
Text of Senate Amendment 280 Congressional Record, Volume 171 Issue 34 (Thursday, February 20, 2025) [Congressional Record Volume 171, Number 34 (Thursday, February 20, 2025)] [Senate] [Page S1170] From the Congressional Record Online through the Government Publishing Office [ www.gpo.gov ] SA 280. Ms. BALDWIN submitted an amendment intended to be proposed by her to the concurrent resolution S. Con. Res. 7, setting forth the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034; which was ordered to lie on the table; as follows: At the appropriate place in title IV, add the following: SEC. ___. POINT OF ORDER AGAINST LEGISLATION THAT WOULD DECREASE ACCESS TO CARE FOR RURAL AMERICANS THROUGH CHANGES TO MEDICAID OR CHIP. (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 that would make changes to the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) or the Children's Health Insurance Program under title XXI of such Act (42 U.S.C. 1397aa et. Seq.) unless the Congressional Budget Office certifies that such changes would not result in lower coverage rates, reduced benefits, or decreased affordability for individuals residing in rural communities receiving coverage through the Medicaid program or the Children's Health Insurance Program and that the bill, joint resolution, motion, amendment, amendment between the Houses, or conference report would not increase the likelihood of the closure of rural hospitals, clinics, or other healthcare facilities serving rural communities. (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). ______