text: 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.''.
target: 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).
feat_title: Commission to Save Medicare Act of 1995