S.Amdt. 100

SA 100. Ms. CANTWELL (for herself, Mr. Carper, Mr. Bennet, Mr.
Whitehouse, Mrs. Shaheen, and Mr. Murphy) 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; which was ordered
to lie on the table; as follows:

At the end of title IV, add the following:

SEC. 4__. POINT OF ORDER AGAINST ANY CHANGES TO MEDICARE,
MEDICAID, OR THE PREMIUM TAX CREDITS PROVIDED
BY THE AFFORDABLE CARE ACT THAT WOULD WEAKEN
AND REDUCE INVESTMENTS IN HEALTH CARE DELIVERY
SYSTEM REFORMS THAT IMPROVE PATIENT HEALTH 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
premium tax credits provided by the Affordable Care Act in a
manner that would result in hospitals, health care centers,
and physicians and other health care providers 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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