[Congressional Record Volume 171, Number 34 (Thursday, February 20, 2025)]
[Senate]
[Page S1188]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 401. Mr. KAINE submitted an amendment intended to be proposed by 
him to the concurrent resolution S. Con. Res. 7, setting forth the 
congressional budget for the United States Government for fiscal year 
2025 and setting forth the appropriate budgetary levels for fiscal 
years 2026 through 2034; which was ordered to lie on the table; as 
follows:

       At the appropriate place in title IV, add the following:

     SEC. 4___. POINT OF ORDER AGAINST AFFECTING HEALTH INSURANCE 
                   COVERAGE.

       (a) 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--
       (1) that affects Medicare, Medicaid, the Children's Health 
     Insurance Program, provisions of the Affordable Care Act, or 
     other laws related to health insurance coverage for not fewer 
     than 1,000,000 people of the United States; and
       (2) for which the Congressional Budget Office has not made 
     available on the website of the Office an estimate required 
     under subsection (c) on the legislation during the 72-hour 
     period ending on the vote on final passage of the 
     legislation.
       (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).
       (c) Cost Estimates.--
       (1) Cbo and jct estimates.--During the 119th Congress, any 
     estimate provided by the Congressional Budget Office under 
     section 402 of the Congressional Budget Act of 1974 (2 U.S.C. 
     653) or by the Joint Committee on Taxation to the 
     Congressional Budget Office under section 201(f) of such Act 
     (2 U.S.C. 601(f)) for significant legislation considered in 
     the Senate shall, to the greatest extent practicable, include 
     an estimate on the impact to health insurance coverage in the 
     United States for any significant legislation affecting 
     Medicare, Medicaid, the Children's Health Insurance Program, 
     provisions of the Affordable Care Act, or other laws related 
     to health insurance coverage.
       (2) Definitions.--In this section, the term ``significant 
     legislation'' means a bill, joint resolution, conference 
     report, amendment, amendment between the Houses, or treaty 
     considered in the Senate that is estimated to impact health 
     insurance coverage for not fewer than 1,000,000 people of the 
     United States.
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