article: of Approval.--A joint resolution described in this paragraph means only a joint resolution which is introduced within the 10-day period beginning on the date on which the Commission submits recommendations under section 102(c) and-- (1) which does not have a preamble; (2) the matter after the resolving clause of which is as follows: ``That Congress approves the recommendations of the Independent Commission on Medicare concerning methods to control outlays under the medicare program for fiscal year ________, as submitted by the Commission on ______________.'', the first blank space being filled in with the appropriate fiscal year and the second blank space being filled in with the appropriate date; and (3) the title of which is as follows: ``Joint resolution approving recommendations of the Independent Commission on Medicare concerning methods to control outlays under the medicare program for fiscal year ________, as submitted by the Commission on ______________.'', the first blank space being filled in with the appropriate fiscal year and the second blank space being filled in with the appropriate date. (c) Procedures for Consideration of Resolution of Approval.-- Subject to subsection (d), the provisions of section 2908 (other than subsection (a)) of the Defense Base Closure and Realignment Act of 1990 shall apply to the consideration of a joint resolution described in subsection (b) in the same manner as such provisions apply to a joint resolution described in section 2908(a) of such Act. (d) Special Rules.--For purposes of applying subsection (c) with respect to such provisions-- (1) any reference to the Committee on Armed Services of the House of Representatives shall be deemed a reference to an appropriate committee of the House of Representatives (specified by the Speaker of the House of Representatives at the time of submission of recommendations under subsection (c)) and any reference to the Committee on Armed Services of the Senate shall be deemed a reference to an appropriate committee of the Senate (specified by the majority leader of the Senate at the time of submission of recommendations by the Commission under section 102(c)); and (2) any reference to the date on which the President transmits a report shall be deemed a reference to the date on which the Commission submits recommendations under section 102(c). SEC. 104. NO TERMINATION OF COMMISSION. Section 14(a)(2)(B) of the Federal Advisory Committee Act (5 U.S.C. App.; relating to the termination of advisory committees) shall not apply to the Commission. TITLE II--CONTROLLING OUTLAYS UNDER MEDICARE PROGRAM SEC. 201. ESTABLISHMENT OF ANNUAL LIMITS ON OUTLAYS. Not later than April 15 of each year (beginning with 1996), Congress shall in the concurrent resolution on the budget for the fiscal year beginning on the following October 1 establish a limit on total outlays to be made under the medicare program for the fiscal year. SEC. 202. ENFORCEMENT OF LIMITS THROUGH SEQUESTRATION. (a) In General.--Part C of the Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 900 et seq.) is amended by inserting after section 252 the following new section: ``SEC. 252A. SEQUESTRATION WITH RESPECT TO MEDICARE. ``(a) Sequestration.--If, with respect to a fiscal year (beginning with fiscal year 1997), Congress has not enacted a joint resolution under section 103(b) of the Commission to Save Medicare Act of 1995 before the first day of the fiscal year, there shall be a sequestration to eliminate any budgetary excess in the medicare program as described in subsection (b). ``(b) Eliminating a Budgetary Excess.-- ``(1) In general.--Outlays under the medicare program shall be reduced during a fiscal year as provided by paragraph (2), as necessary to eliminate any amount by which estimated outlays under the program in the year exceed the limit for such outlays established for the year by Congress pursuant to section 201 of the Commission to Save Medicare Act of 1995. ``(2) Reductions described.--In carrying out paragraph (1), the President shall-- ``(A) reduce payments made under the medicare program by a uniform percentage sufficient to reduce 50 percent of the amount described in paragraph (1); and ``(B) increase premiums, deductibles, copayments, and coinsurance required to be paid under the program by a uniform percentage sufficient to reduce 50 percent of the amount described in paragraph (1). ``(c) Part-Year Appropriations and OMB Estimates.--Paragraphs (4) and (7) of section 251(a) shall apply to sequestration of amounts under this section in the same manner as those paragraphs apply to discretionary appropriations and sequestrations under that section. ``(d) Coordination With Other Sequestration.-- ``(1) In general.--Reductions under subsection (b) for a fiscal year shall supersede any reduction otherwise made under section 252 or 253. ``(2) Reports.--On the dates specified in section 254(a), OMB and CBO shall issue preview, update, and final reports on medicare sequestration under this section. Such reports shall specify-- ``(A) the estimated amount described in subsection (b)(1) for the fiscal year; ``(B) the estimated uniform percentage described in subsection (b)(2)(A) of the fiscal year; and ``(C) the estimated uniform percentage described in subsection (b)(2)(B) of the fiscal year. ``(3) Rules for application of reductions.--The provisions of section 256(d) shall apply to reductions under this section.''. (b) Clerical Amendment.--The table of contents for part C of the Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 900 et seq.) is amended by inserting after the item relating to section 252 the following: ``Sec. 252A. Sequestration with respect to medicare.''.
summary: TABLE OF CONTENTS: Title I: Independent Commission on Medicare Title II: Controlling Outlays Under Medicare Program Commission to Save Medicare Act of 1995 - Title I: Independent Commission on Medicare - Establishes the Independent Commission on Medicare to: (1) report to the Congress and the President during December of each year on certain aspects of the Medicare program under title XVIII of the Social Security Act involving projected outlays and benefits; and (2) report to the Congress during July of each year specific recommendations on certain changes to ensure that total program outlays for the fiscal year involved do not exceed specified limits. Precludes such recommendations from including changes relating to the payment of payroll taxes for financing the program. Provides procedures for expedited congressional consideration of recommendations. Title II: Controlling Outlays Under Medicare Program - Provides that Congress, not later than April 15 of each year, shall, in the concurrent resolution on the budget for the following fiscal year, establish a limit on total outlays to be made under the Medicare program for the fiscal year involved. Provides for the enforcement of such limits through sequestration under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act).