In the Senate of the United States, 
January 28, 2010. 
Resolved, That the resolution from the House of Rep-
resentatives (H.J. Res. 45) entitled ‘‘Joint resolution increas-
ing the statutory limit on the public debt.’’, do pass with the 
following 
AMENDMENT: 
Strike all after the resolving clause and insert the 
following: 
That subsection (b) of section 3101 of title 31, United States 
Code, is amended by striking out the dollar limitation con-
tained in such subsection and inserting in lieu thereof 
$14,294,000,000,000. 
TITLE I—STATUTORY PAY-AS- 
YOU-GO ACT OF 2010 
SEC. 1. SHORT TITLE. 
This title may be cited as the ‘‘Statutory Pay-As-You- 
Go Act of 2010’’.
† HJ 45 EAS 
SEC. 2. PURPOSE. 
The purpose of this title is to reestablish a statutory 
procedure to enforce a rule of budget neutrality on new rev-
enue and direct spending legislation. 
SEC. 3. DEFINITIONS AND APPLICATIONS. 
As used in this title— 
(1) The term ‘‘BBEDCA’’ means the Balanced 
Budget and Emergency Deficit Control Act of 1985. 
(2) The definitions set forth in section 3 of the 
Congressional Budget and Impoundment Control Act 
of 1974 and in section 250 of BBEDCA shall apply 
to this title, except to the extent that they are specifi-
cally modified as follows: 
(A) The term ‘‘outyear’’ means a fiscal year 
one or more years after the budget year. 
(B) In section 250(c)(8)(C), the reference to 
the food stamp program shall be deemed to be a 
reference to the Supplemental Nutrition Assist-
ance Program. 
(3) The term ‘‘AMT’’ means the Alternative Min-
imum Tax for individuals under sections 55–59 of the 
Internal Revenue Code of 1986, the term ‘‘EGTRRA’’ 
means the Economic Growth and Tax Relief Rec-
onciliation Act of 2001 (Public Law 107–16), and the 
term ‘‘JGTRRA’’ means the Jobs and Growth Tax
† HJ 45 EAS 
Relief and Reconciliation Act of 2003 (Public Law 
108–27). 
(4)(A) The term ‘‘budgetary effects’’ means the 
amount by which PAYGO legislation changes outlays 
flowing from direct spending or revenues relative to 
the baseline and shall be determined on the basis of 
estimates prepared under section 4. Budgetary effects 
that increase outlays flowing from direct spending or 
decrease revenues are termed ‘‘costs’’ and budgetary 
effects that increase revenues or decrease outlays flow-
ing from direct spending are termed ‘‘savings’’. Budg-
etary effects shall not include any costs associated 
with debt service. 
(B) For purposes of these definitions, off-budget 
effects shall not be counted as budgetary effects. 
(C) Solely for purposes of recording entries on a 
PAYGO scorecard, provisions in appropriation Acts 
are also considered to be budgetary effects for purposes 
of this title if such provisions make outyear modifica-
tions to substantive law, except that provisions for 
which the outlay effects net to zero over a period con-
sisting of the current year, the budget year, and the 
4 subsequent years shall not be considered budgetary 
effects. For purposes of this paragraph, the term, 
‘‘modifications to substantive law’’ refers to changes
† HJ 45 EAS 
to or restrictions on entitlement law or other manda-
tory spending contained in appropriations Acts, not-
withstanding section 250(c)(8) of BBEDCA. Provi-
sions in appropriations Acts that are neither outyear 
modifications to substantive law nor changes in reve-
nues have no budgetary effects for purposes of this 
title. 
(5) The term ‘‘debit’’ refers to the net total 
amount, when positive, by which costs recorded on the 
PAYGO scorecards for a fiscal year exceed savings re-
corded on those scorecards for that year. 
(6) The term ‘‘entitlement law’’ refers to a sec-
tion of law which provides entitlement authority. 
(7) The term ‘‘PAYGO legislation’’ or a 
‘‘PAYGO Act’’ refers to a bill or joint resolution that 
affects direct spending or revenue relative to the base-
line. The budgetary effects of changes in revenues and 
outyear modifications to substantive law included in 
appropriation Acts as defined in paragraph (4) shall 
be treated as if they were contained in PAYGO legis-
lation or a PAYGO Act. 
(8) The term ‘‘timing shift’’ refers to a delay of 
the date on which outlays flowing from direct spend-
ing would otherwise occur from the ninth outyear to 
the tenth outyear or an acceleration of the date on
† HJ 45 EAS 
which revenues would otherwise occur from the tenth 
outyear to the ninth outyear. 
SEC. 4. PAYGO ESTIMATES AND PAYGO SCORECARDS. 
(a) PAYGO ESTIMATES.— 
(1) REQUIRED DESIGNATION IN PAYGO ACTS.— 
(A) HOUSE OF REPRESENTATIVES.—To es-
tablish the budgetary effects of a PAYGO Act 
consistent with the determination made by the 
Chairman of the House Budget Committee, a 
PAYGO Act originated in or amended by the 
House of Representatives may include the fol-
lowing statement: ‘‘The budgetary effects of this 
Act, for the purpose of complying with the Statu-
tory Pay-As-You-Go-Act of 2010, shall be deter-
mined by reference to the latest statement titled 
‘Budgetary Effects of PAYGO Legislation’ for 
this Act, submitted for printing in the Congres-
sional Record by the Chairman of the House 
Budget Committee, provided that such statement 
has been submitted prior to the vote on pas-
sage.’’. 
(B) SENATE.—To establish the budgetary ef-
fects of a PAYGO Act consistent with the deter-
mination made by the Chairman of the Senate 
Budget Committee, a PAYGO Act originated in
† HJ 45 EAS 
or amended by the Senate shall include the fol-
lowing statement: ‘‘The budgetary effects of this 
Act, for the purpose of complying with the Statu-
tory Pay-As-You-Go-Act of 2010, shall be deter-
mined by reference to the latest statement titled 
‘Budgetary Effects of PAYGO Legislation’ for 
this Act, submitted for printing in the Congres-
sional Record by the Chairman of the Senate 
Budget Committee, provided that such statement 
has been submitted prior to the vote on pas-
sage.’’. 
(C) CONFERENCE
REPORTS
AND
AMEND-
MENTS BETWEEN THE HOUSES.—To establish the 
budgetary effects of the conference report on a 
PAYGO Act, or an amendment to an amend-
ment between Houses on a PAYGO Act, which if 
estimated shall be estimated jointly by the Chair-
men of the House and Senate Budget Commit-
tees, the conference report or amendment between 
the Houses shall include the following statement: 
‘‘The budgetary effects of this Act, for the pur-
pose of complying with the Statutory Pay-As- 
You-Go-Act of 2010, shall be determined by ref-
erence to the latest statement titled ‘Budgetary 
Effects of PAYGO Legislation’ for this Act, joint-
† HJ 45 EAS 
ly submitted for printing in the Congressional 
Record by the Chairmen of the House and Sen-
ate Budget Committees, provided that such state-
ment has been submitted prior to the vote on 
passage in the House acting first on this con-
ference report or amendment between the 
Houses.’’. 
(2) DETERMINATION OF BUDGETARY EFFECTS OF 
PAYGO ACTS.— 
(A) ORIGINAL LEGISLATION.— 
(i) STATEMENT AND ESTIMATE.—Prior 
to a vote on passage of a PAYGO Act origi-
nated or amended by one House, the Chair-
man of the Budget Committee of that House 
may submit for printing in the Congres-
sional Record a statement titled ‘‘Budgetary 
Effects of PAYGO Legislation’’ which shall 
include an estimate of the budgetary effects 
of that Act, if available prior to passage of 
the Act by that House and shall submit, if 
applicable, an identification of any current 
policy adjustments made pursuant to sec-
tion 7 of this Act. The timely submission of 
such a statement, in conjunction with the 
appropriate designation made pursuant to
† HJ 45 EAS 
paragraph (1)(A) or (1)(B), as applicable, 
shall establish the budgetary effects of the 
PAYGO Act for the purposes of this Act. 
(ii) EFFECT.—The latest statement 
submitted by the Chairman of the Budget 
Committee of that House prior to passage 
shall supersede any prior statements sub-
mitted in the Congressional Record and 
shall be valid only if the PAYGO Act is not 
further amended by either House. 
(iii) FAILURE TO SUBMIT ESTIMATE.— 
If— 
(I) the estimate required by clause 
(i) has not been submitted prior to 
passage by that House; 
(II) such estimate has been sub-
mitted but is no longer valid due to a 
subsequent amendment to the PAYGO 
Act; or 
(III) the designation required 
pursuant to this subsection has not 
been made; 
the budgetary effects of the PAYGO Act 
shall be determined under subsection (d)(3), 
provided that this clause shall not apply if
† HJ 45 EAS 
a valid designation is subsequently included 
in that PAYGO Act pursuant to paragraph 
(1)(C) and a statement is submitted pursu-
ant to subparagraph (B). 
(B) CONFERENCE
REPORTS
AND
AMEND-
MENTS BETWEEN HOUSES.— 
(i) IN GENERAL.—Prior to the adop-
tion of a report of a committee of conference 
on a PAYGO Act in either House, or dis-
position of an amendment to an amend-
ment between Houses on a PAYGO Act, the 
Chairmen of the Budget Committees of the 
House and Senate may jointly submit for 
printing in the Congressional Record a 
statement titled ‘‘Budgetary Effects of 
PAYGO Legislation’’ which shall include an 
estimate of the budgetary effects of that Act 
if available prior to passage of the Act by 
the House acting first on the legislation and 
shall submit, if applicable, an identification 
of any current policy adjustments made 
pursuant to section 7 of this title. The time-
ly submission of such a statement, in con-
junction with the appropriate designation 
made pursuant to paragraph (1)(C), shall
† HJ 45 EAS 
establish the budgetary effects of the PAYGO 
Act for the purposes of this Act. 
(ii) FAILURE TO SUBMIT ESTIMATE.— 
If such estimate has not been submitted 
prior to the adoption of a report of a com-
mittee of conference by either House, or if 
the designation required pursuant to this 
subsection has not been made, the budgetary 
effects of the PAYGO Act shall be deter-
mined under subsection (d)(3). 
(3) PROCEDURE IN THE SENATE.—In the Sen-
ate, upon submission of a statement titled ‘‘Budgetary 
Effects of PAYGO Legislation’’ by the Chairman of 
the Senate Budget Committee for printing in the Con-
gressional Record, the Legislative Clerk shall read the 
statement. 
(4) JURISDICTION
OF
THE
BUDGET
COMMIT-
TEES.—For the purposes of enforcing section 306 of 
the Congressional Budget Act of 1974, a designation 
made pursuant to paragraph (1)(A), (1)(B), or 
(1)(C), that includes only the language specifically 
prescribed therein, shall not be considered a matter 
within the jurisdiction of either the Senate or House 
Committees on the Budget. 
(b) CBO PAYGO ESTIMATES.—
† HJ 45 EAS 
(1) IN GENERAL.— 
(A) ESTIMATES.—Section 308(a) of the 
Congressional Budget Act of 1974 is amended by 
adding at the end the following new paragraph: 
‘‘(3) CBO PAYGO ESTIMATES.— 
‘‘(A) The Chairs of the Committees on the 
Budget of the House and Senate, as applicable, 
shall request from the Director of the Congres-
sional Budget Office an estimate of the budg-
etary effects of PAYGO legislation. 
‘‘(B) Estimates shall be prepared using 
baseline estimates supplied by the Congressional 
Budget Office, consistent with section 257 of the 
Balanced Budget and Emergency Deficit Control 
Act of 1985. 
‘‘(C) The Director shall not count timing 
shifts, as that term is defined at section 3(8) of 
the Statutory Pay-As-You-Go Act of 2010, in es-
timates of the budgetary effects of PAYGO Legis-
lation.’’. 
(B) SIDEHEADING.—The side heading of 
section 308(a) of the Congressional Budget Act of 
1974 is amended by striking ‘‘Reports on’’.
† HJ 45 EAS 
(2) GUIDELINES.—Section 308 of the Congres-
sional Budget Act of 1974 is amended by adding at 
the end the following new subsection: 
‘‘(d) Scorekeeping Guidelines.—Estimates under this 
section shall be provided in accordance with the 
scorekeeping guidelines determined under section 252(d)(5) 
of the Balanced Budget and Emergency Deficit Control Act 
of 1985.’’. 
(c) CURRENT POLICY ADJUSTMENTS
FOR CERTAIN 
LEGISLATION.— 
(1) IN GENERAL.—For any provision of legisla-
tion that meets the criteria in subsection (c), (d), (e) 
or (f) of section 7, the Chairs of the Committees on 
the Budget of the House and Senate, as applicable, 
shall request that CBO adjust the estimate of budg-
etary effects of that legislation pursuant to paragraph 
(2) for the purposes of this title. A single piece of leg-
islation may contain provisions that meet criteria in 
more than one of the subsections referred to in the 
preceding sentence. CBO shall adjust estimates for 
legislation designated under subsection (a) and esti-
mated under subsection (b). OMB shall adjust esti-
mates for legislation estimated under subsection 
(d)(3). 
(2) ADJUSTMENTS.—
† HJ 45 EAS 
(A) ESTIMATES.—CBO or OMB, as appli-
cable, shall exclude from the estimate of budg-
etary effects any budgetary effects of a provision 
that meets the criteria in subsection (c), (d), (e) 
or (f) of section 7, to the extent that those budg-
etary effects, when combined with all other ex-
cluded budgetary effects of any other previously 
designated provisions of enacted legislation 
under the same subsection of section 7, do not ex-
ceed the maximum applicable current policy ad-
justment defined under the applicable subsection 
of section 7 for the applicable 10-year period. 
(B) BASELINE.—Any estimate made pursu-
ant to subparagraph (A) shall be prepared using 
baseline estimates supplied by the Congressional 
Budget Office, consistent with section 257 of the 
BBEDCA. CBO estimates of legislation adjusted 
for current policy shall include a separate pres-
entation of costs excluded from the calculation of 
budgetary effects for the legislation, as well as an 
updated total of all excluded costs of provisions 
within subsection (c), (d), or (e) of section 7, as 
applicable, and in the case of paragraph (1) of 
section 7(f), within any of the subparagraphs (A) 
through (L) of such paragraph, as applicable.
† HJ 45 EAS 
(3) LIMITATION
ON
AVAILABILITY
OF
EXCESS 
SAVINGS.— 
(A) PROHIBITION ON USE OF EXCESS SAV-
ING FOR INELIGIBLE POLICIES.—To the extent 
the adjustment for current policy of any provi-
sion estimated under this subsection exceeds the 
estimated budgetary effects of that provision, 
these excess savings shall not be available to off-
set the costs of any provisions not otherwise eli-
gible for a current policy adjustment under sec-
tion 7, and shall not be counted on the PAYGO 
scorecards established pursuant to subsections 
(d)(4) and (d)(5). 
(B) PROHIBITION ON USE OF EXCESS SAV-
INGS
ACROSS
BUDGET
AREAS.—For provisions 
eligible for a current policy adjustment under 
subsections (c) through (f) of section 7, to the ex-
tent the adjustment for current policy of any 
provision exceeds the estimated budgetary effects 
of that same provision, the excess savings shall be 
available only to offset the costs of other provi-
sions that qualify for a current policy adjust-
ment in that same subsection. Each paragraph 
in section 7(f)(1) shall be considered a separate 
subsection for purposes of this section.
† HJ 45 EAS 
(4) FURTHER GUIDANCE ON ESTIMATING BUDG-
ETARY
EFFECTS.—Estimates of budgetary effects 
under this subsection shall be consistent with the 
guidance provided at section 7(h). 
(5) INCLUSION
OF
STATEMENT.—For PAYGO 
legislation adjusted pursuant to section 7, the Chair-
man of the House or Senate Budget Committee, as 
applicable, shall include in any statement titled 
‘‘Budgetary Effects of PAYGO Legislation’’, submitted 
for that legislation pursuant to section 4, an expla-
nation of the current policy designation and adjust-
ments. 
(d) OMB PAYGO SCORECARDS.— 
(1) IN
GENERAL.—OMB shall maintain and 
make publicly available a continuously updated docu-
ment containing two PAYGO scorecards displaying 
the budgetary effects of PAYGO legislation as deter-
mined under section 308 of the Congressional Budget 
Act of 1974, applying the look-back requirement in 
subsection (e) and the averaging requirement in sub-
section (f), and a separate addendum displaying the 
estimates of the costs of provisions designated in stat-
ute as emergency requirements. 
(2) ESTIMATES IN LEGISLATION.—Except as pro-
vided in paragraph (3), in making the calculations
† HJ 45 EAS 
for the PAYGO scorecards, OMB shall use the budg-
etary effects included by reference in the applicable 
legislation pursuant to subsection (a). 
(3) OMB PAYGO ESTIMATES.—If a PAYGO Act 
does not contain a valid reference to its budgetary ef-
fects consistent with subsection (a), OMB shall esti-
mate the budgetary effects of that legislation upon its 
enactment. The OMB estimate shall be based on the 
approaches to scorekeeping set forth in section 308 of 
the Congressional Budget Act of 1974, as amended by 
this title, and subsection (g)(4), and shall use the 
same economic and technical assumptions as used in 
the most recent budget submitted by the President 
under section 1105(a) of title 31 of the United States 
Code. 
(4) 5-YEAR
SCORECARD.—The first scorecard 
shall display the budgetary effects of PAYGO legisla-
tion in each year over the 5-year period beginning in 
the budget year. 
(5) 10-YEAR SCORECARD.—The second scorecard 
shall display the budgetary effects of PAYGO legisla-
tion in each year over the 10-year period beginning 
in the budget year. 
(6) COMMUNITY
LIVING
ASSISTANCE
SERVICES 
AND SUPPORTS ACT.—Neither scorecard maintained
† HJ 45 EAS 
by OMB pursuant to this subsection shall include net 
savings from any provisions of legislation titled 
‘‘Community Living Assistance Services and Sup-
ports Act’’, which establishes a Federal insurance pro-
gram for long-term care, if such legislation is enacted 
into law, or amended, subsequent to the date of enact-
ment of this title. 
(e) LOOK-BACK TO CAPTURE CURRENT-YEAR EF-
FECTS.—For purposes of this section, OMB shall treat the 
budgetary effects of PAYGO legislation enacted during a 
session of Congress that occur during the current year as 
though they occurred in the budget year. 
(f) AVERAGING USED TO MEASURE COMPLIANCE 
OVER 5-YEAR AND 10-YEAR PERIODS.—OMB shall cumu-
late the budgetary effects of a PAYGO Act over the budget 
year (which includes any look-back effects under subsection 
(e)) and— 
(1) for purposes of the 5-year scorecard referred 
to in subsection (d)(4), the four subsequent outyears, 
divide that cumulative total by five, and enter the 
quotient in the budget-year column and in each subse-
quent column of the 5-year PAYGO scorecard; and 
(2) for purposes of the 10-year scorecard referred 
to in subsection (d)(5), the nine subsequent outyears, 
divide that cumulative total by ten, and enter the
† HJ 45 EAS 
quotient in the budget-year column and in each subse-
quent column of the 10-year PAYGO scorecard. 
(g) EMERGENCY LEGISLATION.— 
(1) DESIGNATION IN STATUTE.—If a provision of 
direct spending or revenue legislation in a PAYGO 
Act is enacted as an emergency requirement that the 
Congress so designates in statute pursuant to this sec-
tion, the amounts of new budget authority, outlays, 
and revenue in all fiscal years resulting from that 
provision shall be treated as an emergency require-
ment for the purposes of this Act. 
(2) DESIGNATION
IN
THE
HOUSE
OF
REP-
RESENTATIVES.—If a PAYGO Act includes a provi-
sion expressly designated as an emergency for the 
purposes of this title, the Chair shall put the question 
of consideration with respect thereto. 
(3) POINT OF ORDER IN THE SENATE.— 
(A) IN GENERAL.—When the Senate is con-
sidering a PAYGO Act, if a point of order is 
made by a Senator against an emergency des-
ignation in that measure, that provision making 
such a designation shall be stricken from the 
measure and may not be offered as an amend-
ment from the floor.
† HJ 45 EAS 
(B) SUPERMAJORITY
WAIVER
AND
AP-
PEALS.— 
(i) WAIVER.—Subparagraph (A) may 
be waived or suspended in the Senate only 
by an affirmative vote of three-fifths of the 
Members, duly chosen and sworn. 
(ii) APPEALS.—Appeals in the Senate 
from the decisions of the Chair relating to 
any provision of this subsection shall be 
limited to 1 hour, to be equally divided be-
tween, and controlled by, the appellant and 
the manager of the bill or joint resolution, 
as the case may be. An affirmative vote of 
three-fifths of the Members of the Senate, 
duly chosen and sworn, shall be required to 
sustain an appeal of the ruling of the Chair 
on a point of order raised under this sub-
section. 
(C) DEFINITION OF AN EMERGENCY DES-
IGNATION.—For purposes of subparagraph (A), a 
provision shall be considered an emergency des-
ignation if it designates any item as an emer-
gency requirement pursuant to this subsection. 
(D) FORM OF THE POINT OF ORDER.—A 
point of order under subparagraph (A) may be
† HJ 45 EAS 
under this Act, CBO or OMB, as applicable, shall not 
include the budgetary effects of such a provision in its 
estimate of the budgetary effects of that PAYGO legis-
lation. 
SEC. 5. ANNUAL REPORT AND SEQUESTRATION ORDER. 
(a) ANNUAL REPORT.—Not later than 14 days (exclud-
ing weekends and holidays) after Congress adjourns to end 
a session, OMB shall make publicly available and cause to 
be printed in the Federal Register an annual PAYGO re-
port. The report shall include an up-to-date document con-
taining the PAYGO scorecards, a description of any current 
policy adjustments made under section 4(c), information 
about emergency legislation (if any) designated under sec-
tion 4(g), information about any sequestration if required 
by subsection (b), and other data and explanations that en-
hance public understanding of this title and actions taken 
under it. 
(b) SEQUESTRATION ORDER.—If the annual report 
issued at the end of a session of Congress under subsection 
(a) shows a debit on either PAYGO scorecard for the budget 
year, OMB shall prepare and the President shall issue and 
include in that report a sequestration order that, upon 
issuance, shall reduce budgetary resources of direct spending 
programs by enough to offset that debit as prescribed in 
section 6. If there is a debit on both scorecards, the order
† HJ 45 EAS 
shall fully offset the larger of the two debits. OMB shall 
transmit the order and the report to the House of Represent-
atives and the Senate. If the President issues a sequestration 
order, the annual report shall contain, for each budget ac-
count to be sequestered, estimates of the baseline level of 
budgetary resources subject to sequestration, the amount of 
budgetary resources to be sequestered, and the outlay reduc-
tions that will occur in the budget year and the subsequent 
fiscal year because of that sequestration. 
SEC. 6. CALCULATING A SEQUESTRATION. 
(a) REDUCING NONEXEMPT BUDGETARY RESOURCES 
BY A UNIFORM PERCENTAGE.— 
(1) IN GENERAL.—OMB shall calculate the uni-
form percentage by which the budgetary resources of 
nonexempt direct spending programs are to be seques-
tered such that the outlay savings resulting from that 
sequestration, as calculated under subsection (b), shall 
offset the budget-year debit, if any, on the applicable 
PAYGO scorecard. If the uniform percentage cal-
culated under the prior sentence exceeds 4 percent, the 
Medicare programs described in section 256(d) of 
BBEDCA shall be reduced by 4 percent and the uni-
form percentage by which the budgetary resources of 
all other nonexempt direct spending programs are to 
be sequestered shall be increased, as necessary, so that
† HJ 45 EAS 
the sequestration of Medicare and of all other non-
exempt direct spending programs together produce the 
required outlay savings. 
(2) PROGRAMS
AND
ACTIVITIES
IN
UNIFIED 
BUDGET ONLY.—Subject to the exemptions set forth in 
section 11, OMB shall determine the uniform percent-
age required under paragraph (1) with respect to pro-
grams and activities contained in the unified budget 
only. 
(b) OUTLAY SAVINGS.—In determining the amount by 
which a sequestration offsets a budget-year debit, OMB shall 
count— 
(1) the amount by which the sequestration in a 
crop year of crop support payments, pursuant to sec-
tion 256(j) of BBEDCA, reduces outlays in the budget 
year and the subsequent fiscal year; 
(2) the amount by which the sequestration of 
Medicare payments in the 12-month period following 
the sequestration order, pursuant to section 256(d) of 
BBEDCA, reduces outlays in the budget year and the 
subsequent fiscal year; and 
(3) the amount by which the sequestration in the 
budget year of the budgetary resources of other non-
exempt mandatory programs reduces outlays in the 
budget year and in the subsequent fiscal year.
† HJ 45 EAS 
SEC. 7. ADJUSTMENT FOR CURRENT POLICIES. 
(a) PURPOSE.—The purpose of this section is to pro-
vide for adjustments of estimates of budgetary effects of 
PAYGO legislation for legislation affecting 4 areas of the 
budget— 
(1) payments made under section 1848 of the So-
cial Security Act (referred to in this section as ‘‘Pay-
ment for Physicians’ Services’’); 
(2) the Estate and Gift Tax under subtitle B of 
the Internal Revenue Code of 1986; 
(3) the AMT; and 
(4) provisions of EGTRRA or JGTRRA that 
amended the Internal Revenue Code of 1986 (or pro-
visions in later statutes further amending the amend-
ments made by EGTRRA or JGTRRA), other than— 
(A) the provisions of those 2 Acts that were 
made permanent by the Pension Protection Act 
of 2006 (Public Law 109–280); 
(B) amendments to the Estate and Gift Tax 
referred to in paragraph (2); 
(C) the AMT referred to in paragraph (3); 
and 
(D) the income tax rates on ordinary in-
come that apply to individuals with adjusted 
gross incomes greater than $200,000 for a single 
filer and $250,000 for joint filers.
† HJ 45 EAS 
(b) DURATION.—This section shall remain in effect 
through December 31, 2011. 
(c) MEDICARE PAYMENTS TO PHYSICIANS.— 
(1) CRITERIA.—Legislation that includes provi-
sions amending or superseding the system for updat-
ing payments under subsections (d) and (f) of section 
1848 of the Social Security Act shall trigger the cur-
rent policy adjustment required by this title. 
(2) ADJUSTMENT.—The amount of the maximum 
current policy adjustment shall be the difference be-
tween— 
(A) estimated net outlays attributable to the 
payment rates and related parameters in accord-
ance with subsections (d) and (f) of section 1848 
of the Social Security Act (as scheduled on De-
cember 31, 2009, to be in effect); and 
(B) what those net outlays would have been 
if— 
(i) the nominal payment rates and re-
lated parameters in effect for 2009 had been 
in effect through December 31, 2014, with-
out change; and 
(ii) thereafter, the nominal payment 
rates and related parameters described in 
subparagraph (A) had applied and the as-
† HJ 45 EAS 
sumption described in clause (i) had never 
applied. 
(3) LIMITATION.—If the provisions in the legisla-
tion that cause it to meet the criteria in paragraph 
(1) cover a time period that ends before December 31, 
2014, subject to the maximum adjustment provided 
for under paragraph (2), the amount of each current 
policy adjustment made pursuant to this section shall 
be limited to the difference between— 
(A) estimated net outlays attributable to the 
payment rates and related parameters specified 
in that section of the Social Security Act (as 
scheduled on December 31, 2009, to be in effect 
for the period of time covered by the relevant 
provisions of the eligible legislation); and 
(B) what those net outlays would have been 
if the nominal payment rates and related pa-
rameters in effect for 2009 had been in effect, 
without change, for the same period of time cov-
ered by the relevant provisions of the eligible leg-
islation as under subparagraph (A). 
(d) ESTATE AND GIFT TAX.— 
(1) CRITERIA.—Legislation that includes provi-
sions amending the Estate and Gift Tax under sub-
title B of the Internal Revenue Code of 1986 shall
† HJ 45 EAS 
trigger the current policy adjustment required by this 
title. 
(2) ADJUSTMENT.—The amount of the maximum 
current policy adjustment shall be the difference be-
tween— 
(A) total revenues projected to be collected 
under the Internal Revenue Code of 1986 (as 
scheduled on December 31, 2009, to be in effect); 
and 
(B) what those revenue collections would 
have been if, on the date of enactment of the leg-
islation meeting the criteria in paragraph (1), 
estate and gift tax law had instead been amend-
ed so that the tax rates, nominal exemption 
amounts, and related parameters in effect for tax 
year 2009 had remained in effect through De-
cember 31, 2011, with nominal exemption 
amounts indexed for inflation after 2009 con-
sistent with subsection (g). 
(3) LIMITATION.—If the provisions in the legisla-
tion that cause it to meet the criteria in paragraph 
(1) cover a time period that ends before December 31, 
2011, subject to the maximum adjustment provided 
for under paragraph (2), the amount of each current
† HJ 45 EAS 
policy adjustment made pursuant to this section shall 
be limited to the difference between— 
(A) total revenues projected to be collected 
under the Internal Revenue Code of 1986 (as 
scheduled on December 31, 2009, to be in effect 
for the period of time covered by the relevant 
provisions of the eligible legislation); and 
(B) what those revenues would have been if 
the estate and gift tax law rates, nominal exemp-
tion amounts, and related parameters in effect 
for 2009, with nominal exemption amounts in-
dexed for inflation after 2009 consistent with 
subsection (g), had been in effect for the same pe-
riod of time covered by the relevant provisions of 
the eligible legislation as under subparagraph 
(A). 
(4) DURATION OF POLICY ADJUSTMENT.—Adjust-
ments made pursuant to this subsection are available 
for policies affecting the estate and gift tax through 
only December 31, 2011. Any adjustments shall in-
clude budgetary effects in all years from these policy 
changes. 
(e) AMT RELIEF.—
† HJ 45 EAS 
(1) CRITERIA.—Legislation that includes provi-
sions extending AMT relief shall trigger the current 
policy adjustment required by this title. 
(2) ADJUSTMENT.—The amount of the maximum 
current policy adjustment shall be the difference be-
tween— 
(A) total revenues projected to be collected 
under the Internal Revenue Code of 1986 (as 
scheduled on December 31, 2009, to be in effect); 
and 
(B) what those revenue collections would 
have been if, on the date of enactment of legisla-
tion meeting the criteria in paragraph (1), AMT 
law had instead been amended by making com-
mensurate 
adjustments 
in 
the 
exemption 
amounts for joint and single filers in such a 
manner that the number of taxpayers with AMT 
liability or lost credits that occur as a result of 
the AMT would not be estimated to exceed the 
number of taxpayers affected by the AMT in tax 
year 2008 in any year for which relief is pro-
vided, through December 31, 2011. 
(3) LIMITATION.—If the provisions in the legisla-
tion that cause it to meet the criteria in paragraph 
(1) cover a time period that ends before December 31,
† HJ 45 EAS 
2011, subject to the maximum adjustment provided 
for under paragraph (2), the amount of each current 
policy adjustment made pursuant to this section shall 
be limited to the difference between— 
(A) total revenues projected to be collected 
under the Internal Revenue Code of 1986 (as 
scheduled on December 31, 2009, to be in effect 
for the period of time covered by the relevant 
provisions of the eligible legislation); and 
(B) what those revenues would have been if, 
on the date of enactment of legislation meeting 
the criteria in paragraph (1), AMT law had in-
stead been amended by making commensurate 
adjustments in the exemption amounts for joint 
and single filers in such a manner that the num-
ber of taxpayers with AMT liability or lost cred-
its that occur as a result of the AMT would not 
be estimated to exceed the number of AMT tax-
payers in tax year 2008 for the same period of 
time covered by the relevant provisions of the eli-
gible legislation as under subparagraph (A). 
(4) DURATION OF POLICY ADJUSTMENT.—Adjust-
ments made pursuant to this subsection are available 
for policies affecting the AMT through only December
† HJ 45 EAS 
31, 2011. Any adjustments shall include budgetary ef-
fects in all years from these policy changes. 
(f) PERMANENT EXTENSION OF MIDDLE-CLASS TAX 
CUTS.— 
(1) CRITERIA.—Legislation that includes provi-
sions extending middle-class tax cuts shall trigger the 
current policy adjustment required by this title if 
those provisions extend 1 or more of the following pro-
visions: 
(A) The 10 percent bracket as in effect for 
tax year 2010, as provided for under section 
101(a) of EGTRRA and any later amendments 
through December 31, 2009. 
(B) The child tax credit as in effect for tax 
year 2010, as provided for under section 201 of 
EGTRRA and any later amendments through 
December 31, 2009. 
(C) Tax benefits for married couples as in 
effect for tax year 2010, as provided for under 
title III of EGTRRA and any later amendments 
through December 31, 2009. 
(D) The adoption credit as in effect in tax 
year 2010, as provided for under section 202 of 
EGTRRA and any later amendments through 
December 31, 2009.
† HJ 45 EAS 
(E) The dependent care credit as in effect in 
tax year 2010, as provided for under section 204 
of EGTRRA and any later amendments through 
December 31, 2009. 
(F) The employer-provided child care credit 
as in effect in tax year 2010, as provided for 
under section 205 of EGTRRA and any later 
amendments through December 31, 2009. 
(G) The education tax benefits as in effect 
in tax year 2010, as provided for under title IV 
of EGTRRA and any later amendments through 
December 31, 2009. 
(H) The 25 and 28 percent brackets as in 
effect for tax year 2010, as provided for under 
section 101(a) of EGTRRA and any later 
amendments through December 31, 2009. 
(I) The 33 percent bracket as in effect for 
tax year 2010, as provided for under section 
101(a) of EGTRRA and any later amendment 
through December 31, 2009, affecting taxpayers 
with adjusted gross income of $200,000 or less 
for single filers and $250,000 or less for joint fil-
ers in tax year 2010, with these income levels in-
dexed for inflation in each subsequent year con-
sistent with subsection (g).
† HJ 45 EAS 
(J) The rates on income derived from cap-
ital gains and qualified dividends as in effect for 
tax year 2010, as provided for under sections 
301 and 302 of JGTRRA and any later amend-
ment through December 31, 2009, affecting tax-
payers with adjusted gross income of $200,000 or 
less for single filers and $250,000 for joint filers 
with these income levels indexed for inflation in 
each subsequent year consistent with subsection 
(g). 
(K) The phaseout of personal exemptions 
and the overall limitation on itemized deductions 
as in effect for tax year 2010, as provided for 
under sections 102 and 103 of EGTRRA of 2001, 
respectively, and any later amendment through 
December 31, 2009, affecting taxpayer with ad-
justed gross income of $200,000 or less for single 
filers and $250,000 for joint filers, with these in-
come levels indexed for inflation in each subse-
quent year consistent with subsection (g). 
(L) The increase in the limitations on ex-
pensing depreciable business assets for small 
businesses under section 179(b) of the Internal 
Revenue Code of 1986 as in effect in tax year 
2010, as provided under section 202 of JGTRRA
† HJ 45 EAS 
and any later amendment through December 31, 
2009. 
(2) ADJUSTMENT.—The amount of the maximum 
current policy adjustment shall be the difference be-
tween— 
(A) total revenues projected to be collected 
and outlays to be paid under the Internal Rev-
enue Code of 1986 (as scheduled on December 31, 
2009, to be in effect); and 
(B) what those revenue collections and out-
lay payments would have been if, on the date of 
enactment of legislation meeting the criteria in 
paragraph (1), the provisions identified in para-
graph (1) were made permanent. 
(3) LIMITATION.—If the provisions in the legisla-
tion that cause it to meet the criteria in paragraph 
(1) are not permanent, subject to the maximum ad-
justment provided for under paragraph (2), the 
amount of each current policy adjustment made pur-
suant to this section shall be limited to the difference 
between— 
(A) total revenues projected to be collected 
and outlays to be paid under the Internal Rev-
enue Code of 1986 (as scheduled on December 31, 
2009, to be in effect for the period of time cov-
† HJ 45 EAS 
ered by the relevant provisions of the eligible leg-
islation); and 
(B) what those revenue collections and out-
lay payments would have been if, on the date of 
enactment of legislation meeting the criteria in 
paragraph (1), the provisions identified in para-
graph (1) had been in effect, without change, for 
the same period of time covered by the relevant 
provisions of the eligible legislation as under sub-
paragraph (A). 
(g) INDEXING FOR INFLATION.—Indexed amounts are 
assumed to increase in each year by an amount equal to 
the cost-of-living adjustment determined under section 
1(f)(3) of the Internal Revenue Code of 1986 for the cal-
endar year in which the taxable year begins, determined 
by substituting ‘‘calendar year 2008’’ for ‘‘calendar year 
1992’’ in subparagraph (B) of such section. 
(h) GUIDANCE ON ESTIMATES AND CURRENT POLICY 
ADJUSTMENTS.— 
(1) MIDDLE CLASS TAX CUTS.—For purposes of 
estimates made pursuant to subsection (f)— 
(A) each of the income tax provisions shall 
be estimated as though the AMT had remained 
at current law as scheduled on December 31, 
2009 to be in effect; and
† HJ 45 EAS 
(B) if more than 1 of the income tax provi-
sions is included in a single piece of legislation, 
those provisions shall be estimated in the order 
in which they appear. 
(2) AMT.—For purposes of estimates made pur-
suant to subsection (e), changes to the AMT shall be 
estimated as if, on the date of enactment of legislation 
meeting the criteria in subsection (e)(1), all of the in-
come tax provisions identified in subsection (f)(1) 
were made permanent. 
SEC. 8. APPLICATION OF BBEDCA. 
For purposes of this title— 
(1) notwithstanding section 275 of BBEDCA, the 
provisions of sections 255, 256, 257, and 274 of 
BBEDCA, as amended by this title, shall apply to the 
provisions of this title; 
(2) references in sections 255, 256, 257, and 274 
to ‘‘this part’’ or ‘‘this title’’ shall be interpreted as 
applying to this title; 
(3) references in sections 255, 256, 257, and 274 
of BBEDCA to ‘‘section 254’’ shall be interpreted as 
referencing section 5 of this title; 
(4) the reference in section 256(b) of BBEDCA 
to ‘‘section 252 or 253’’ shall be interpreted as ref-
erencing section 5 of this title;
† HJ 45 EAS 
issuance fees under section 428(f)(1)(A)(ii) of that Act shall 
each be increased by the uniform percentage specified in 
that sequestration order, and, for student loans originated 
during the period of the sequestration, special allowance 
payments under section 438(b) of that Act accruing during 
the period of the sequestration shall be reduced by the uni-
form percentage specified in that sequestration order.’’. 
(c) Section 256(c) of BBEDCA is repealed. 
(d) Section 256(d) of BBEDCA is amended— 
(1) by redesignating paragraphs (2), (3), and (4) 
as paragraphs (3), (5), and (6); 
(2) by amending paragraph (1) to read as fol-
lows: 
‘‘(1) CALCULATION OF REDUCTION IN PAYMENT 
AMOUNTS.—To achieve the total percentage reduction 
in those programs required by section 252 or 253, 
subject to paragraph (2), and notwithstanding section 
710 of the Social Security Act, OMB shall determine, 
and the applicable Presidential order under section 
254 shall implement, the percentage reduction that 
shall apply, with respect to the health insurance pro-
grams under title XVIII of the Social Security Act— 
‘‘(A) in the case of parts A and B of such 
title, to individual payments for services fur-
nished during the one-year period beginning on
† HJ 45 EAS 
sequestration order with respect to such programs, as 
determined in accordance with paragraph (1).’’; 
(5) in paragraph (6), as redesignated, to read as 
follows: 
‘‘(6) SEQUESTRATION
DISREGARDED
IN
COM-
PUTING PAYMENT AMOUNTS.—The Secretary of Health 
and Human Services shall not take into account any 
reductions in payment amounts which have been or 
may be effected under this part, for purposes of com-
puting any adjustments to payment rates under such 
title XVIII, specifically including— 
‘‘(A) the part C growth percentage under 
section 1853(c)(6); 
‘‘(B) the part D annual growth rate under 
section 1860D–2(b)(6); and 
‘‘(C) application of risk corridors to part D 
payment rates under section 1860D–15(e).’’; and 
(6) by adding after paragraph (6), as redesig-
nated, the following: 
‘‘(7) EXEMPTIONS
FROM
SEQUESTRATION.—In 
addition to the programs and activities specified in 
section 255, the following shall be exempt from seques-
tration under this part:
† HJ 45 EAS 
‘‘(A) PART
D
LOW-INCOME
SUBSIDIES.— 
Premium and cost-sharing subsidies under sec-
tion 1860D–14 of the Social Security Act. 
‘‘(B) PART
D
CATASTROPHIC
SUBSIDY.— 
Payments 
under 
section 
1860D–15(b) 
and 
(e)(2)(B) of the Social Security Act. 
‘‘(C) QUALIFIED
INDIVIDUAL
(QI)
PRE-
MIUMS.—Payments to States for coverage of 
Medicare cost-sharing for certain low-income 
Medicare beneficiaries under section 1933 of the 
Social Security Act.’’. 
SEC. 11. EXEMPT PROGRAMS AND ACTIVITIES. 
(a) DESIGNATIONS.—Section 255 of BBEDCA is 
amended by redesignating subsection (i) as (j) and striking 
‘‘1998’’ and inserting in lieu thereof ‘‘2010’’. 
(b) SOCIAL SECURITY, VETERANS PROGRAMS, NET IN-
TEREST, AND TAX CREDITS.—Subsections (a) through (d) 
of section 255 of BBEDCA are amended to read as follows: 
‘‘(a) SOCIAL SECURITY BENEFITS AND TIER I RAIL-
ROAD RETIREMENT BENEFITS.—Benefits payable under the 
old-age, survivors, and disability insurance program estab-
lished under title II of the Social Security Act (42 U.S.C. 
401 et seq.), and benefits payable under section 231b(a), 
231b(f)(2), 231c(a), and 231c(f) of title 45 United States
† HJ 45 EAS 
Code, shall be exempt from reduction under any order 
issued under this part. 
‘‘(b) VETERANS PROGRAMS.—The following programs 
shall be exempt from reduction under any order issued 
under this part: 
‘‘All programs administered by the Department 
of Veterans Affairs. 
‘‘Special Benefits for Certain World War II Vet-
erans (28–0401–0–1–701). 
‘‘(c) NET INTEREST.—No reduction of payments for 
net interest (all of major functional category 900) shall be 
made under any order issued under this part. 
‘‘(d) REFUNDABLE INCOME TAX CREDITS.—Payments 
to individuals made pursuant to provisions of the Internal 
Revenue Code of 1986 establishing refundable tax credits 
shall be exempt from reduction under any order issued 
under this part.’’. 
(c) OTHER PROGRAMS AND ACTIVITIES, LOW-INCOME 
PROGRAMS, AND ECONOMIC RECOVERY PROGRAMS.—Sub-
sections (g) and (h) of section 255 of BBEDCA are amended 
to read as follows: 
‘‘(g) OTHER PROGRAMS AND ACTIVITIES.— 
‘‘(1)(A) The following budget accounts and ac-
tivities shall be exempt from reduction under any 
order issued under this part:
† HJ 45 EAS 
‘‘Activities resulting from private donations, 
bequests, or voluntary contributions to the Gov-
ernment. 
‘‘Activities financed by voluntary payments 
to the Government for goods or services to be pro-
vided for such payments. 
‘‘Administration of Territories, Northern 
Mariana Islands Covenant grants (14–0412–0– 
1–808). 
‘‘Advances to the Unemployment Trust 
Fund and Other Funds (16–0327–0–1–600). 
‘‘Black Lung Disability Trust Fund Refi-
nancing (16–0329–0–1–601). 
‘‘Bonneville Power Administration Fund 
and borrowing authority established pursuant to 
section 13 of Public Law 93–454 (1974), as 
amended (89–4045–0–3–271). 
‘‘Claims, Judgments, and Relief Acts (20– 
1895–0–1–808). 
‘‘Compact of Free Association (14–0415–0– 
1–808). 
‘‘Compensation of the President (11–0209– 
01–1–802). 
‘‘Comptroller of the Currency, Assessment 
Funds (20–8413–0–8–373).
† HJ 45 EAS 
‘‘Continuing Fund, Southeastern Power Ad-
ministration (89–5653–0–2–271). 
‘‘Continuing Fund, Southwestern Power 
Administration (89–5649–0–2–271). 
‘‘Dual Benefits Payments Account (60– 
0111–0–1–601). 
‘‘Emergency Fund, Western Area Power Ad-
ministration (89–5069–0–2–271). 
‘‘Exchange Stabilization Fund (20–4444–0– 
3–155). 
‘‘Farm Credit Administration Operating 
Expenses Fund (78–4131–0–3–351). 
‘‘Farm Credit System Insurance Corpora-
tion, Farm Credit Insurance Fund (78–4171–0– 
3–351). 
‘‘Federal Deposit Insurance Corporation, 
Deposit Insurance Fund (51–4596–0–4–373). 
‘‘Federal Deposit Insurance Corporation, 
FSLIC Resolution Fund (51–4065–0–3–373). 
‘‘Federal Deposit Insurance Corporation, 
Noninterest Bearing Transaction Account Guar-
antee (51–4458–0–3–373). 
‘‘Federal Deposit Insurance Corporation, 
Senior Unsecured Debt Guarantee (51–4457–0– 
3–373).
† HJ 45 EAS 
‘‘Federal Home Loan Mortgage Corporation 
(Freddie Mac). 
‘‘Federal Housing Finance Agency, Admin-
istrative Expenses (95–5532–0–2–371). 
‘‘Federal National Mortgage Corporation 
(Fannie Mae). 
‘‘Federal Payment to the District of Colum-
bia Judicial Retirement and Survivors Annuity 
Fund (20–1713–0–1–752). 
‘‘Federal Payment to the District of Colum-
bia Pension Fund (20–1714–0–1–601). 
‘‘Federal Payments to the Railroad Retire-
ment Accounts (60–0113–0–1–601). 
‘‘Federal 
Reserve 
Bank 
Reimbursement 
Fund (20–1884–0–1–803). 
‘‘Financial Agent Services (20–1802–0–1– 
803). 
‘‘Foreign Military Sales Trust Fund (11– 
8242–0–7–155). 
‘‘Hazardous Waste Management, Conserva-
tion Reserve Program (12–4336–0–3–999). 
‘‘Host Nation Support Fund for Relocation 
(97–8337–0–7–051). 
‘‘Internal Revenue Collections for Puerto 
Rico (20–5737–0–2–806).
† HJ 45 EAS 
‘‘Intragovernmental funds, including those 
from which the outlays are derived primarily 
from resources paid in from other government 
accounts, except to the extent such funds are aug-
mented by direct appropriations for the fiscal 
year during which an order is in effect. 
‘‘Medical Facilities Guarantee and Loan 
Fund (75–9931–0–3–551). 
‘‘National Credit Union Administration, 
Central Liquidity Facility (25–4470–0–3–373). 
‘‘National Credit Union Administration, 
Corporate Credit Union Share Guarantee Pro-
gram (25–4476–0–3–376). 
‘‘National Credit Union Administration, 
Credit Union Homeowners Affordability Relief 
Program (25–4473–0–3–371). 
‘‘National Credit Union Administration, 
Credit Union Share Insurance Fund (25–4468– 
0–3–373). 
‘‘National Credit Union Administration, 
Credit Union System Investment Program (25– 
4474–0–3–376). 
‘‘National Credit Union Administration, 
Operating fund (25–4056–0–3–373).
† HJ 45 EAS 
‘‘National Credit Union Administration, 
Share Insurance Fund Corporate Debt Guar-
antee Program (25–4469–0–3–376). 
‘‘National Credit Union Administration, 
U.S. Central Federal Credit Union Capital Pro-
gram (25–4475–0–3–376). 
‘‘Office of Thrift Supervision (20–4108–0– 
3–373). 
‘‘Panama Canal Commission Compensation 
Fund (16–5155–0–2–602). 
‘‘Payment of Vietnam and USS Pueblo 
prisoner-of-war claims within the Salaries and 
Expenses, Foreign Claims Settlement account 
(15–0100–0–1–153). 
‘‘Payment to Civil Service Retirement and 
Disability Fund (24–0200–0–1–805). 
‘‘Payment to Department of Defense Medi-
care-Eligible Retiree Health Care Fund (97– 
0850–0–1–054). 
‘‘Payment to Judiciary Trust Funds (10– 
0941–0–1–752). 
‘‘Payment to Military Retirement Fund 
(97–0040–0–1–054). 
‘‘Payment to the Foreign Service Retire-
ment and Disability Fund (19–0540–0–1–153).
† HJ 45 EAS 
‘‘Payments to Copyright Owners (03–5175– 
0–2–376). 
‘‘Payments to Health Care Trust Funds 
(75–0580–0–1–571). 
‘‘Payment to Radiation Exposure Com-
pensation Trust Fund (15–0333–0–1–054). 
‘‘Payments to Social Security Trust Funds 
(28–0404–0–1–651). 
‘‘Payments to the United States Territories, 
Fiscal Assistance (14–0418–0–1–806). 
‘‘Payments to trust funds from excise taxes 
or other receipts properly creditable to such trust 
funds. 
‘‘Payments to widows and heirs of deceased 
Members of Congress (00–0215–0–1–801). 
‘‘Postal Service Fund (18–4020–0–3–372). 
‘‘Radiation Exposure Compensation Trust 
Fund (15–8116–0–1–054). 
‘‘Reimbursement to Federal Reserve Banks 
(20–0562–0–1–803). 
‘‘Salaries of Article III judges. 
‘‘Soldiers and Airmen’s Home, payment of 
claims (84–8930–0–7–705).
† HJ 45 EAS 
‘‘Tennessee Valley Authority Fund, except 
nonpower programs and activities (64–4110–0– 
3–999). 
‘‘Tribal and Indian trust accounts within 
the Department of the Interior which fund prior 
legal obligations of the Government or which are 
established pursuant to Acts of Congress regard-
ing Federal management of tribal real property 
or other fiduciary responsibilities, including but 
not limited to Tribal Special Fund (14–5265–0– 
2–452), Tribal Trust Fund (14–8030–0–7–452), 
White Earth Settlement (14–2204–0–1–452), and 
Indian Water Rights and Habitat Acquisition 
(14–5505–0–2–303). 
‘‘United Mine Workers of America 1992 
Benefit Plan (95–8260–0–7–551). 
‘‘United Mine Workers of America 1993 
Benefit Plan (95–8535–0–7–551). 
‘‘United Mine Workers of America Com-
bined Benefit Fund (95–8295–0–7–551). 
‘‘United States Enrichment Corporation 
Fund (95–4054–0–3–271). 
‘‘Universal Service Fund (27–5183–0–2– 
376).
† HJ 45 EAS 
‘‘Vaccine Injury Compensation (75–0320– 
0–1–551). 
‘‘Vaccine Injury Compensation Program 
Trust Fund (20–8175–0–7–551). 
‘‘(B) The following Federal retirement and dis-
ability accounts and activities shall be exempt from 
reduction under any order issued under this part: 
‘‘Black Lung Disability Trust Fund (20– 
8144–0–7–601). 
‘‘Central Intelligence Agency Retirement 
and Disability System Fund (56–3400–0–1– 
054). 
‘‘Civil Service Retirement and Disability 
Fund (24–8135–0–7–602). 
‘‘Comptrollers general retirement system 
(05–0107–0–1–801). 
‘‘Contributions to U.S. Park Police annuity 
benefits, Other Permanent Appropriations (14– 
9924–0–2–303). 
‘‘Court of Appeals for Veterans Claims Re-
tirement Fund (95–8290–0–7–705). 
‘‘Department of Defense Medicare-Eligible 
Retiree Health Care Fund (97–5472–0–2–551). 
‘‘District of Columbia Federal Pension 
Fund (20–5511–0–2–601).
† HJ 45 EAS 
‘‘District of Columbia Judicial Retirement 
and Survivors Annuity Fund (20–8212–0–7– 
602). 
‘‘Energy Employees Occupational Illness 
Compensation Fund (16–1523–0–1–053). 
‘‘Foreign National Employees Separation 
Pay (97–8165–0–7–051). 
‘‘Foreign Service National Defined Con-
tributions Retirement Fund (19–5497–0–2–602). 
‘‘Foreign Service National Separation Li-
ability Trust Fund (19–8340–0–7–602). 
‘‘Foreign Service Retirement and Disability 
Fund (19–8186–0–7–602). 
‘‘Government Payment for Annuitants, Em-
ployees Health Benefits (24–0206–0–1–551). 
‘‘Government Payment for Annuitants, Em-
ployee Life Insurance (24–0500–0–1–602). 
‘‘Judicial Officers’ Retirement Fund (10– 
8122–0–7–602). 
‘‘Judicial Survivors’ Annuities Fund (10– 
8110–0–7–602). 
‘‘Military Retirement Fund (97–8097–0–7– 
602). 
‘‘National Railroad Retirement Investment 
Trust (60–8118–0–7–601).
† HJ 45 EAS 
‘‘National Oceanic and Atmospheric Ad-
ministration retirement (13–1450–0–1–306). 
‘‘Pensions for former Presidents (47–0105– 
0–1–802). 
‘‘Postal Service Retiree Health Benefits 
Fund (24–5391–0–2–551). 
‘‘Public Safety Officer Benefits (15–0403– 
0–1–754). 
‘‘Rail Industry Pension Fund (60–8011–0– 
7–601). 
‘‘Retired Pay, Coast Guard (70–0602–0–1– 
403). 
‘‘Retirement Pay and Medical Benefits for 
Commissioned Officers, Public Health Service 
(75–0379–0–1–551). 
‘‘Special Benefits for Disabled Coal Miners 
(16–0169–0–1–601). 
‘‘Special Benefits, Federal Employees’ Com-
pensation Act (16–1521–0–1–600). 
‘‘Special Workers Compensation Expenses 
(16–9971–0–7–601). 
‘‘Tax Court Judges Survivors Annuity 
Fund (23–8115–0–7–602). 
‘‘United States Court of Federal Claims 
Judges’ Retirement Fund (10–8124–0–7–602).
† HJ 45 EAS 
‘‘United States Secret Service, DC Annuity 
(70–0400–0–1–751). 
‘‘Voluntary Separation Incentive Fund (97– 
8335–0–7–051). 
‘‘(2) Prior legal obligations of the Government in 
the following budget accounts and activities shall be 
exempt from any order issued under this part: 
‘‘Biomass Energy Development (20–0114– 
0–1–271). 
‘‘Check Forgery Insurance Fund (20–4109– 
0–3–803). 
‘‘Credit liquidating accounts. 
‘‘Credit reestimates. 
‘‘Employees Life Insurance Fund (24– 
8424–0–8–602). 
‘‘Federal Aviation Insurance Revolving 
Fund (69–4120–0–3–402). 
‘‘Federal Crop Insurance Corporation Fund 
(12–4085–0–3–351). 
‘‘Federal Emergency Management Agency, 
National Flood Insurance Fund (58–4236–0–3– 
453). 
‘‘Geothermal resources development fund 
(89–0206–0–1–271).
† HJ 45 EAS 
‘‘Low-Rent Public Housing—Loans and 
Other Expenses (86–4098–0–3–604). 
‘‘Maritime Administration, War Risk In-
surance Revolving Fund (69–4302–0–3–403). 
‘‘Natural 
Resource 
Damage 
Assessment 
Fund (14–1618–0–1–302). 
‘‘Overseas Private Investment Corporation, 
Noncredit Account (71–4184–0–3–151). 
‘‘Pension Benefit Guaranty Corporation 
Fund (16–4204–0–3–601). 
‘‘San Joaquin Restoration Fund (14–5537– 
0–2–301). 
‘‘Servicemembers’ Group Life Insurance 
Fund (36–4009–0–3–701). 
‘‘Terrorism Insurance Program (20–0123– 
0–1–376). 
‘‘(h) LOW-INCOME PROGRAMS.—The following pro-
grams shall be exempt from reduction under any order 
issued under this part: 
‘‘Academic Competitiveness/Smart Grant Pro-
gram (91–0205–0–1–502). 
‘‘Child Care Entitlement to States (75–1550–0– 
1–609). 
‘‘Child Enrollment Contingency Fund (75–5551– 
0–2–551).
† HJ 45 EAS 
‘‘Child Nutrition Programs (with the exception 
of special milk programs) (12–3539–0–1–605). 
‘‘Children’s Health Insurance Fund (75–0515–0– 
1–551). 
‘‘Commodity Supplemental Food Program (12– 
3507–0–1–605). 
‘‘Contingency Fund (75–1522–0–1–609). 
‘‘Family Support Programs (75–1501–0–1–609). 
‘‘Federal Pell Grants under section 401 Title IV 
of the Higher Education Act. 
‘‘Grants to States for Medicaid (75–0512–0–1– 
551). 
‘‘Payments for Foster Care and Permanency 
(75–1545–0–1–609). 
‘‘Supplemental Nutrition Assistance Program 
(12–3505–0–1–605). 
‘‘Supplemental Security Income Program (28– 
0406–0–1–609). 
‘‘Temporary Assistance for Needy Families (75– 
1552–0–1–609).’’. 
(d) ADDITIONAL EXCLUDED PROGRAMS.—Section 255 
of BBEDCA is amended by adding the following after sub-
section (h):
† HJ 45 EAS 
‘‘(i) ECONOMIC RECOVERY PROGRAMS.—The following 
programs shall be exempt from reduction under any order 
issued under this part: 
‘‘GSE Preferred Stock Purchase Agreements (20– 
0125–0–1–371). 
‘‘Office of Financial Stability (20–0128–0–1– 
376). 
‘‘Special Inspector General for the Troubled 
Asset Relief Program (20–0133–0–1–376). 
‘‘(j) SPLIT TREATMENT PROGRAMS.—Each of the fol-
lowing programs shall be exempt from any order under this 
part to the extent that the budgetary resources of such pro-
grams are subject to obligation limitations in appropria-
tions bills: 
‘‘Federal-Aid Highways (69–8083–0–7–401). 
‘‘Highway Traffic Safety Grants (69–8020–0–7–401). 
‘‘Operations and Research NHTSA and National 
Driver Register (69–8016–0–7–401). 
‘‘Motor Carrier Safety Operations and Programs (69– 
8159–0–7–401). 
‘‘Motor Carrier Safety Grants (69–8158–0–7–401). 
‘‘Formula and Bus Grants (69–8350–0–7–401). 
‘‘Grants-In-Aid for Airports (69–8106–0–7–402).’’.
† HJ 45 EAS 
SEC. 12. DETERMINATIONS AND POINTS OF ORDER. 
Nothing in this title shall be construed as limiting the 
authority of the chairmen of the Committees on the Budget 
of the House and Senate under section 312 of the Congres-
sional Budget Act of 1974. CBO may consult with the 
Chairmen of the House and Senate Budget Committees to 
resolve any ambiguities in this title. 
SEC. 13. LIMITATION ON CHANGES TO THE SOCIAL SECU-
RITY ACT. 
(a) LIMITATION ON CHANGES TO THE SOCIAL SECU-
RITY ACT.—Notwithstanding any other provision of law, it 
shall not be in order in the Senate or the House of Rep-
resentatives to consider any bill or resolution pursuant to 
any expedited procedure to consider the recommendations 
of a Task Force for Responsible Fiscal Action or other com-
mission that contains recommendations with respect to the 
old-age, survivors, and disability insurance program estab-
lished under title II of the Social Security Act, or the taxes 
received under subchapter A of chapter 9; the taxes imposed 
by subchapter E of chapter 1; and the taxes collected under 
section 86 of part II of subchapter B of chapter 1 of the 
Internal Revenue Code. 
(b) WAIVER.—This section may be waived or sus-
pended in the Senate only by the affirmative vote of three- 
fifths of the Members, duly chosen and sworn.
† HJ 45 EAS 
(c) APPEALS.—An affirmative vote of three-fifths of the 
Members of the Senate, duly chosen and sworn, shall be re-
quired in the Senate to sustain an appeal of the ruling of 
the Chair on a point of order raised under this section. 
TITLE II—ELIMINATION OF DU-
PLICATIVE 
AND 
WASTEFUL 
SPENDING 
SEC. 21. IDENTIFICATION, CONSOLIDATION, AND ELIMI-
NATION OF DUPLICATIVE GOVERNMENT PRO-
GRAMS. 
The Comptroller General of the Government Account-
ability Office shall conduct routine investigations to iden-
tify programs, agencies, offices, and initiatives with dupli-
cative goals and activities within Departments and govern-
mentwide and report annually to Congress on the findings, 
including the cost of such duplication and with rec-
ommendations for consolidation and elimination to reduce 
duplication identifying specific rescissions. 
Attest: 
Secretary.