[Congressional Record Volume 163, Number 7 (Wednesday, January 11, 2017)]
[Senate]
[Page S287]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 143. Ms. CANTWELL (for herself, Mr. Carper, Mr. Bennet, Mrs. 
Shaheen, Mr. Murphy, Ms. Warren, Mr. King, Mr. Van Hollen, Ms. 
Klobuchar, Mr. Whitehouse, Mr. Warner, and Ms. Duckworth) 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; as 
follows:

       At the end of title IV, add the following:

     SEC. 4__. POINT OF ORDER AGAINST ANY CHANGES TO THE MEDICARE 
                   PROGRAM, THE MEDICAID PROGRAM, OR THE NUMBER OF 
                   AMERICANS ENROLLED IN PRIVATE HEALTH INSURANCE 
                   COVERAGE, IN A MANNER THAT WOULD RESULT IN 
                   REDUCED REVENUE TO HOSPITALS, HEALTH CARE 
                   CENTERS, AND PHYSICIANS AND OTHER HEALTH CARE 
                   PROVIDERS, THEREBY REDUCING THEIR INVESTMENTS 
                   IN HEALTH CARE DELIVERY SYSTEM REFORMS THAT 
                   IMPROVE PATIENT HEALTH OUTCOMES 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 
     number of Americans enrolled in private health insurance 
     coverage, in a manner that would result in reduced revenue to 
     hospitals, health care centers, and physicians and other 
     health care providers, thereby 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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