a Medicaid eligibility problem--lack of access to
health insurance during the first, and often costliest, month of
disability--that was inadvertently caused by a change to Supplemental
Security Income (SSI) policy in the 1996 welfare reform law.
Let me explain how this Medicaid ``gap month'' problem was created.
In 1996, the effective date of application for Supplemental Security
Income (SSI) was changed to the month following the date when an
individual applies for SSI.
Before the 1996 change, pro-rated payments began immediately. Since
1996, payments do not begin until the month following original
application.
This SSI payment change generated a small cost savings for the SSI
program and ended the administrative burden of calculating partial
month payments, but it also created a problem--a gap month--for
Medicaid eligibility that is linked to SSI.
For most SSI and Medicaid recipients, this change has resulted in one
lost month of Medicaid eligibility, which is a hardship in itself.
But those who suddenly become disabled or who are born with a
disability face more dire consequences.
Because of the 1996 change, they now lose health insurance coverage
for what is often their costliest month--their first month of
disability. This policy shift has left families with enormous medical
bills and hospitals with uncompensated care.
The Medicaid Eligibility Restoration Act would end this gap month in
Medicaid coverage and would restore the pre-1996 Medicaid eligibility
criteria.
This issue first came to my attention when I received a letter from
Randall Connelly of Sioux Falls, South Dakota.
His wife, Susan, had recently given birth to premature twins.
Tragically, the twins died a few days later.
Despite the fact that Randy had a good job, with good health
insurance, he still faced unaffordable out-of-pocket medical expenses.
Because of the twins' low birth weight, both children were
automatically eligible for SSI and Medicaid--or they would have been,
if the twins had been born before enactment of the welfare reform law
of 1996.
In fact, the Connellys were ineligible for any help with their
medical bills because of the small 1996 technical change in SSI payment
policy.
The unfortunate result was that the Connellys were left to cope not
only with the loss of their newborn twins, but also with unaffordable
hospital bills.
Since my communication with the Connellys, I have heard from hospital
administrators who have expressed concern on behalf of patients and
families who have suddenly found themselves with nowhere to turn during
their first weeks of extreme financial hardship and emotional trauma
due to disability.
Sioux Valley Hospital in Sioux Falls, SD, has reported that 28
newborns were affected during the past year in that one hospital alone.
Hospital administrators report that:
Delay in Medicaid coverage results in severe hardship for
many families. . . . The normal stresses of dealing with a
newborn with a serious disability are compounded by the
extensive financial demands attendant to medical services
provided for that child.
I ask that a copy of Sioux Valley's letter of support for the bill be
printed in the Record.
There being no objection, the letter was ordered to be printed in the
Record, as follows:
Sioux Valley
Hospitals & Health System,
Sioux Falls, October 27, 1999.
Hon. Thomas Daschle,
U.S. Senate, Hart Senate Office Building, Washington, DC.
Dear Senator Daschle: I am writing to express the support
of the Sioux Valley Hospitals & Health System for legislation
we understand you are planning to introduce which would
address an issue involving SSI eligibility, and therefore,
Medicaid eligibility. The issue, as we have experienced it,
involves the date on which Medicaid coverage would commence
for SSI eligible newborns. We understand that current law
results in a start date for Medicaid payment coverage on the
first of the month following SSI eligibility which for
disabled newborns is their date of birth.
That delay in Medicaid coverage results in severe hardship
for many families who have had babies with medical conditions
requiring extremely expensive services in the Sioux Valley
Hospital Neonatal Intensive Care Unit. Some 28 families have
been affected at Sioux Valley alone over the course of the
last year. The normal stresses of dealing with a newborn with
a serious disability are compounded by the extensive
financial demands attendant to medical services required for
the child.
While we understand that public programs cannot be expected
to address expenses associated with every catastrophic
medical situation, this delay in coverage for severely
disabled newborns seems particularly appropriate for a public
response. I wanted you to know, therefore, that we do support
your effects in this respect.
Please let me know if any of our staff could provide
further information with respect to the importance and impact
of the legislation which you propose.
Sincerely,
Frank M. Drew,
Senior Vice President of Public Policy.
Mr. DASCHLE. I have also heard from public health officials who are
concerned that public health funds may need to be diverted to address
the needs of those who should have been covered by Medicaid--as they
were in the past.
Some states are able to cover the gap month through other Medicaid
categories, such as the ``medically needy'' category and a category for
those who meet all the SSI criteria but are not receiving benefits.
There are several states, however, that still face the gap month
problem.
It is difficult for many of these states to address this problem,
because, while covering only the gap month may be affordable, adding a
whole new Medicaid category is seen as too expensive.
There is a simpler, and less expensive way to address the problem:
restore the pre-1996 Medicaid eligibility.
We must restore health care benefits to those with disabilities who
need them and should be eligible for them.
The gap month is not a difficult problem to fix.
A solution only requires our attention and our commitment to
protecting the health care safety net. My bill does that by ensuring
Medicaid helps cover those facing unexpected disability.
I urge my colleagues to join me in support of this legislation.
I ask unanimous consent that the text of the bill be printed in the
Record.
There being no objection, the bill was ordered to be printed in the
Record, as follows:
S. 1831
Be it enacted by the Senate and House of Representatives of
the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Strengthen Social Security
and Medicare Act of 1999.''
SEC. 2. FINDINGS AND PURPOSE.
(a) Findings.--The Congress finds that:
(1) The Social Security system is one of the cornerstones
of American national policy and has allowed a generation of
Americans to retire with dignity. For 30 percent of all
senior citizens, Social Security benefits provide almost 90
percent of their retirement income. For 66 percent of all
senior citizens, Social Security benefits provide over half
of their retirement income. Poverty rates among the elderly
are at the lowest level since the United States began to keep
poverty statistics, due in large part to the Special Security
system. The Social Security system, together with the
additional protections afforded by the Medicare system, have
been an outstanding success for past and current retirees and
must be preserved for future retirees.
[[Page S13554]]
(2) The long-term solvency of the Social Security and
Medicare trust funds is not assured. There is an estimated
long-range actuarial deficit in the Social Security trust
funds. According to the 1999 report of the Board of Trustees
of the Social Security trust funds, the accumulated balances
in the Federal Old-Age and Survivors Insurance Trust Fund and
the Federal Disability Insurance Trust Fund are currently
projected to become unable to pay benefits in full on a
timely basis starting in 2034. The Medicare system faces more
immediate financial shortfalls, with the Hospital Insurance
Trust Fund projected to become exhausted in 2015.
(3) In addition to preserving Social Security and Medicare,
the Congress and the President have a responsibility to
future generations to reduce the Federal debt held by the
public. Significant debt reduction will contribute to the
economy and improve the Government's ability to fulfill its
responsibilities and to face future challenges, including
preserving and strengthening Social Security and Medicare.
(4) The Federal Government is now in sound financial
condition. The Federal budget is projected to generate
significant surpluses. In fiscal years 1998 and 1999, there
were unified budget surpluses--the first consecutive
surpluses in more than 40 years. Over the next 15 years, the
Government projects the on-budget surplus, which excludes
Social Security, to total $2.9 trillion. The unified budget
surplus (including Social Security) is projected by the
Government to total $5.9 trillion over the next 15 years.
(5) The surplus, excluding Social Security, offers an
unparalleled opportunity to: preserve Social Security;
protect, strengthen, and modernize Medicare; and
significantly reduce the Federal debt held by the public, for
the future benefit of all Americans.
(b) Purpose.--It is the purpose of this Act to protect the
Social Security surplus for debt reduction, to extend the
solvency of Social Security, and to set aside a reserve to be
used to protect, strengthen, and modernize Medicare.
SEC. 3. ADDITIONAL APPROPRIATIONS TO FEDERAL OLD-AGE AND
SURVIVORS INSURANCE TRUST FUND AND FEDERAL
DISABILITY INSURANCE TRUST FUND.
(a) Purpose.--The purpose of this section is to assure that
the interest savings on the debt held by the public achieved
as a result of Social Security surpluses from 2000 to 2015
are dedicated to Social Security solvency.
(b) Additional Appropriation to Trust Funds.--Section 201
of the Social Security Act is amended by adding at the end
the following new subsection:
``(n) Additional Appropriation to Trust Funds.
``(1) In addition to the amounts appropriated to the Trust
Funds under subsections (a) and (b), there is hereby
appropriated to the Trust Funds, out of any moneys in the
Treasury not otherwise appropriated--
``(A) for the fiscal year ending September 30, 2011, and
for each fiscal year thereafter through the fiscal year
ending September 30, 2016, an amount equal to the prescribed
amount for the fiscal year; and
``(B) for the fiscal year ending September 30, 2017, and
for each fiscal year thereafter through the fiscal year
ending September 30, 2044, an amount equal to the prescribed
amount for the fiscal year ending September 30, 2016.
``(2) The amount appropriated by paragraph (1) in each
fiscal year shall be transferred in equal monthly
installments.
``(3) The amount appropriated by paragraph (1) in each
fiscal year shall be allocated between the Trust Funds in the
same proportion as the taxes imposed by chapter 21 (other
than sections 3101(b) and 3111(b)) of Title 26 with respect
to wages (as defined in section 3121 of Title 26) reported to
the Secretary of the Treasury or his delegate pursuant to
subtitle F of Title 26, and the taxes imposed by chapter 2
(other than section 1401(b)) of Title 26 with respect to
self-employment income (as defined in section 1402 of Title
26) reported to the Secretary of the Treasury or his delegate
pursuant to subtitle F of Title 26, are allocated between the
Trust Funds in the calendar year that begins in the fiscal
year.
``(4) For purposes of this subsection, the ``prescribed
amount'' for any fiscal year shall be determined by
multiplying:
``(A) the excess of:
``(i) the sum of:
``(I) the face amount of all obligations of the United
States held by the Trust Funds on the last day of the fiscal
year immediately preceding the fiscal year of determination
purchased with amounts appropriated or credited to the Trust
Funds other than any amount appropriated under paragraph (1);
and
``(II) the sum of the amounts appropriated under paragraph
(1) and transferred under paragraph (2) through the last day
of the fiscal year immediately preceding the fiscal year of
determination, and an amount equal to the interest that would
have been earned thereon had those amounts been invested in
obligations of the United States issued directly to the Trust
Funds under subsections (d) and (f),
``over--
``(ii) the face amount of all obligations of the United
States held by the Trust Funds on September 30, 1999,
``times--
``(B) a rate of interest determined by the Secretary of the
Treasury, at the beginning of the fiscal year of
determination, as follows:
``(i) if there are any marketable interest-bearing
obligations of the United States then forming a part of the
public debt, a rate of interest determined by taking into
consideration the average market yield (computed on the basis
of daily closing market bid quotations or prices during the
calendar month immediately preceding the determination of the
rate of interest) on such obligations; and
``(ii) if there are no marketable interest-bearing
obligations of the United States then forming in part of the
public debt, a rate of interest determined to be the best
approximation of the rate of interest described in clause
(i), taking into consideration the average market yield
(computed on the basis of daily closing market bid quotations
or prices during the calendar month immediately preceding the
determination of the rate of interest) on investment grade
corporate obligations selected by the Secretary of the
Treasury, less an adjustment made by the Secretary of the
Treasury to take into account the difference between the
yields on corporate obligations comparable to the obligations
selected by the Secretary of the Treasury and yields on
obligations of comparable maturities issued by risk-free
government issuers selected by the Secretary of the
Treasury.''.
SEC. 4. PROTECTION OF SOCIAL SECURITY SURPLUSES.
(a) Points of Order To Protect Social Security Surpluses.--
Section 312 of the Congressional Budget Act of 1974 is
amended by adding at the end the following new subsection:
``(g) Points of Order To Protect Social Security
Surpluses.--
``(1) Concurrent resolutions on the budget.--It shall not
be in order in the House of Representatives or the Senate to
consider any concurrent resolution on the budget, or
conference report thereon or amendment thereto, that would
set forth an on-budget deficit for any fiscal year.
``(2) Subsequent legislation.--It shall not be in order in
the House of Representatives or the Senate to consider any
bill, joint resolution, amendment, motion, or conference
report if--
``(A) the enactment of the bill or resolution as reported;
``(B) the adoption and enactment of that amendment; or
``(C) the enactment of that bill or resolution in the form
recommended in that conference report,
would cause or increase an on-budget deficit for any fiscal
year.
``(3) Budget resolution baseline.--(A) For purposes of this
section, ``set forth an on-budget deficit'', with respect to
a budget resolution, means the resolution sets forth an on-
budget deficit for a fiscal year and the baseline budget
projection of the surplus or deficit for such fiscal year on
which such resolution is based projects an on-budget surplus,
on-budget balance, or an on-budget deficit that is less than
the deficit set forth in the resolution.
``(B) For purposes of this section, ``cause or increase an
on-budget deficit'' with respect to legislation means causes
or increases an on-budget deficit relative to the baseline
budget projection.
``(C) For purposes of this section, the term ``baseline
budget projection'' means the projection described in section
257 of the Balance Budget and Emergency Deficit Control Act
of 1985 of current year levels of outlays, receipts, and the
surplus or deficit into the budget year and future years,
except that--
``(i) if outlays for programs subject to discretionary
appropriations are subject to discretionary statutory
spending limits, such outlays shall be projected at the level
of any applicable current adjusted statutory discretionary
spending limits:
``(ii) if outlays for programs subject to discretionary
appropriations are not subject to discretionary spending
limits, such outlays shall be projected as required by
section 257 beginning in the first fiscal year following the
last fiscal year in which such limits applied; and
``(iii) with respect to direct spending or receipts
legislation previously enacted during the current calendar
year and after the most recent baseline estimate pursuant to
section 257 of the Balance Budget and Emergency Deficit
Control Act of 1995, the net extent (if any) by which all
such legislation is more than fully paid for in one of the
applicable time periods shall count as a credit for that time
period against increase in direct spending or reductions in
net revenue.''.
(b) Content of Concurrent Resolution on the Budget.--
Section 301(a) of the Congressional Budget Act of 1974 is
amended by redesignating paragraphs (6) and (7) as paragraphs
(7) and (8), respectively, and by inserting after paragraph
(5) the following new paragraph.
``(6) the receipts, outlays, and surplus or deficit in the
Federal Old-Age and Survivors Insurance Trust Fund and the
Federal Disability Insurance Trust Fund, combined,
established by title II of the Social Security Act;''.
(c) Super Majority Requirement.--
(1) Section 904(c)(1) of the Congressional Budget Act of
1974 is amended by inserting ``312(g),'' after
``310(d)(2),''.
(2) Section 904(d)(2) of the Congressional Budget Act of
1974 is amended by inserting ``312(g),'' after
``310(d)(2),''.
SEC. 5. PROTECTION OF MEDICARE.
(a) Points or Order To Protect Medicare.--
[[Page S13555]]
(1) Section 301 of the Congressional Budget Act of 1974 is
amended by adding at the end the following:
``(j) Points or Order To Protect Medicare.--
(1) In general.--It shall not be in order in the House of
Representatives or the Senate to consider any concurrent
resolution on the budget (or amendment, motion, or conference
report on the resolution) that would decrease the on-budget
surplus for the total of the period of fiscal years 2000
through 2009 below the level of the Medicare surplus reserve
for those fiscal years are calculated in accordance with
section 3(11).
``(2) Inapplicability.--This subsection shall not apply to
legislation that--
``(A) appropriates a portion of the Medicare reserve for
new amounts for prescription drug benefits under the Medicare
program as part of or subsequent to legislation extending the
solvency of the Medicare Hospital Insurance Trust Fund; or
``(B) appropriates new amounts from the general fund to the
Medicare Hospital Insurance Trust Fund.''.
(2) Section 311(a) of the Congressional Budget Act of 1974
is amended by adding at the end the following:
``(4) Enforcement of the medicare surplus reserve.--
``(A) In general.--It shall not be in order in the House of
Representatives or the Senate to consider any bill, joint
resolution, amendment, motion, or conference report that
together with associated interest costs would decrease the
on-budget surplus for the total of the period of fiscal years
2000 through 2009 below the level of the Medicare surplus
reserve for those fiscal years as calculated in accordance
with section 3(11).''.
``(B) Inapplicability.--This paragraph shall not apply to
legislation that--
``(i) appropriates a portion of the Medicare reserve for
new amounts for prescription drug benefits under the Medicare
program as part of or subsequent to legislation extending the
solvency of the Medicare Hospital Insurance Trust Fund; or
``(ii) appropriates new amounts from the general fund to
the Medicare Hospital Insurance Trust Fund.
(b) Definition.--Section 3 of the Congressional Budget Act
of 1974 is amended by adding at the end the following:
``(11) The term `Medicare surplus reserve' means one-third
of any on-budget surplus for the total of the period of the
fiscal years 2000 through 2009, an estimated by the
Congressional Budget Office in the most recent initial report
for a fiscal year pursuant to section 202(e).''.
(c) Super Majority Requirement--
(1) Section 904(c)(2) of the Congressional Budget Act of
1974 is amended by inserting ``301(j),'' after ``301(i),''.
(2) Section 904(d)(3) of the Congressional Budget Act of
1974 is amended by inserting ``301(j),'' after ``301(i),''.
SEC. 6. EXTENSION OF DISCRETIONARY SPENDING LIMITS.
(a) Extension of Limits.--Section 251(b)(2) of the Balanced
Budget and Emergency Deficit Control Act of 1985 is amended,
in the matter before paragraph (A), by deleting ``2002'', and
inserting ``2014''.
(b) Extension of Amounts.--Section 251(c) of the Balanced
Budget and Emergency Deficit Control Act of 1985 is amended
by striking paragraphs (4), (5), (6) and (7), and inserting
the following:
``(4) With respect to fiscal year 2000,
``(A) for the discretionary category: $535,368,000,000 in
new budget authority and $543,257,000,000 in outlays;
``(B) for the highway category: $24,574,000,000 in outlays;
``(C) for the mass transit category: $4,117,000,000 in
outlays; and
``(D) for the violent crime reduction category:
$4,500,000,000 in new budget authority and $5,564,000,000 in
outlays;
``(5) With respect to fiscal year 2001,
``(A) for the discretionary category: $573,004,000,000 in
new budget authority and $564,931,000,000 in outlays;
``(B) for the highway category: $26,234,000,000 in outlays;
and
``(C) for the mass transit category: $4,888,000,000 in
outlays;
``(6) With respect to fiscal year 2002,
``(A) for the discretionary category: $584,754,000,000 in
new budget authority and $582,516,000,000 in outlays;
``(B) for the highway category: $26,655,000,000 in outlays;
and
``(C) for the mass transit category: $5,384,000,000 in
outlays;
``(7) With respect to fiscal year 2003,
``(A) for the discretionary category: $590,800,000,000 in
new budget authority and $587,642,000,000 in outlays;
``(B) for the highway category: $27,041,000,000 in outlays;
and
``(C) for the mass transit category: $6,124,000,000 in
outlays;
``(8) With respect to fiscal year 2004, for the
discretionary category: $604,319,000,000 in new budget
authority and $634,039,000,000 in outlays;
``(9) With respect to fiscal year 2005, for the
discretionary category: $616,496,000,000 in new budget
authority and $653,530,000,000 in outlays;
``(10) With respect to fiscal year 2006, for the
discretionary category: $630,722,000,000 in new budget
authority and $671,530,000,000 in outlays;
``(11) With respect to fiscal year 2007, for the
discretionary category: $644,525,000,000 in new budget
authority and $687,532,000,000 in outlays;
``(12) With respect to fiscal year 2008, for the
discretionary category: $663,611,000,000 in new budget
authority and $704,534,000,000 in outlays; and
``(13) With respect to fiscal year 2009, for the
discretionary category: $678,019,000,000 in new budget
authority and $721,215,000,000 in outlays, ``as adjusted in
strict conformance with subsection (b).
``With respect to fiscal year 2010 and each fiscal year
thereafter, the term ``discretionary spending limit'' means,
for the discretionary category, the baseline amount
calculated pursuant to the requirements of Section 257(c), as
adjusted in strict conformance with subsection (b).''.
SEC. 7. EXTENSION AND CLARIFICATION OF PAY-AS-YOU-GO
REQUIREMENT.
Section 252 of the Balanced Budget And Emergency Deficit
Control Act of 1985 is amended--
(a) in subsection (a), by striking ``October 1, 2002'' and
inserting ``October 1, 2014'' and by adding ``or decreases
the surplus'' after ``increases the deficit''; (b)(1) in
paragraph (1) of subsection (b), by striking ``October 1,
2002'' and inserting ``October 1, 2014'' and by adding
``or any net surplus decrease'' after ``any net deficit
increase'';
(2) in paragraph (2) of subsection (b),
(i) in the header by adding ``or surplus decrease'' after
``deficit increase'';
(ii) in the matter before subparagraph (A), by adding ``or
surplus'' after ``deficit''; and
(iii) in subparagraph (C), by adding ``or surplus'' after
``net deficit''; and
(3) in the header of subsection (c), by adding ``or surplus
decrease'' after ``deficit increase''.
SEC. 8. EXTENSION OF BALANCED BUDGET AND EMERGENCY DEFICIT
CONTROL ACT.
Section 275(b) of the Balanced Budget and Emergency Deficit
Control Act of 1985 is amended by striking ``September 30,
2002'' and inserting ``September 30, 2104'' and by striking
``September 30, 2006'' and inserting ``September 30, 2018''.
SEC. 9. EXTENSION OF SOCIAL SECURITY FIREWALL IN
CONGRESSIONAL BUDGET ACT.
Section 904(e) of the Congressional Budget Act of 1974 is
amended by striking ``September 30, 2002'' and inserting
``September 30, 2014''.
SEC. 10. PROTECTION OF SOCIAL SECURITY INTEREST SAVINGS
TRANSFERS.
(a) Definition of Deficit and Surplus Under Budget
Enforcement Act.--Section 250(c) of the Balanced Budget and
Emergency Deficit Control Act of 1985 is amended in paragraph
(1) by adding `` `surplus','' before ``and `deficit' ''.
(b) Reduction or Reversal of Social Security Transfers Not
To Be Counted as Pay-As-You-Go Offset.--Any legislation that
would reduce, reverse or repeal the transfers to the Federal
Old-Age and Survivors Insurance Trust Fund and the Federal
Disability Insurance Trust Fund made by Section 201(n) of the
Social Security Act, as added by Section 3 of this Act, shall
not be counted on the pay-as-you-go scorecard and shall not
be included in any pay-as-you-go estimates made by the
Congressional Budget Office or the Office of Management and
Budget under Section 252 of the Balanced Budget and Emergency
Deficit Control Act of 1985.
(c) Conforming Change.--Section 252 of the Balanced Budget
and Emergency Deficit Control Act of 1985 is amended, in
paragraph (4) of subsection (d), by--
(1) striking ``and'' after subparagraph (A),
(2) striking the period after the subparagraph (B) and
inserting ``; and'', and
(3) adding the following:
``(C) provisions that reduce, reverse or repeal transfers
under Section 201(n) of the Social Security Act.''.
SEC. 11. CONFORMING CHANGES.
(a) Reports.--Section 254 of the Balanced Budget and
Emergency Deficit Control Act of 1985 is amended--
(1) in paragraph (3) of subsection (c),
(A) in subparagraph (A), by adding ``or surplus'' after
``deficit'';
(B) in subparagraph (B), by adding ``or surplus'' after
``deficit''; and
(C) in subparagraph (C), by adding ``or surplus decrease''
after ``deficit increase'';
(2) in paragraph (4) of subsection (f), by adding ``or
surplus'' after ``deficit''; and
(3) in subparagraph A of paragraph (2) of subsection (f),
by striking ``2002'' and inserting ``2009''.
(b) Orders.--Section 258A(a) of the Balanced Budget and
Emergency Deficit Control Act of 1985 is amended in the first
sentence by adding ``or increase the surplus'' after
``deficit''.
(c) Process.--Section 258(C)(a) of the Balanced Budget and
Emergency Deficit Control Act of 1985 is amended--
(1) in paragraph (2), by adding ``or surplus increase''
after ``deficit reduction'';
(2) in paragraph (3), by adding ``or increase in the
surplus'' after ``reduction in the deficit''; and
(3) in paragraph (4), by adding ``or surplus increase''
after ``deficit reduction''.
______