[Congressional Record Volume 172, Number 71 (Wednesday, April 22, 2026)]
[Senate]
[Page S2002]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 5184. Mr. KAINE submitted an amendment intended to be proposed by 
him to the concurrent resolution S. Con. Res. 33, setting forth the 
congressional budget for the United States Government for fiscal year 
2026 and setting forth the appropriate budgetary levels for fiscal 
years 2027 through 2035; which was ordered to lie on the table; as 
follows:

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

     SEC. 4___. DON'T MAKE AMERICA SICK AGAIN.

         (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 
     that would make America sick again, as described in 
     subsection (b).
         (b) Legislation Described.--For purposes of subsection 
     (a), a bill, joint resolution, motion, amendment, amendment 
     between the Houses, or conference report that would make 
     America sick again means a bill, joint resolution, motion, 
     amendment, amendment between the Houses, or conference report 
     that the Congressional Budget Office determines would--
         (1) reduce the number of Americans enrolled in public or 
     private health insurance coverage, as determined based on the 
     latest updated baseline budget projections by the 
     Congressional Budget Office;
         (2) increase health insurance premiums or total out-of-
     pocket health care costs for Americans with private health 
     insurance; or
         (3) reduce the scope and scale of benefits covered by 
     private health insurance, as compared to the benefits 
     Americans would have received pursuant to the requirements 
     under title I of the Patient Protection and Affordable Care 
     Act (Public Law 111-148; 124 Stat. 130) and the amendments 
     made by that title.
         (c) 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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