[Congressional Record Volume 163, Number 6 (Tuesday, January 10, 2017)]
[Senate]
[Pages S215-S216]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 85. Ms. HASSAN (for herself, Mr. Brown, Mrs. Shaheen, and Ms. 
Baldwin) submitted an amendment intended to be proposed by her to the 
concurrent resolution S. Con. Res. 3, setting forth the congressional 
budget for the United States Government for fiscal year 2017 and 
setting forth the appropriate budgetary levels for fiscal years 2018 
through 2026; which was ordered to lie on the table; as follows:

       At the end of title IV, add the following:

     SEC. 4__. POINT OF ORDER AGAINST LEGISLATION THAT WOULD 
                   WORSEN THE OPIOID EPIDEMIC BY REDUCING ACCESS 
                   TO MEDICATION ASSISTED TREATMENT FOR SUBSTANCE 
                   USE DISORDER.

       (a) Point of Order.--It shall not be in order in the Senate 
     to consider any bill,

[[Page S216]]

     joint resolution, motion, amendment, amendment between the 
     Houses, or conference report that would reduce access to 
     medication assisted treatment for substance use disorders, 
     including opioid addiction, by making changes to the policies 
     enacted by the Patient Protection and Affordable Care Act 
     unless the Congressional Budget Office certifies that such 
     changes would not--
       (1) reduce or limit Federal funding for medical assistance 
     provided by States to low-income, non-elderly individuals 
     under the Medicaid eligibility option established by the 
     Patient Protection and Affordable Care Act under section 
     1902(a)(10)(A)(i)(VIII) of the Social Security Act (42 U.S.C. 
     1396d(a)(10)(A)(i)(VIII)) or result in fewer individuals 
     receiving such assistance under such option (including the 
     1,600,000 Americans with substance use disorders who 
     currently receive such assistance and were uninsured prior to 
     the establishment of such option);
       (2) reduce the expansion of coverage resulting from the 
     individual market consumer protections of the Patient 
     Protection and Affordable Care Act, including protections for 
     individuals with pre-existing conditions, the establishment 
     of behavioral health as an essential health benefit, the 
     expansion of mental health parity and addiction equity law to 
     the individual market, and coverage of preventive services 
     without cost-sharing;
       (3) reduce the number of Americans enrolled in public or 
     private health insurance coverage, as determined based on the 
     March 2016 updated baseline budget projections by the 
     Congressional Budget Office;
       (4) increase health insurance premiums or out-of-pocket 
     costs for Americans with private health insurance coverage; 
     or
       (5) reduce the scope and scale of benefits covered by 
     private health insurance plans pursuant to the requirements 
     of title I of the Patient Protection and Affordable Care Act 
     and the amendments made by that title.
       (b) Waiver and Appeal.--Subsection (a) may be waived or 
     suspended in the Senate only by an affirmative vote of three-
     fifths of the Members, duly chosen and sworn. An affirmative 
     vote of three-fifths of the Members of the Senate, duly 
     chosen and sworn, shall be required to sustain an appeal of 
     the ruling of the Chair on a point of order raised under 
     subsection (a).
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