To establish a deficit-neutral reserve fund for a 3-year extension of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers.

SA 4197. Mr. KOHL (for himself, Mr. Domenici, Mrs. Lincoln, Mr.
Whitehouse, Mr. Bingaman, Mrs. Clinton, Mr. Coleman, Ms. Stabenow, Mr.
Levin, and Mr. Casey) submitted an amendment intended to be proposed by
him to the concurrent resolution S. Con. Res. 70, setting forth the
congressional budget for the United States Government for fiscal year
2009 and including the appropriate budgetary levels for fiscal years
2008 and 2010 through 2013; which was ordered to lie on the table; as
follows:

At the end of title III, add the following:

SEC. ___. DEFICIT-NEUTRAL RESERVE FUND FOR 3-YEAR EXTENSION
OF PILOT PROGRAM FOR NATIONAL AND STATE
BACKGROUND CHECKS ON DIRECT PATIENT ACCESS
EMPLOYEES OF LONG-TERM CARE FACILITIES OR
PROVIDERS.

If the Senate Committee on Finance reports a bill or joint
resolution or an amendment is offered thereto or a conference
report is submitted thereon, that provides for a 3-year
extension of the pilot program for national and State
background checks on direct patient access employees of long-
term care facilities or providers under section 307 of the
Medicare Prescription Drug, Improvement, and Modernization
Act of 2003 (42 U.S.C. 1395aa note) and removes the limit on
the number of participating States under such pilot program,
the Chairman of the Senate Committee on the Budget may revise
the aggregates, allocations, and other appropriate levels in
this resolution by the amounts provided in such legislation
for those purposes up to $160,000,000, provided that such
legislation would not increase the deficit over either the
period of the total of fiscal years 2008 through 2013 or the
period of the total of fiscal years 2008 through 2018.
______