,,ii  #aae? ,,congress  #b;d ,session   
,s4 #cccj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #a1 #bjah ,ms4  
,hirono 7= h]self1 ,mr4 ,re$1 ,mr4      
,br[n1 ,mr4 ,nelson1 ,ms4 ,hassan1 ,mrs4
 ,%ahe51 ,ms4 ,h>ris1 ,mr4 ,jones1 ,mr4 
,m]kley1 ,mrs4 ,mc,caskill1 ,ms4        
,baldw91 ,ms4 ,duckwor?1 & ,mr4 ,c>p]7  
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on !     
,budget  ,a ,,bill  ,to protect !       
,m$ic>e & ,m$icaid programs ) respect to
 c]ta9 *anges 9 reconciliation          
legislation4  #a4 ,%ort title  ,?is ,act
 may be cit$ z ! ,m$ic>e & ,m$icaid     
,protection ,act ( #bjah4  #b4 ,f9d+s   
,congress f9ds ! foll[+3 7#a7 ,congress 
enact$ ,m$ic>e 9 #aife to address       
conc]ns t ab\t half ( ! s5iors 9 !      
,unit$ ,/ates lack$ heal? insurance4 ,"u
 ,m$ic>e1 ! un9sur$ rate = s5iors has   
dropp$ to j #b p]c5t & ! life expectancy
 at age #fe has increas$ by #ae p]c5t4  
7#b7 ,today1 ,m$ic>e provides af=dable  
heal? cov]age to approximately #a out ( 

#f individuals 9 ! ,unit$ ,/ates 7ab\t  
#eh1jjj1jjj 9 #bjag71 ma9ly p age #fe & 
old] & o!r adults ) p]man5t             
disabilities4  7#c7 ,congress enact$    
,m$icaid to provide m$ical assi/ance to 
eligible individuals ^: income &        
res\rces are insuffici5t to meet ! co/s 
( necess>y m$ical s]vices4  7#d7        
,approximately #fg1jjj1jjj *ildr51      
s5iors1 individuals ) disabilities1     
pregnant wom51 & l[-income adults 9 !   
,unit$ ,/ates rely on ,m$icaid =        
af=dable heal? c>e4  7#e7 ,individuals 9
 ! ,unit$ ,/ates :o are un9sur$ are     
ne>ly twice z likely to live 9 pov]ty z 
^? :o h heal? insurance1 mak+ ,m$ic>e & 
,m$icaid important tools = emp[]+       
,am]icans to economic success4  #c4     
,po9t ( ord] aga9/ privatiz+ m$ic>e1    
limit+ ,f$]al fund+ = m$icaid1 or       
decreas+ b5efits 9 m$ic>e or m$icaid 9  
reconciliation legislation ,section #caj
 ( ! ,congressional ,budget ,act ( #aigd
 7#b ,u4,s4,c4 #fda7 is am5d$ by add+ at
 ! end ! foll[+3  7h7 ,po9t ( ord]      

prohibit+ c]ta9 *anges to ! ,m$ic>e &   
,m$icaid programs 9 ,reconciliation     
,legislation  7#a7 ,9 g5]al ,x %all n be
 9 ord] 9 ! ,s5ate to consid] any       
reconciliation bill or reconciliation   
resolution report$ pursuant to a        
concurr5t resolution on ! budget agre$  
to "u section #cja or #cjd1 or a jo9t   
resolution pursuant to section #beh;,c (
 ! ,balanc$ ,budget & ,em]g5cy ,deficit 
,control ,act ( #aihe1 or any am5dm5t   
!reto or conf]5ce report !reon1 t w\ld--
  7,a7 increase ! eligibility age "u !  
,m$ic>e program "u title ,,xviii ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq472  7,b7 privatize or turn 
! ,m$ic>e program into a v\*] sy/em2    
7,c7 block grant ! ,m$icaid program "u  
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq471 impose p]
 capita sp5d+ caps on ,/ate plans "u su*
 title1 or decrease cov]age "u su*      
program f curr5t levels2 or  7,d7 r$uce 
or elim9ate ! ability ( ,/ates to       
provide compreh5sive & af=dable heal?   

cov]age ?r\gh m$ical assi/ance to       
l[-income1 non-eld]ly individuals z     
e/abli%$ "u section                     
#aijb7;a77#aj77;,a77i77,,viii7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77#aj77;,a77i77,,viii774  7#b7 
,waiv] & appeal  7,a7 ,waiv] ,p>agraph  
7#a7 may be waiv$ or susp5d$ 9 ! ,s5ate 
only by an affirmative vote ( ?ree-fif?s
 ( ! ,memb]s1 duly *os5 & sworn4  7,b7  
,appeals ,an affirmative vote (         
?ree-fif?s ( ! ,memb]s ( ! ,s5ate1 duly 
*os5 & sworn1 %all be requir$ to su/a9  
an appeal ( ! rul+ ( ! ,*air on a po9t (
 ord] rais$ "u p>agraph 7#a7 & debate on
 su* an appeal %all be limit$ to #a h\r1
 to be equally divid$ betwe51 &         
controll$ by ! appellant & ! manag] ( ! 
reconciliation bill1 reconciliation     
resolution1 or jo9t resolution describ$ 
9 p>agraph 7#a71 z ! case may be4  4