[Congressional Record Volume 163, Number 6 (Tuesday, January 10, 2017)]
[Senate]
[Page S218]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 100. Ms. CANTWELL (for herself, Mr. Carper, Mr. Bennet, Mr. 
Whitehouse, Mrs. Shaheen, and Mr. Murphy) 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 ANY CHANGES TO MEDICARE, 
                   MEDICAID, OR THE PREMIUM TAX CREDITS PROVIDED 
                   BY THE AFFORDABLE CARE ACT THAT WOULD WEAKEN 
                   AND REDUCE INVESTMENTS IN HEALTH CARE DELIVERY 
                   SYSTEM REFORMS THAT IMPROVE PATIENT HEALTH AND 
                   REDUCE COSTS.

       (a) Findings.--The Senate finds the following:
       (1) The Affordable Care Act is moving the health care 
     system of the United States from a fee-for-service system 
     that frequently incentivizes the overutilization of health 
     care services and wasteful health care spending to a value- 
     and performance-based health care system that promotes 
     patient-centered and team-based care to keep Americans as 
     healthy as possible, improve health outcomes, and lower 
     health care costs.
       (2) Because of the investments in health care delivery 
     system reforms made by the Affordable Care Act, a third of 
     Medicare payments to health care providers are now based on 
     the overall quality of patient care and health outcomes 
     achieved by such providers.
       (b) Point of Order.--It shall not be in order in the Senate 
     to consider any bill, joint resolution, motion, amendment, 
     amendment between the Houses, or conference report that would 
     change the Medicare program, the Medicaid program, or the 
     premium tax credits provided by the Affordable Care Act in a 
     manner that would result in hospitals, health care centers, 
     and physicians and other health care providers reducing their 
     investments in health care delivery system reforms that 
     improve patient health outcomes and reduce costs.
       (c) Waiver and Appeal.--Subsection (b) 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 (b).
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