To prevent Medicare from being used for new entitlements and to use Medicare savings to save Medicare.

SA 3567. Mr. GREGG (for himself and Mr. Coburn) proposed an amendment
to the bill H.R. 4872, to provide for reconciliation pursuant to Title
II of the concurrent resolution on the budget for fiscal year 2010 (S.
Con. Res. 13); as follows:

At the end of subtitle B of title I, add the following:

SEC. ___. PREVENTING THE IMPLEMENTATION OF NEW ENTITLEMENTS
THAT WOULD RAID MEDICARE.

(a) Ban on New Spending Taking Effect.--
(1) In general.--Notwithstanding any other provision of
law, the Secretary of the Treasury and the Secretary of
Health and Human Service are prohibited from implementing any
spending increase or revenue reduction provision in either
the Patient Protection and Affordable Care Act or this Act
(referred to in this section as the ``Health Care Acts'')
unless both the Director of the Office of Management and
Budget (referred to in this section as ``OMB'') and the Chief
Actuary of the Centers for Medicare and Medicaid Services
Office of the Actuary (referred to in this section as`` CMS
OACT'') certify that they project that all of the projected
Federal spending increases and revenue reductions resulting
from the Health Care Acts will be offset by projected gross
savings from the Health Care Acts.
(2) Calculations.--For purposes of this section, projected
gross savings shall--
(A) include gross reductions in Federal spending and gross
increases in revenues made by the Health Care Acts; and
(B) exclude any projected gross savings or other offsets
directly resulting from changes to Medicare made by the
Health Care Acts.

[[Page S1884]]

(b) Limit on Future Spending.--For the purpose of carrying
out this section and upon the enactment of this Act, CMS OACT
and the OMB shall--
(1) certify whether all of the projected Federal spending
increases and revenue reductions resulting from the Health
Care Acts, starting with fiscal year 2014 and for the
following 9 fiscal years, are fully offset by projected gross
savings resulting from the Health Care Acts (as calculated
under subsection (a)(2)); and
(2) provide detailed estimates of such spending increases,
revenue reductions, and gross savings, year by year, program
by program and provision by provision.
______