To provide for the reform of health care, the Social Security system, the tax code for individuals and business, and the budget process.

Summary: Roadmap for America's Future Act of 2008 - Amends the Internal Revenue Code to allow a refundable tax credit for health insurance coverage.

Amends the Public Health Service Act to apply the laws of a health insurance issuer's primary state to individual health insurance coverage offered by the issuer in a secondary state.

Amends the Employee Retirement Income Security Act of 1974 to set forth rules governing association health plans.

Establishes the Health Care Services Commission to enhance health care services and access to them, and the Office of the Forum for Quality and Effectiveness in Health Care.

Terminates the Agency for Healthcare Research and Quality.

Independent Health Record Trust Act of 2008 - Directs the Federal Trade Commission to prescribe standards for independent health record trusts (IHRTs) in a nationwide health information technology network.

Revises title XIX (Medicaid) of the Social Security Act (SSA) to: (2) require states to elect either a block grant for acute care services or implement a refundable tax credit for the Medicaid population for such services; (2) phase-out disproportionate share hospital (DSH) payments; and (3) establish a block grant to states for long-term care services.

Abolishes SSA title XXI (State Children's Health Insurance Program) (SCHIP), effective January 1, 2010.

Amends SSA title XVIII (Medicare) to create a program for new beneficiaries beginning in 2019, increasing the Medicare eligibility age to 65, and making an income-related reduction in the part D (Voluntary Prescription Drug Benefit Program) premium subsidy.

Social Security Personal Savings Guarantee and Prosperity Act of 2008 - Amends SSA title II (Old Age, Survivors and Disability Insurance) (OASDI) to establish a Personal Social Security Savings Program, under which participating individuals will have their Social Security contributions directed to personal Social Security savings accounts. Establishes a Self-Liquidating Social Security Transition Fund.

Amends the Internal Revenue Code to exempt certain account investments from taxation.



Provides for the creation of a Social Security Lockbox Budget.

Revises part A benefits.

Provides for phase-in of normal retirement age to 67 by 2021.

Taxpayer Choice Act of 2008 - Amends the Internal Revenue Code to: (1) repeal the alternative minimum tax on individual taxpayers after 2006; and (2) allow taxpayers to elect an alternative income tax system without tax credits.

Makes permanent the capital gains and dividends rate reductions enacted by the Jobs and Growth Tax Relief Reconciliation Act of 2001.

Excludes from gross income net capital gains, qualified dividends, and interest.

Repeals estate and gift taxes.

Competitive American Business Tax - Amends the Internal Revenue Code to: (1) repeal the corporate income tax; and (2) impose a tax on the sale of property in the United States, the performance of services in the United States, and the importing of property into the United States by a taxable person in a transaction engaged in by a corporation or any other person (other than a corporation) in connection with a business.

Allows as a credit against such tax any tax paid by sellers to the taxpayer of property and services which the taxpayer uses in the business to which the transaction relates.

Exempts certain organizations and transactions from such new tax.

Budget Control Act of 2008 - Establishes a mechanism for issuance by the President and the Office of Management and Budget (OMB) of spending reduction orders. Exempts Social Security benefits and obligated balances from such orders. Provides for suspension of such mechanism in the event of war or low-growth.

Authorizes the majority leader of either House of Congress to introduce a joint resolution to direct the President to modify a final spending reduction order or provide an alternative to eliminate the spending excess for a fiscal year.

Amends the Congressional Budget Act to make it out of order for the House or Senate to consider any legislation that would cause: (1) an excess spending amount; or (2) aggregate federal revenue levels exceeding a specified percentage of revenue relative to the Gross Domestic Product, unless so determined by a vote of at least three-fifths of the Members voting, a quorum being present.

.--At any time after the 
Director of OMB issues a final order for a fiscal year, but before the 
end of the session of Congress in session on the date of the issuance 
of such order, the majority leader of the House of Representatives may 
introduce a joint resolution which contains provisions directing the 
President to modify the most recent final order issued pursuant to this 
title, or provide an alternative to eliminate the spending excess for 
such fiscal year or years. After the introduction of the first such 
joint resolution in either House of Congress in any calendar year, then 
no other joint resolution introduced pursuant to this section shall be 
subject to the procedures set forth in this section.
    (b) Procedures for Consideration of Joint Resolutions.--
            (1) Any committee of the House of Representatives to which 
        an alternative spending compliance measure is referred shall 
        report it to the House without amendment not later than the 
        seventh legislative day after the date of its introduction. If 
        a committee fails to report the bill within that period or the 
        House has adopted a concurrent resolution providing for 
        adjournment sine die at the end of a Congress, it shall be in 
        order to move that the House discharge the committee from 
        further consideration of the bill. Such a motion shall be in 
        order only at a time designated by the Speaker in the 
        legislative schedule within two legislative days after the day 
        on which the proponent announces his intention to offer the 
        motion. Such a motion shall not be in order after a committee 
        has reported a spending compliance measure with respect to that 
        special message or after the House has disposed of a motion to 
        discharge with respect to that special message. The previous 
        question shall be considered as ordered on the motion to its 
        adoption without intervening motion except twenty minutes of 
        debate equally divided and controlled by the proponent and an 
        opponent. If such a motion is adopted, the House shall proceed 
        immediately to consider the spending compliance measure bill in 
        accordance with paragraph (3). A motion to reconsider the vote 
        by which the motion is disposed of shall not be in order.
            (2) After a spending compliance measure is reported or a 
        committee has been discharged from further consideration, or 
        the House has adopted a concurrent resolution providing for 
        adjournment sine die at the end of a Congress, it shall be in 
        order to move to proceed to consider the spending compliance 
        measure in the House. Such a motion shall be in order only at a 
        time designated by the Speaker in the legislative schedule 
        within two legislative days after the day on which the 
        proponent announces his intention to offer the motion. Such a 
        motion shall not be in order after the House has disposed of a 
        motion to proceed with respect to that special message. The 
        previous question shall be considered as ordered on the motion 
        to its adoption without intervening motion. A motion to 
        reconsider the vote by which the motion is disposed of shall 
        not be in order.
            (3) The spending compliance measure shall be considered as 
        read. All points of order against an approval bill and against 
        its consideration are waived. The previous question shall be 
        considered as ordered on an approval bill to its passage 
        without intervening motion except five hours of debate equally 
        divided and controlled by the proponent and an opponent and one 
        motion to limit debate on the bill. A motion to reconsider the 
        vote on passage of the bill shall not be in order.
            (4) A spending compliance measure received from the Senate 
        shall not be referred to committee.
    (c) Voting.--The vote on final passage of a joint resolution or 
conference report thereon referred to in paragraph (1) shall require 
approval of not less than three-fifths of the Members of the House of 
Representatives.

SEC. 709. ALTERNATE SPENDING REDUCTION LEGISLATION IN THE SENATE.

    (a) Introduction of Joint Resolution.--At any time after OMB issues 
a final order for a fiscal year, but before the end of the session of 
Congress in session on the date of the issuance of such order, the 
majority leader of either House of Congress may introduce a joint 
resolution which contains provisions directing the President to modify 
the most recent final order provide an alternative to eliminate the 
spending excess for such fiscal year or years. After the introduction 
of the first such joint resolution in either House of Congress in any 
calendar year, then no other joint resolution introduced in such House 
in such calendar year shall be subject to the procedures set forth in 
this section.
    (b) Procedures for Consideration of Joint Resolutions.--
            (1) Referral to committee.--A joint resolution introduced 
        in the Senate under subsection (a) shall not be referred to a 
        committee of the Senate and shall be placed on the calendar 
        pending disposition of such joint resolution in accordance with 
        this subsection.
            (2) Consideration in the senate.--On or after the third 
        calendar day (excluding Saturdays, Sundays, and legal holidays) 
        beginning after a joint resolution is introduced under 
        subsection (a), notwithstanding any rule or precedent of the 
        Senate, including rule XXII of the Standing Rules of the 
        Senate, it is in order (even though a previous motion to the 
        same effect has been disagreed to) for any Member of the Senate 
        to move to proceed to the consideration of the joint 
        resolution. The motion is not in order after the eighth 
        calendar day (excluding Saturdays, Sundays, and legal holidays) 
        beginning after a joint resolution (to which the motion 
        applies) is introduced. The joint resolution is privileged in 
        the Senate. A motion to reconsider the vote by which the motion 
        is agreed to or disagreed to shall not be in order. If a motion 
        to proceed to the consideration of the joint resolution is 
        agreed to, the Senate shall immediately proceed to 
        consideration of the joint resolution without intervening 
        motion, order, or other business, and the joint resolution 
        shall remain the unfinished business of the Senate until 
        disposed of.
            (3) Debate in the senate.--
                    (A) In the Senate, debate on a joint resolution 
                introduced under subsection (a), amendments thereto, 
                and all debatable motions and appeals in connection 
                therewith shall be limited to not more than 10 hours, 
                which shall be divided equally between the majority 
                leader and the minority leader (or their designees).
                    (B) A motion to postpone, or a motion to proceed to 
                the consideration of other business is not in order. A 
                motion to reconsider the vote by which the joint 
                resolution is agreed to or disagreed to is not in 
                order, and a motion to recommit the joint resolution is 
                not in order.
                    (C)(i) No amendment that is not germane to the 
                provisions of the joint resolution shall be in order in 
                the Senate. In the Senate, an amendment, any amendment 
                to an amendment, or any debatable motion or appeal is 
                debatable for not to exceed 30 minutes to be equally 
                divided between, and controlled by, the mover and the 
                majority leader (or their designees), except that in 
                the event that the majority leader favors the 
                amendment, motion, or appeal, the minority leader (or 
                the minority leader's designee) shall control the time 
                in opposition to the amendment, motion, or appeal.
                    (ii) In the Senate, an amendment that is otherwise 
                in order shall be in order notwithstanding the fact 
                that it amends the joint resolution in more than one 
                place or amends language previously amended. It shall 
                not be in order in the Senate to vote on the question 
                of agreeing to such a joint resolution or any amendment 
                thereto unless the figures then contained in such joint 
                resolution or amendment are mathematically consistent.
            (4) Vote on final passage.--Immediately following the 
        conclusion of the debate on a joint resolution introduced under 
        subsection (a), a single quorum call at the conclusion of the 
        debate if requested in accordance with the rules of the Senate, 
        and the disposition of any pending amendments under paragraph 
        (3), the vote on final passage of the joint resolution shall 
        occur.
            (5) Appeals.--Appeals from the decisions of the Chair shall 
        be decided without debate.
            (6) Conference reports.--In the Senate, points of order 
        under titles III and IV of the Congressional Budget Act of 1974 
        are applicable to a conference report on the joint resolution 
        or any amendments in disagreement thereto.
            (7) Resolution from other house.--If, before the passage by 
        the Senate of a joint resolution of the Senate introduced under 
        subsection (a), the Senate receives from the House of 
        Representatives a joint resolution introduced under subsection 
        (a), then the following procedures shall apply:
                    (A) The joint resolution of the House of 
                Representatives shall not be referred to a committee 
                and shall be placed on the calendar.
                    (B) With respect to a joint resolution introduced 
                under subsection (a) in the Senate--
                            (i) the procedure in the Senate shall be 
                        the same as if no joint resolution had been 
                        received from the House; but
                            (ii)(I) the vote on final passage shall be 
                        on the joint resolution of the House if it is 
                        identical to the joint resolution then pending 
                        for passage in the Senate; or
                            (II) if the joint resolution from the House 
                        is not identical to the joint resolution then 
                        pending for passage in the Senate and the 
                        Senate then passes the Senate joint resolution, 
                        the Senate shall be considered to have passed 
                        the House joint resolution as amended by the 
                        text of the Senate joint resolution.
                    (C) Upon disposition of the joint resolution 
                received from the House, it shall no longer be in order 
                to consider the resolution originated in the Senate.
            (8) Senate action on house resolution.--If the Senate 
        receives from the House of Representatives a joint resolution 
        introduced pursuant to this section after the Senate has 
        disposed of a Senate originated resolution which is identical 
        to the House passed joint resolution, the action of the Senate 
        with regard to the disposition of the Senate originated joint 
        resolution shall be deemed to be the action of the Senate with 
        regard to the House originated joint resolution. If it is not 
        identical to the House passed joint resolution, then the Senate 
        shall be considered to have passed the joint resolution of the 
        House as amended by the text of the Senate joint resolution.
            (9) The vote on final passage of a joint resolution or 
        conference report thereon referred to in paragraph (1) shall 
        require approval of not less than three-fifths of the Members 
        of the Senate.

SEC. 710. GENERAL PROVISIONS.

    (a) Low Growth Report.--OMB and CBO shall notify the Congress if--
            (1) during the period consisting of the quarter during 
        which such notification is given, the quarter preceding such 
        notification, and the 4 quarters following such notification, 
        OMB or CBO has determined that real economic growth is 
        projected or estimated to be less than zero with respect to 
        each of any 2 consecutive quarters within such period; or
            (2) the most recent of the Department of Commerce's advance 
        preliminary or final reports of actual real economic growth 
        indicate that the rate of real economic growth for each of the 
        most recently reported quarter and the immediately preceding 
        quarter is less than one percent.
    (b) Economic and Technical Assumptions.--For all purposes of this 
title, OMB shall use the same economic and technical assumptions as 
used in the most recent budget submitted under section 1105(a) of title 
31, United States Code.
    (c) Social Security Trustee Report.--The Trustees of the Social 
Security Administration shall annually issue a report consistent with 
section 708(c) and OMB shall include such report in a final order and a 
preview order.
    (d) Congressional Spending Limit.--(1) The Congressional Budget and 
Impoundment Control Act of 1974 is amended by adding at the end of 
title III the following new section:

``SEC. 316 AGGREGATE SPENDING LIMITS.

    ``It shall not be in order in the House of Representatives or the 
Senate to consider any bill, joint resolution, amendment, motion, or 
conference report that would cause an excess spending amount, as 
defined in section 701(c)(16) of the Budget Control Act of 2008.''.
    (2) The table of contents set forth in section 1(b) of the 
Congressional Budget and Impoundment Control Act of 1974 is amended by 
inserting after the item relating to section 315 the following new 
item:

``Sec. 316. Aggregate spending limits.''.
    (e) Congressional Revenue Limits.--(1) The Congressional Budget Act 
of 1974 (as amended by subsection (d)) is further amended by adding at 
the end of title III the following new section:

``SEC. 317. TAX RATE LIMITS.

    ``It shall not be in order in the House of Representatives or the 
Senate to consider any bill, joint resolution, amendment, motion, or 
conference report that would cause aggregate Federal revenue levels, in 
any fiscal year, to exceed the percentage of revenue relative to the 
Gross Domestic Product set forth in subsection (b) unless so determined 
by a vote of not less than three-fifths of the Members voting, a quorum 
being present.''.
    (2) The table of contents set forth in section 1(b) of the 
Congressional Budget and Impoundment Control Act of 1974 is amended by 
inserting after the item relating to section 316 the following new 
item:

``Sec. 317. Tax rate limits.''.
    (f) Fiscal Years of the Guideline Period.--The fiscal years within 
the 75-year period referred to as a guideline period in this title 
shall be as follows:
            (1) Fiscal year 2009: 19.9 percent.
            (2) Fiscal year 2010: 19.8 percent.
            (3) Fiscal year 2011: 20.0 percent.
            (4) Fiscal year 2012: 20.1 percent.
            (5) Fiscal year 2013: 20.2 percent.
            (6) Fiscal year 2014: 20.1 percent.
            (7) Fiscal year 2015: 20.1 percent.
            (8) Fiscal year 2016: 20.2 percent.
            (9) Fiscal year 2017: 20.3 percent.
            (10) Fiscal year 2018: 20.4 percent.
            (11) Fiscal year 2019: 20.5 percent.
            (12) Fiscal year 2020: 20.7 percent.
            (13) Fiscal year 2021: 21.5 percent.
            (14) Fiscal year 2022: 21.7 percent.
            (15) Fiscal year 2023: 22.0 percent.
            (16) Fiscal year 2024: 22.3 percent.
            (17) Fiscal year 2025: 22.5 percent.
            (18) Fiscal year 2026: 22.3 percent.
            (19) Fiscal year 2027: 22.6 percent.
            (20) Fiscal year 2028: 22.9 percent.
            (21) Fiscal year 2029: 23.1 percent.
            (22) Fiscal year 2030: 23.2 percent.
            (23) Fiscal year 2031: 23.9 percent.
            (24) Fiscal year 2032: 23.9 percent.
            (25) Fiscal year 2033: 23.9 percent.
            (26) Fiscal year 2034: 23.9 percent.
            (27) Fiscal year 2035: 24.0 percent.
            (28) Fiscal year 2036: 24.2 percent.
            (29) Fiscal year 2037: 24.2 percent.
            (30) Fiscal year 2038: 24.3 percent.
            (31) Fiscal year 2039: 24.1 percent.
            (32) Fiscal year 2040: 24.1 percent.
            (33) Fiscal year 2041: 24.7 percent.
            (34) Fiscal year 2042: 24.5 percent.
            (35) Fiscal year 2043: 24.5 percent.
            (36) Fiscal year 2044: 24.4 percent.
            (37) Fiscal year 2045: 24.3 percent.
            (38) Fiscal year 2046: 24.2 percent.
            (39) Fiscal year 2047: 24.2 percent.
            (40) Fiscal year 2048: 24.0 percent.
            (41) Fiscal year 2049: 24.0 percent.
            (42) Fiscal year 2050: 24.0 percent.
            (43) Fiscal year 2051: 23.8 percent.
            (44) Fiscal year 2052: 23.6 percent.
            (45) Fiscal year 2053: 23.4 percent.
            (46) Fiscal year 2054: 23.3 percent.
            (47) Fiscal year 2055: 23.2 percent.
            (48) Fiscal year 2056: 23.0 percent.
            (49) Fiscal year 2057: 22.9 percent.
            (50) Fiscal year 2058: 22.7 percent.
            (51) Fiscal year 2059: 22.7 percent.
            (52) Fiscal year 2060: 22.4 percent.
            (53) Fiscal year 2061: 22.2 percent.
            (54) Fiscal year 2062: 22.0 percent.
            (55) Fiscal year 2063: 21.8 percent.
            (56) Fiscal year 2064: 21.7 percent.
            (57) Fiscal year 2065: 21.5 percent.
            (58) Fiscal year 2066: 21.2 percent.
            (59) Fiscal year 2067: 20.8 percent.
            (60) Fiscal year 2068: 20.5 percent.
            (61) Fiscal year 2069: 20.1 percent.
            (62) Fiscal year 2070: 19.9 percent.
            (63) Fiscal year 2071: 19.7 percent.
            (64) Fiscal year 2072: 19.6 percent.
            (65) Fiscal year 2073: 19.4 percent.
            (66) Fiscal year 2074: 19.2 percent.
            (67) Fiscal year 2075: 18.9 percent.
            (68) Fiscal year 2076: 18.5 percent.
            (69) Fiscal year 2077: 18.0 percent.
            (70) Fiscal year 2078: 17.5 percent.
            (71) Fiscal year 2079: 17.3 percent.
            (72) Fiscal year 2080: 16.9 percent.
            (73) Fiscal year 2081: 16.5 percent.
            (74) Fiscal year 2082: 16.0 percent.
            (75) Fiscal year 2083: 16.0 percent.

SEC. 711. EFFECTIVE DATE.

    This title shall apply to fiscal year 2009 and subsequent fiscal 
years.