SAMDT 2177 — To establish a deficit-neutral reserve fund relating to access to health care, which may include legislation preventing reductions in funding for Medicaid that could lead to benefit cuts, coverage loss, or slashed provider payments.

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 5, 2025

“Amendment SA 2177 not agreed to in Senate by Yea-Nay Vote. 48 - 51. Record Vote Number: 188.”

what this changes

This amendment tried to create a special procedural placeholder in the federal budget to protect Medicaid funding. It aimed to make it easier for Congress to pass future laws that prevent cuts to health care benefits, coverage, or payments to doctors who treat Medicaid patients.

WHY IT MATTERS

Medicaid is a major source of health coverage for millions of Americans. This amendment was an attempt to set a clear policy goal of preventing cuts to those benefits during the upcoming budget cycle.

WHO IS AFFECTED

Low-income families, seniors in nursing homes, and people with disabilities who rely on Medicaid would have been the primary focus of the protections this amendment sought to enable.

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

Medicaid Protections

The amendment specifically targeted preventing reductions in funding that could lead to people losing their health insurance or seeing their benefits cut.

low

Procedural 'Reserve Fund'

Reserve funds are used in budget resolutions to signal priorities and create a 'fast track' for certain types of legislation later in the year.

low

Deficit Neutrality

The rule required that any future health care laws using this fund could not increase the total federal deficit.

GLOSSARY

Deficit-neutral reserve fund: A procedural tool in a budget resolution that allows for future legislation on a specific topic as long as that legislation does not increase the overall deficit.
Medicaid: A joint federal and state program that provides health coverage to some low-income people, families and children, pregnant women, the elderly, and people with disabilities.
Budget Resolution: An annual framework used by Congress to set spending limits and tax goals, which does not go to the President for signature and does not have the force of law.

Official sources

SAMDT 2177 on Congress.gov

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

ACTION TIMELINE

7 EVENTS

APR 5, 25

Amendment SA 2177 not agreed to in Senate by Yea-Nay Vote. 48 - 51. Record Vote Number: 188.

FLOOR

APR 5, 25

Amendment SA 2177 proposed by Senator Warnock to Amendment SA 1717. (consideration: CR S2358) To establish a deficit-neutral reserve fund relating to access to health care, which may include legislation preventing reductions in funding for Medicaid that could lead to benefit cuts, coverage loss, or slashed provide payments.

FLOOR

APR 5, 25

Senate amendment proposed (on the floor): Amendment SA 2177 proposed by Senator Warnock to Amendment SA 1717.

FLOOR

APR 5, 25

Roll call votes on amendments in Senate: Amendment SA 2177 not agreed to in Senate by Yea-Nay Vote. 48 - 51. Record Vote Number: 188.

FLOOR

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To establish a deficit-neutral reserve fund relating to access to health care, which may include legislation preventing reductions in funding for Medicaid that could lead to benefit cuts, coverage loss, or slashed provider payments.

AMENDS

SUMMARY

KEY POINTS

SPONSORSHIP

ACTION TIMELINE

AMENDMENT INFO

READER REACTIONS

Discussion

To establish a deficit-neutral reserve fund relating to access to health care, which may include legislation preventing reductions in funding for Medicaid that could lead to benefit cuts, coverage loss, or slashed provider payments.

AMENDS

AMENDMENT PROGRESS