To create a point of order against legislation that would harm rural hospitals and health care providers.

SA 64. Mr. MANCHIN (for himself, Mr. Durbin, Mr. Heinrich, Mr. Udall,
Mr. Franken, Ms. Klobuchar, Ms. Heitkamp, Mr. Van Hollen, Mr. Casey,
Mr. Tester, Mr. Bennet, Ms. Baldwin, Ms. Stabenow, Mr. Donnelly, Mrs.
Shaheen, Mr. Warner, and Mr. King) submitted an amendment intended to
be proposed by him 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 LEGISLATION THAT WOULD
FINANCIALLY HARM RURAL HOSPITALS AND HEALTH
CARE PROVIDERS BY REDUCING THE NUMBER OF PEOPLE
IN RURAL COMMUNITIES WITH ACCESS TO HEALTH
INSURANCE.

(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 if the
Congressional Budget Office has determined that it would--
(1) cause an increase in the rate of uninsured individuals
and families in rural communities by an amount sufficient to
substantially weaken the financial viability of rural
hospitals (including small hospitals), clinics (including
community health centers), or other health care providers; or
(2) reduce Federal funds upon which rural hospitals and
community health centers rely.
(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).
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