SAMDT 1645 — To establish a deficit-neutral reserve fund relating to preventing reduction in enrollment or benefits for individuals enrolled in Medicaid, including seniors, children, families, individuals with disabilities, veterans, and military families.

AMENDS

HCONRES 14 — Establishing 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.

RESOLVING DIFFERENCES

AMENDMENT PROGRESS

STEP 3 OF 3

Proposed

Considered

Disposed

Proposed
Considered
Disposed

DISPOSITION

FAILED

APR 4, 2025

“Amendment SA 1645 not agreed to in Senate by Yea-Nay Vote. 48 - 51. Record Vote Number: 172.”

what this changes

This amendment aimed to set aside a special budget category to ensure that Medicaid benefits and enrollment for seniors, children, and people with disabilities wouldn't be cut in future legislation. Since the amendment failed, this specific protection was not added to the government's broad financial plan.

WHY IT MATTERS

Medicaid is a major source of health coverage for millions of Americans. While a budget resolution doesn't directly change benefits, it sets the rules for how easily future laws can expand or cut those programs. Failing to include this protection makes it procedurally easier for future budget-cutting laws to include Medicaid reductions.

WHO IS AFFECTED

This primarily concerns individuals enrolled in Medicaid, specifically seniors, children, people with disabilities, veterans, and military families who rely on the program for healthcare.

AMENDS

HCONRES 14RESOLVING DIFFERENCES

Establishing 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.

OTHER AMENDMENTS TO THIS BILL

KEY POINTS

low

Created a procedural safeguard

A reserve fund allows the Budget Committee to adjust spending limits later if specific legislation (like protecting Medicaid) is introduced.

low

Targeted specific vulnerable groups

The amendment specifically named seniors, children, and veterans to prioritize their access to healthcare services.

low

Required deficit neutrality

The fund would only have been usable if the resulting legislation did not increase the overall federal deficit.

GLOSSARY

deficit-neutral reserve fund: A placeholder in a budget resolution that allows Congress to pass future laws on a specific topic as long as those laws don't increase the total deficit.
Medicaid: A joint federal and state program that helps with medical costs for people with limited income and resources.

Official sources

SAMDT 1645 on Congress.gov

This analysis used: Amendment purpose · Latest action · Amended bill: summary

ACTION TIMELINE

7 EVENTS

APR 4, 25

Amendment SA 1645 not agreed to in Senate by Yea-Nay Vote. 48 - 51. Record Vote Number: 172.

FLOOR

APR 4, 25

Amendment SA 1645 proposed by Senator Reed to Amendment SA 1717. (consideration: CR S2344-2345) To establish a deficit-neutral reserve fund relating to preventing reduction in enrollment or benefits for individuals enrolled in Medicaid, including seniors, children, families, individuals with disabilities, veterans, and military families.

FLOOR

APR 4, 25

Senate amendment proposed (on the floor): Amendment SA 1645 proposed by Senator Reed to Amendment SA 1717.

FLOOR

APR 4, 25

Senate amendment not agreed to: Amendment SA 1645 not agreed to in Senate by Yea-Nay Vote. 48 - 51. Record Vote Number: 172.

FLOOR

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To establish a deficit-neutral reserve fund relating to preventing reduction in enrollment or benefits for individuals enrolled in Medicaid, including seniors, children, families, individuals with disabilities, veterans, and military families.

AMENDS

SUMMARY

KEY POINTS

SPONSORSHIP

ACTION TIMELINE

AMENDMENT INFO

READER REACTIONS

Discussion

To establish a deficit-neutral reserve fund relating to preventing reduction in enrollment or benefits for individuals enrolled in Medicaid, including seniors, children, families, individuals with disabilities, veterans, and military families.

AMENDS

AMENDMENT PROGRESS