Home > 106th Congressional Bills > S. 863 (is) To amend title XIX of the Social Security Act to provide for medicaid coverage of all certified nurse practitioners and clinical nurse specialists services. [Introduced in Senate] ...S. 863 (is) To amend title XIX of the Social Security Act to provide for medicaid coverage of all certified nurse practitioners and clinical nurse specialists services. [Introduced in Senate] ...
106th CONGRESS
1st Session
S. 862
To protect Social Security surpluses and reserve a portion of non-
Social Security surpluses to strengthen and protect Medicare.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
April 22, 1999
Mr. Lautenberg (for himself and Mr. Conrad) introduced the following
bill; which was read twice and referred jointly pursuant to the order
of August 4, 1977, to the Committees on the Budget and Governmental
Affairs, with instructions that if one Committee reports, the other
Committee have thirty days to report or be discharged
_______________________________________________________________________
A BILL
To protect Social Security surpluses and reserve a portion of non-
Social Security surpluses to strengthen and protect Medicare.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Social Security and Medicare Lock
Box Act''.
SEC. 2. DEFINITIONS.
Section 3 of the Congressional Budget Act of 1974 is amended by
adding at the end the following:
``(11) The term `Medicare surplus reserve' means the
surplus amounts reserved to strengthen and preserve the
Medicare program as calculated in accordance with section
316.''.
SEC. 3. PROTECTION BY CONGRESS.
Congress reaffirms its support for the provisions of section 13301
of the Omnibus Budget Reconciliation Act of 1990 that provides that the
receipts and disbursements of the Social Security trust funds shall not
be counted for the purposes of the budget submitted by the President,
the congressional budget, or the Balanced Budget and Emergency Deficit
Control Act of 1985.
SEC. 4. SOCIAL SECURITY OFF-BUDGET POINT OF ORDER.
Section 301 of the Congressional Budget Act of 1974 is amended by
adding at the end the following:
``(j) Social Security Off-Budget Point of Order.--It shall not be
in order in the House or the Senate to consider any concurrent
resolution on the budget (or amendment, motion, or conference report on
the resolution) that violates section 13301 of the Budget Enforcement
Act of 1990.''.
SEC. 5. MEDICARE SURPLUS RESERVE POINT OF ORDER.
Section 301 of the Congressional Budget Act of 1974 is amended by
adding at the end the following:
``(k) Medicare Surplus Reserve Point of Order.--It shall not be in
order in the Senate to consider any concurrent resolution on the budget
(or amendment, motion, or conference report on the resolution) that
would decrease the surplus in any of the fiscal years covered by the
concurrent resolution below the levels of the Medicare surplus reserve
for those fiscal years calculated in accordance with section 316.''.
SEC. 6. ENFORCEMENT OF MEDICARE SURPLUS RESERVE.
Section 311(a) of the Congressional Budget Act of 1974 is amended
by adding at the end the following:
``(4) Enforcement of the medicare surplus
reserve.--After a concurrent resolution on the budget
has been agreed to, it shall not be in order in the
House of Representatives or the Senate to consider any
bill, joint resolution, amendment, motion, or
conference report that would cause a decrease in the
Medicare surplus reserve in any of the fiscal years
covered by the concurrent resolution. This paragraph
shall not apply to a provision that appropriates new
subsidies from the general fund to the Medicare
Hospital Insurance Trust Fund.''.
SEC. 7. SUPERMAJORITY.
Subsections (c)(2) and (d)(3) of section 904 of the Congressional
Budget Act of 1974 are amended by inserting after ``301(i),'' the
following: ``301(j), 301(k), 311(a)(4),''.
SEC. 8. MEDICARE SURPLUS RESERVE.
Title III of the Congressional Budget Act of 1974 is amended by
adding at the end the following:
``medicare surplus reserve
``Sec. 316. (a) In General.--Subject to adjustment pursuant to
subsection (b), the amounts reserved for the Medicare surplus reserve
in each year are--
``(1) for fiscal year 2000, $0;
``(2) for fiscal year 2001, $3,000,000,000;
``(3) for fiscal year 2002, $26,000,000,000;
``(4) for fiscal year 2003, $15,000,000,000;
``(5) for fiscal year 2004, $21,000,000,000;
``(6) for fiscal year 2005, $35,000,000,000;
``(7) for fiscal year 2006, $63,000,000,000;
``(8) for fiscal year 2007, $68,000,000,000;
``(9) for fiscal year 2008, $72,000,000,000;
``(10) for fiscal year 2009, $73,000,000,000;
``(11) for fiscal year 2010, $70,000,000,000;
``(12) for fiscal year 2011, $73,000,000,000;
``(13) for fiscal year 2012, $70,000,000,000;
``(14) for fiscal year 2013, $66,000,000,000; and
``(15) for fiscal year 2014, $52,000,000,000.
``(b) Adjustment.--
``(1) In general.--The amounts in subsection (a) for each
fiscal year shall be adjusted in the budget resolution each
fiscal year through 2014 by a fixed percentage equal to the
adjustment required to those amounts sufficient to extend the
solvency of the Federal Hospital Insurance Trust Fund through
fiscal year 2027.
``(2) Limit based on total surplus.--The Medicare surplus
reserve, as adjusted by paragraph (1), shall not exceed the
total baseline surplus in any fiscal year.''.
SEC. 9. PAY-AS-YOU-GO AND DISCRETIONARY CAP EXTENSION.
(a) In General.--Notwithstanding any other provision of law,
sections 251 and 252 of the Balanced Budget and Emergency Deficit
Control Act of 1985 and section 202 of H. Con. Res. 67 (104th Congress)
shall be enforced until Congress enacts legislation that--
(1) ensures the long-term fiscal solvency of the Social
Security trust funds and extends the solvency of the Medicare
trust fund through fiscal year 2027; and
(2) includes a certification in that legislation that the
legislation complies with paragraph (1).
(b) Discretionary Cap Extension.--Section 251(c) of the Balanced
Budget and Emergency Deficit Control Act of 1985 is amended by adding
after paragraph (7) the following:
``(8) for each fiscal year after 2002, the current services
baseline based on the discretionary spending limit for fiscal
year 2002;''.
SEC. 10. ADJUSTMENT OF BUDGET LEVELS AND REPEAL.
(a) Adjustments.--Upon the enactment of this Act, the Chairmen of
the Committees on the Budget shall file with their Houses appropriately
revised budget aggregates, allocations, and levels (including
reconciliation levels) under the Congressional Budget Act of 1974 to
carry out this Act.
(b) Repeal.--Section 207 of H. Con. Res. 68 (106th Congress) is
repealed.
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