On the recordMarch 22, 2013
I ask to call up amendment No. 409. The PRESIDING OFFICER. The clerk will report the amendment. The legislative clerk read as follows: The Senator from Oklahoma [Mr. Coburn], for himself and Mrs. McCaskill, and Ms. Baldwin, proposes an amendment numbered 409. The amendment is as follows: (Purpose: To establish a deficit-neutral reserve fund to sunset the provision of Patient Protection and Affordable Care Act that increases payments to hospitals in a few States by reducing payments to the majority of States through the Medicare hospital wage index) At the appropriate place, add the following: SEC. 3__. DEFICIT-NEUTRAL RESERVE FUND TO REQUIRE STATE-WIDE BUDGET NEUTRALITY IN THE CALCULATION OF THE MEDICARE HOSPITAL WAGE INDEX FLOOR. The Chairman of the Committee on the Budget of the Senate may revise the allocations of a committee or committees, aggregates, and other appropriate levels in this resolution for one or more bills, joint resolutions, amendments, motions, or conference reports that would adjust Medicare outlays, by the amounts provided in such legislation for those purposes, provided that such legislation would not increase the deficit over either the period of the total of fiscal years 2013 through 2018 or the period of the total of fiscal years 2013 through 2023.
