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Adds a new subsection (h) prohibiting consideration of reconciliation bills/resolutions that reduce Medicaid enrollment or benefits under title XIX or reduce eligibility or benefits for households participating in the supplemental nutrition assistance program, and adds subsection (i) providing that subsection (h) expires on January 20, 2029.
Amends section 313(b)(1) of the Congressional Budget Act (2 U.S.C. 644) by striking the period at the end and inserting text as specified by the amendment (conforming amendment).
Blocks the use of the budget reconciliation process to approve legislation or amendments that would reduce Medicaid enrollment or benefits or cut eligibility or benefits for households receiving SNAP. The rule is added to the Congressional Budget Act and lasts until January 20, 2029. It also includes a brief conforming amendment to update an existing Budget Act provision.
Add a new subsection (h) to section 310 of the Congressional Budget Act of 1974 creating a limitation on what may be considered under reconciliation procedures: it makes it "not in order" in the House or Senate to consider certain reconciliation bills, resolutions, amendments, or conference reports that meet the prohibited criteria below.
Prohibits consideration under reconciliation of any bill, resolution, amendment, or conference report that reduces enrollment or benefits for individuals enrolled in the Medicaid program under title XIX of the Social Security Act.
Prohibits consideration under reconciliation of any bill, resolution, amendment, or conference report that reduces eligibility or benefits for households that participate in the Supplemental Nutrition Assistance Program (SNAP) under the Food and Nutrition Act of 2008.
Establishes that the new limitation in subsection (h) will expire on January 20, 2029.
Conforming amendment to section 313(b)(1) of the Congressional Budget Act of 1974: section 313(b)(1) (2 U.S.C. 644) is amended by striking the period at the end and inserting (text as provided).
Who is affected and how:
Medicaid and SNAP recipients: The provision protects enrolled individuals and households from having benefits or eligibility reduced through the reconciliation process while the rule is in effect. This reduces the immediate risk that a reconciliation package could cut those programs.
State governments: States that administer Medicaid and share program costs with the federal government gain a temporary procedural safeguard against federal cuts enacted via reconciliation; this reduces short-term fiscal uncertainty tied specifically to reconciliation action.
Members of Congress and congressional leaders: The rule constrains the options legislative drafters and budget negotiators can use during the rule's term. Lawmakers who seek to change Medicaid or SNAP will need to use alternative legislative vehicles, which may require regular order and broader Senate support.
Budget and appropriations committees / congressional process: Committees and staff will need to adjust drafting and strategy for budget legislation, since reconciliation may no longer be used for specified reductions.
Federal agencies administering Medicaid and SNAP: No direct change to program rules or operations, but agencies may see different legislative proposals or timelines for any proposed program changes.
Advocacy groups and stakeholders: Organizations focused on health care access, food security, and low-income support will be affected politically — the rule shapes advocacy strategies by limiting reconciliation as a route to cut benefits.
Broader effects and limitations:
Referred to the Committee on Rules, and in addition to the Committee on the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced April 9, 2025 by Brendan Francis Boyle · Last progress April 9, 2025
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Providing for consideration of the bill (H.R. 185) to advance responsible policies.
Referred to the Committee on Rules, and in addition to the Committee on the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House