[Congressional Record Volume 153, Number 194 (Tuesday, December 18, 2007)]
[Senate]
[Pages S15893-S15894]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]


                       CHANGES TO S. CON. RES. 21

  Mr. CONRAD. Mr. President, section 301(a) of S. Con. Res. 21, the 
2008 budget resolution, permits the chairman of the Senate Budget 
Committee to revise the allocations, aggregates, and other appropriate 
levels for legislation that reauthorizes the State Children's Health 
Insurance Program, SCHIP. Section 301 authorizes the revisions provided 
that certain conditions are met, including that such legislation 
maintains coverage for those currently enrolled in SCHIP and that it 
not worsen the deficit over the period of the total of fiscal years 
2007 through 2012 or the period of the total of fiscal years 2007 
through 2017.
  In addition, section 304(b)(2) of S. Con. Res. 21 permits the 
chairman of the Senate Budget Committee to revise the allocations, 
aggregates, and other appropriate levels for legislation that both 
increases the reimbursement rate for physician services under section

[[Page S15894]]

1848(d) of the Social Security Act and includes financial incentives 
for physicians to improve the quality and efficiency of items and 
services furnished to Medicare beneficiaries through the use of 
consensus-based quality measures. Section 304(b)(2) authorizes the 
revisions provided that such legislation not worsen the deficit over 
the period of the total of fiscal years 2007 through 2012 or the period 
of the total of fiscal years 2007 through 2017.
  Further, section 320(a) of S. Con. Res. 21 permits the chairman of 
the Senate Budget Committee to revise the allocations, aggregates, and 
other appropriate levels for legislation that provides for a delay in 
the implementation of the proposed rule published on January 18, 2007, 
on pages 2236 through 2248 of volume 72, Federal Register, or any other 
rule that would affect the Medicaid program or SCHIP in a similar 
manner, or place restrictions on coverage of or payment for graduate 
medical education, rehabilitation services, or school-based 
administration, transportation, or medical services under title XIX of 
the Social Security Act. The adjustment is contingent on such 
legislation not worsening the deficit over the period of the total of 
fiscal years 2007 through 2012 or the period of the total of fiscal 
years 2007 through 2017.
  Finally, section 320(c) of S. Con. Res. 21 permits the chairman of 
the Senate Budget Committee to revise the allocations, aggregates, and 
other appropriate levels for legislation that extends the Transitional 
Medical Assistance program, provided that such legislation not worsen 
the deficit over the period of the total of fiscal years 2007 through 
2012 or the period of the total of fiscal years 2007 through 2017.
  Mr. President, I find that the Medicare, Medicaid, and SCHIP 
Extension Act of 2007, which was introduced today by Senators Baucus 
and Grassley, satisfies the conditions of the four deficit-neutral 
reserve funds mentioned above. Therefore, pursuant to sections 301(a), 
304(b)(2), 320(a), and 320(c) of S. Con. Res. 21, I am adjusting the 
aggregates in the 2008 budget resolution, as well as the allocation 
provided to the Senate Finance Committee.
  I ask unanimous consent that the following revisions to S. Con. Res. 
21 be printed in the Record. 
  There being no objection, the material was ordered to be printed in 
the Record, as follows:

Concurrent Resolution on the Budget for Fiscal Year 2008--S. Con. Res. 
 21; Revisions to the Conference Agreement Pursuant to Section 301(a) 
 Deficit-Neutral Reserve Fund for SCHIP Legislation, Section 304(b)(2) 
 Deficit-Neutral Reserve Fund, for Physician Payments, Section 320(a) 
  Deficit-Neutral Reserve Fund for Delay of Rule, and Section 320(c) 
    Deficit-Neutral Reserve Fund for Transitional Medical Assistance

                        [In billions of dollars]

Section 101
(1)(A) Federal Revenues:
  FY 2007.....................................................1,900.340
  FY 2008.....................................................2,025.853
  FY 2009.....................................................2,121.872
  FY 2010.....................................................2,175.881
  FY 2011.....................................................2,357.045
  FY 2012.....................................................2,499.046
(1)(B) Change in Federal Revenues:
  FY 2007........................................................-4.366
  FY 2008.......................................................-24.943
  FY 2009........................................................14.946
  FY 2010........................................................12.160
  FY 2011.......................................................-37.505
  FY 2012.......................................................-98.050
(2) New Budget Authority:
  FY 2007.....................................................2,371.470
  FY 2008.....................................................2,512.349
  FY 2009.....................................................2,526.893
  FY 2010.....................................................2,580.802
  FY 2011.....................................................2,695.912
  FY 2012.....................................................2,735.561
(3) Budget Outlays:
  FY 2007.....................................................2,294.862
  FY 2008.....................................................2,476.144
  FY 2009.....................................................2,573.701
  FY 2010.....................................................2,608.687
  FY 2011.....................................................2,701.268
  FY 2012.....................................................2,714.335

Concurrent Resolution on the Budget for Fiscal Year 2008--S. Con. Res. 
 21; Revisions to the Conference Agreement Pursuant to Section 301(a) 
 Deficit-Neutral Reserve Fund for SCHIP Legislation, Section 304(b)(2) 
  Deficit-Neutral Reserve Fund for Physician Payments, Section 320(a) 
  Deficit-Neutral Reserve Fund for Delay of Rule, and Section 320(c) 
    Deficit-Neutral Reserve Fund for Transitional Medical Assistance

                        [In millions of dollars]

Current Allocation to Senate Finance Committee
  FY 2007 Budget Authority....................................1,011,527
  FY 2007 Outlays.............................................1,017,808
  FY 2008 Budget Authority....................................1,088,237
  FY 2008 Outlays.............................................1,082,300
  FY 2008-2012 Budget Authority...............................6,067,090
  FY 2008-2012 Outlays........................................6,057,094
Adjustments
  FY 2007 Budget Authority..........................................  0
  FY 2007 Outlays...................................................  0
  FY 2008 Budget Authority........................................3,465
  FY 2008 Outlays.................................................4,644
  FY 2008-2012 Budget Authority.....................................-71
  FY 2008-2012 Outlays..............................................-80
Revised Allocation to Senate Finance Committee
  FY 2007 Budget Authority....................................1,011,527
  FY 2007 Outlays.............................................1,017,808
  FY 2008 Budget Authority....................................1,091,702
  FY 2008 Outlays.............................................1,086,944
  FY 2008-2012 Budget Authority...............................6,067,019
6,057,014012 Outlays..............................................

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