Prohibit changes to Medicare and Medicaid in reconciliation.

Summary

Prohibits budget reconciliation instructions from including recommendations that would change the Social Security old‑age program, Medicare (Title XVIII), or Medicaid (Title XIX). It amends the Congressional Budget Act to explicitly list those three programs as off‑limits for reconciliation recommendations. The change does not alter benefits or funding directly; rather, it changes how Congress may use the reconciliation process to revise these major entitlement programs. That makes it harder to change those programs through the fast-track reconciliation route and pushes such changes toward the regular legislative process.

• Amends the Congressional Budget Act to bar reconciliation recommendations that affect the old‑age program, Medicare, or Medicaid.
• Explicitly lists three protected programs: old‑age program, Medicare (Title XVIII), and Medicaid (Title XIX).
• Does not change benefits, eligibility, or funding levels directly; it changes the legislative pathway for making changes.
• Makes it harder to alter these entitlement programs through the fast‑track reconciliation process.
• Shifts potential changes to the regular legislative process, likely requiring broader support in the Senate.
• Is a narrow, procedural change to how budget recommendations are written and considered.
• Impacts Congress's budget committees and reconciliation planning more than federal program operations.
• Could protect beneficiaries from quick major changes enacted through reconciliation but would not prevent changes via ordinary legislation.