instruction:
In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
question:
SECTION 1. SHORT TITLE.

This Act may be cited as the ''Medical Nutrition Equity Act of
2017''.

SEC. 2. FINDINGS.

Congress finds the following:
(1) Specialized food is often medically necessary for the
safe and effective management of many digestive and inherited
metabolic disorders that impact digestion, absorption, and
metabolism of nutrients.
(2) Although medically necessary food is essential for
patients, it is often expensive and not uniformly reimbursed by
health insurance, leaving many families with an insurmountable
financial burden.
(3) As a result, many patients who cannot afford medically
necessary food may experience adverse health consequences from
suboptimal disease management, including hospitalization,
intellectual impairment, behavioral dysfunction, inadequate
growth, nutrient deficiencies, and even death.

SEC. 3. COVERAGE OF MEDICALLY NECESSARY FOOD AND VITAMINS FOR DIGESTIVE
AND INHERITED METABOLIC DISORDERS UNDER FEDERAL HEALTH
PROGRAMS AND PRIVATE HEALTH INSURANCE.

(a) Coverage Under the Medicare Program.--
(1) Medically necessary food.--
(A) In general.--Section 1861(s)(2) of the Social
Security Act (42 U.S.C. 1395x(s)(2)) is amended--
(i) in subparagraph (FF), by striking
''and'' at the end;
(ii) in subparagraph (GG), by inserting
''and'' at the end; and
(iii) by adding at the end the following
new subparagraph:
''(HH) medically necessary food (as defined in subsection
(jjj)) and the medical equipment and supplies necessary to
administer such food (other than medical equipment and supplies
described in subsection (n));''.
(B) Definition.--Section 1861 of the Social
Security Act (42 U.S.C. 1395x) is amended by adding at
the end the following new subsection:

''Medically Necessary Food

''(jjj)(1) Subject to paragraph (2), the term 'medically necessary
food' means food, including a low protein modified food product and an
amino acid preparation product, that is--
''(A) furnished pursuant to the prescription, order, or
recommendation (as applicable) of a physician or other health
care professional qualified to make such prescription, order,
or recommendation, for the dietary management of a covered
disease or condition;
''(B) a specially formulated and processed product (as
opposed to a naturally occurring foodstuff used in its natural
state) for the partial or exclusive feeding of an individual by
means of oral intake or enteral feeding by tube;
''(C) intended for the dietary management of an individual
who, because of therapeutic or chronic medical needs, has
limited or impaired capacity to ingest, digest, absorb, or
metabolize ordinary foodstuffs or certain nutrients, or who has
other special medically determined nutrient requirements, the
dietary management of which cannot be achieved by the
modification of the normal diet alone;
''(D) intended to be used under medical supervision, which
may include in a home setting; and
''(E) intended only for an individual receiving active and
ongoing medical supervision wherein the individual requires
medical care on a recurring basis for, among other things,
instructions on the use of the food.
''(2) For purposes of paragraph (1), the term 'medically necessary
food' does not include the following:
''(A) Foods taken as part of an overall diet designed to
reduce the risk of a disease or medical condition or as weight
loss products, even if they are recommended by a physician or
other health professional.
''(B) Foods marketed as gluten-free for the management of
celiac disease or non-celiac gluten sensitivity.
''(C) Foods marketed for the management of diabetes.
''(D) Other products determined appropriate by the
Secretary.
''(3) In this subsection, the term 'covered disease or condition'
means the following diseases or conditions:
''(A) Inherited metabolic disorders, including the
following:
''(i) Disorders classified as metabolic disorders
on the Recommended Uniform Screening Panel Core
Conditions list of the Secretary of Health and Human
Services' Advisory Committee on Heritable Disorders in
Newborns and Children.
''(ii) N-acetyl glutamate synthase deficiency.
''(iii) Ornithine transcarbamlyase deficiency.
''(iv) Carbamoyl phosphate synthestase deficiency.
''(v) Inherited disorders of mitochondrial
functioning.
''(B) Medical and surgical conditions of malabsorption,
including the following:
''(i) Impaired absorption of nutrients caused by
disorders affecting the absorptive surface, functional
length, and motility of the gastrointestinal tract,
including short bowel syndrome and chronic intestinal
pseudo-obstruction.
''(ii) Malabsorption due to liver or pancreatic
disease.
''(C) Immunoglobulin E and non-Immunoglobulin E-mediated
allergies to food proteins, including the following:
''(i) Immunoglobulin E and non-Immunoglobulin E-
mediated allergies to food proteins.
''(ii) Food protein-induced enterocolitis syndrome.
''(iii) Eosinophilic disorders, including
eosinophilic esophagitis, eosinophilic gastroenteritis,
eosinophilic colitis, and post-transplant eosinophilic
disorders.
''(D) Inflammatory or immune mediated conditions of the
alimentary tract, including the following:
''(i) Inflammatory bowel disease, including Crohn's
disease, ulcerative colitis, and indeterminate colitis.
''(ii) Gastroesophageal reflux disease that is
nonresponsive to standard medical therapies.
''(E) Any other disease or condition determined appropriate
by the Secretary.
''(4) In this subsection, the term ' low protein modified food
product' means a product formulated to have less than one gram of
protein per serving.''.
(C) Payment.--Section 1833(a)(1) of the Social
Security Act (42 U.S.C. 1395l(a)(1)) is amended--
(i) by striking ''and'' before ''(BB)'';
and
(ii) by inserting before the semicolon at
the end the following: '', and (CC) with
respect to medically necessary food (as defined
in section 1861(jjj)), the amount paid shall be
an amount equal to 80 percent of the lesser of
the actual charge for the services or the
amount determined under a fee schedule
established by the Secretary for purposes of
this subparagraph.''.
(D) Effective date.--The amendments made by this
subsection shall apply to items and services furnished
on or after the date that is 1 year after the date of
the enactment of this Act.
(2) Inclusion of medically necessary vitamins as a covered
part d drug.--
(A) In general.--Section 1860D-2(e)(1) of the
Social Security Act (42 U.S.C. 1395w-102(e)(1)) is
amended--
(i) in subparagraph (A), by striking ''or''
at the end;
(ii) in subparagraph (B), by striking the
comma at the end and inserting ''; or''; and
(iii) by inserting after subparagraph (B)
the following new subparagraph:
''(C) medically necessary vitamins used for the
management of a covered disease or condition (as
defined in section 1861(jjj)(3)) pursuant to the
prescription, order, or recommendation (as applicable)
of a physician or other health care professional
qualified to make such prescription, order, or
recommendation,''.
(B) Effective date.--The amendments made by
subparagraph (A) shall apply to plan years beginning on
or after the date that is 1 year after the date of the
enactment of this Act.
(b) Coverage Under the Medicaid Program.--
(1) In general.--Section 1905(a) of the Social Security Act
(42 U.S.C. 1396d(a)) is amended--
(A) in paragraph (28), by striking ''and'' at the
end;
(B) by redesignating paragraph (29) as paragraph
(31); and
(C) by inserting after paragraph (28) the following
new paragraphs:
''(29) medically necessary food (as defined in section
1861(jjj)) and the medical equipment and supplies necessary to
administer such food;
''(30) medically necessary vitamins used for the management
of a covered disease or condition (as defined in section
1861(jjj)(3)) pursuant to the prescription, order, or
recommendation (as applicable) of a physician or other health
care professional qualified to make such prescription, order,
or recommendation; and''.
(2) Conforming amendments.--
(A) Mandatory benefits.--Section 1902(a)(10)(A) of
the Social Security Act (42 U.S.C. 1396a(a)(10)(A)) is
amended, in the matter preceding clause (i), by
striking ''and (28)'' and inserting ''(28), (29), and
(30)''.
(B) Exception to coverage restriction.--Section
1927(d)(2)(E) of the Social Security Act (42 U.S.C.
1396r-8(d)(2)(E)) is amended by inserting ''and except
for medically necessary vitamins described in section
1905(a)(30)'' before the period at the end.
(3) Effective date.--
(A) In general.--Subject to subparagraph (B), the
amendments made by this subsection shall take effect on
the date that is 1 year after the date of the enactment
of this Act.
(B) Exception to effective date if state
legislation required.--In the case of a State plan for
medical assistance under title XIX of the Social
Security Act which the Secretary of Health and Human
Services determines requires State legislation (other
than legislation appropriating funds) in order for the
plan to meet the additional requirements imposed by the
amendments made by this subsection, the State plan
shall not be regarded as failing to comply with the
requirements of such title solely on the basis of its
failure to meet this additional requirement before the
first day of the first calendar quarter beginning after
the close of the first regular session of the State
legislature that begins after the date of the enactment
of this Act. For purposes of the previous sentence, in
the case of a State that has a 2-year legislative
session, each year of such session shall be deemed to
be a separate regular session of the State legislature.
(c) Coverage Under CHIP.--
(1) In general.--Section 2103(c) of the Social Security Act
(42 U.S.C. 1397cc(c)) is amended by adding at the end the
following:
''(9) Medically necessary food.--The child health
assistance provided to a targeted low-income child under the
plan shall include coverage of medically necessary food (as
defined in section 1861(jjj)) and the medical equipment and
supplies necessary to administer such food.
''(10) Certain vitamins.--The child health assistance
provided to a targeted low-income child under the plan shall
include coverage of medically necessary vitamins used for the
management of a covered disease or condition (as defined in
section 1861(jjj)(3)) pursuant to the prescription, order, or
recommendation (as applicable) of a physician or other health
care professional qualified to make such prescription, order,
or recommendation.''.
(2) Conforming amendment.--Section 2103(a) of the Social
Security Act (42 U.S.C. 1397cc(a)) is amended, in the matter
preceding paragraph (1), by striking ''and (7)'' and inserting
''(7), (9), and (10)''.
(3) Effective date.--
(A) In general.--Subject to subparagraph (B), the
amendments made by this subsection shall take effect on
the date that is 1 year after the date of the enactment
of this Act.
(B) Exception to effective date if state
legislation required.--In the case of a State child
health plan for child health assistance under title XXI
of the Social Security Act which the Secretary of
Health and Human Services determines requires State
legislation (other than legislation appropriating
funds) in order for the plan to meet the additional
requirements imposed by the amendments made by this
subsection, the State child health plan shall not be
regarded as failing to comply with the requirements of
such title solely on the basis of its failure to meet
this additional requirement before the first day of the
first calendar quarter beginning after the close of the
first regular session of the State legislature that
begins after the date of the enactment of this Act. For
purposes of the previous sentence, in the case of a
State that has a 2-year legislative session, each year
of such session shall be deemed to be a separate
regular session of the State legislature.
(d) Modification of Diseases and Conditions Covered Under TRICARE
Program.--Section 1077(h)(3) of title 10, United States Code, is
amended--
(1) in subparagraph (D), by striking ''and'';
(2) by redesignating subparagraph (E) as subparagraph (F);
and
(3) by inserting after subparagraph (D) the following:
''(E) Immunoglobulin E or non-Immunoglobulin E mediated
allergies to food proteins.''.
(e) Coverage Under FEHBP.--
(1) In general.--Section 8902 of title 5, United States
Code, is amended by adding at the end the following:
''(p) A contract for a plan under this chapter shall require the
carrier to provide coverage for--
''(1) medically necessary food (as defined in section
1861(jjj) of the Social Security Act) and the medical equipment
and supplies necessary to administer such food; and
''(2) medically necessary vitamins in the same manner
provided for under section 1860D-2(e)(1)(C) of the Social
Security Act.''.
(2) Effective date.--The amendment made by paragraph (1)
shall apply with respect to contract years beginning on or
after the date that is 1 year after the date of enactment of
this Act.
(f) Coverage Under Private Health Insurance.--
(1) In general.--Subpart II of part A of title XXVII of the
Public Health Service Act (42 U.S.C. 300gg-11 et seq.) is
amended by adding at the end the following:

''SEC. 2729. COVERAGE OF MEDICALLY NECESSARY FOOD AND VITAMINS.

''A health insurance issuer offering group or individual health
insurance coverage shall provide coverage for--
''(1) medically necessary food (as defined in section
1861(jjj) of the Social Security Act) and the medical equipment
and supplies necessary to administer such food; and
''(2) medically necessary vitamins in the same manner
provided for under section 1860D-2(e)(1)(C) of the Social
Security Act.''.
(2) Effective date.--The amendment made by paragraph (1)
shall apply to plan years beginning on or after the date that
is 1 year after the date of the enactment of this Act.
answer:
Medical Nutrition Equity Act of 2017 This bill provides for coverage, under Medicare, Medicaid, other specified federal health-care programs, and private health insurance,of foods and vitamins that are medically necessary for the management ofcertain digestive and metabolic disordersand conditions.

question:
SECTION 1. SHORT TITLE.

This Act may be cited as the ''Space Leadership Preservation Act of
2012''.

SEC. 2. ADMINISTRATOR AND DEPUTY ADMINISTRATOR.

Section 20111 of title 51, United States Code, is amended--
(1) in subsection (a)--
(A) by striking ''Administrator.--There is
established'' and inserting ''Administrator.--
''(1) In general.--There is established'';
(B) in paragraph (1), as so designated by
subparagraph (A) of this paragraph--
(i) by inserting '', pursuant to paragraph
(2),'' after ''who shall be appointed''; and
(ii) by inserting ''The Administrator shall
serve for a term of 10 years.'' after ''and
activities thereof.''; and
(C) by adding at the end the following new
paragraph:
''(2) Board of directors nominations.--The President shall
appoint the Administrator under paragraph (1) from among the
list of nominees provided by the Board of Directors pursuant to
section 20118(l)(2)(A). The President shall appoint a new
Administrator not later than 3 months after the first set of
nominees is so provided by the Board of Directors. The sitting
Administrator may serve in the position until a new
Administrator appointed pursuant to this paragraph is confirmed
by the Senate.''; and
(2) in subsection (b)--
(A) by striking ''Administrator.--There shall be''
and inserting ''Administrator.--
''(1) In general.--There shall be'';
(B) in paragraph (1), as so designated by
subparagraph (A) of this paragraph, by inserting '',
pursuant to paragraph (2),'' after ''who shall be
appointed''; and
(C) by adding at the end the following new
paragraph:
''(2) Board of directors nominations.--The President shall
appoint the Deputy Administrator under paragraph (1) from among
the list of nominees provided by the Board of Directors
pursuant to section 20118(j)(2)(B).''.

SEC. 3. BOARD OF DIRECTORS.

(a) Establishment.--Subchapter II of chapter 201 of title 51,
United States Code, is amended by adding at the end the following new
section:
''Sec. 20118. Board of Directors
''(a) Establishment.--There shall be established a Board of
Directors for the National Aeronautics and Space Administration in
accordance with this section, not later than 9 months after the date of
enactment of the 'Space Leadership Preservation Act of 2012'.
''(b) Membership and Appointment.--The Board shall consist of 11
members to be appointed as follows:
''(1) Three members shall be appointed by the President.
''(2) Three members shall be appointed by the president pro
tempore of the Senate.
''(3) One member shall be appointed by the minority leader
of the Senate.
''(4) Three members shall be appointed by the Speaker of
the House of Representatives.
''(5) One member shall be appointed by the minority leader
of the House of Representatives.
In addition to the members appointed under paragraphs (1) through (5),
the Administrator shall be an ex officio, nonvoting member of the
Board.
''(c) Qualifications.--The persons appointed as members of the
Board shall be--
''(1) former astronauts or scientists or engineers eminent
in the fields of human spaceflight, planetary science, space
science, Earth science, and aeronautics, or other scientific,
engineering, business, and social science disciplines related
to space and aeronautics;
''(2) selected on the basis of established records of
distinguished service; and
''(3) so selected as to provide representation of the views
of engineering, science, and aerospace leaders in all areas of
the Nation.
''(d) Limitation on Members.--An individual employed by or
representing an organization with which the Administration has a
contract is not eligible to serve on the Board, except for scientists
employed by or representing colleges, universities, and other not-for-
profit organizations. Additionally, a former Board member may not take
employment with or represent an organization with which the
Administration has a contract, or which is seeking such a contract, for
a period of 2 years following completion of service on the Board.
''(e) Terms.--The term of office of each member of the Board shall
be 3 years, except that any member appointed to fill a vacancy
occurring prior to the expiration of the term for which his predecessor
was appointed shall be appointed for the remainder of such term. Any
person who has been a member of the Board for 12 consecutive years
shall thereafter be ineligible for appointment during the 2-year period
following the expiration of such 12th year.
''(f) Travel Expenses.--Each member of the Board shall receive
travel expenses, including per diem in lieu of subsistence, in
accordance with applicable provisions under subchapter I of chapter 57
of title 5, United States Code.
''(g) Meetings.--The Board shall meet quarterly and at such other
times as the Chairman may determine, but the Chairman shall also call a
meeting whenever one-third of the members so request in writing. The
Board shall adopt procedures governing the conduct of its meetings,
including delivery of notice and a definition of a quorum, which in no
case shall be less than one-half plus one of the members of the Board.
''(h) Chairman and Vice Chairman.--The election of the Chairman and
Vice Chairman of the Board shall take place at each first quarter
meeting occurring in an even-numbered year. The Vice Chairman shall
perform the duties of the Chairman in his absence. In case a vacancy
occurs in the chairmanship or vice chairmanship, the Board shall elect
a member to fill such vacancy.
''(i) Staff.--The Board may, with the concurrence of a majority of
its members, permit the appointment of a staff consisting of
professional staff members, technical and professional personnel on
leave of absence from academic, industrial, or research institutions
for a limited term, and such operations and support staff members as
may be necessary. Such staff shall be appointed by the Chairman and
assigned at the direction of the Board. The professional members and
limited term technical and professional personnel of such staff may be
appointed without regard to the provisions of title 5, United States
Code, governing appointments in the competitive service, and the
provisions of chapter 51 of such title relating to classification, and
shall be compensated at a rate not exceeding the maximum rate payable
under section 5376 of such title, as may be necessary to provide for
the performance of such duties as may be prescribed by the Board in
connection with the exercise of its powers and functions under this
section.
''(j) Special Commissions.--The Board is authorized to establish
such special commissions as it may from time to time deem necessary for
the purposes of this section.
''(k) Committees.--The Board is also authorized to appoint from
among its members such committees as it deems necessary, and to assign
to committees so appointed such survey and advisory functions as the
Board deems appropriate to assist it in exercising its powers and
functions under this section.
''(l) Functions.--
''(1) Budget proposal.--Not later than November 15 of each
year, the Board shall provide to the President, and to the
Committee on Appropriations and the Committee on Science,
Space, and Technology of the House of Representatives and the
Committee on Appropriations and the Committee on Commerce,
Science, and Transportation of the Senate, a proposed budget
for the National Aeronautics and Space Administration for the
next fiscal year. Such budget shall--
''(A) carry out the purpose described in section
20102(h);
''(B) be based on--
''(i) the best professional judgement of
the Board;
''(ii) recommendations from the scientific,
engineering, and other technical experts
communities; and
''(iii) the recommendations of the most
recent National Research Council decadal
surveys; and
''(C) follow such decadal survey's recommended
decision rules regarding program implementation,
including a strict adherence to the recommendation that
the National Aeronautics and Space Administration
include in a balanced program a flagship class mission,
which may be executed in cooperation with one or more
international partners.
''(2) Nominees for administrator, deputy administrator, and
chief financial officer.--The Board shall provide to the
President--
''(A) a list of 3 nominees from which the President
shall appoint an Administrator pursuant to section
20111(a);
''(B) a list of 3 nominees from which the President
shall appoint a Deputy Administrator pursuant to
section 20111(b); and
''(C) a list of 3 nominees from which the President
shall appoint a Chief Financial Officer pursuant to
section 205(a) of the Chief Financial Officers Act (31
U.S.C. 901(a)).
The Board shall provide the first set of nominees under this
paragraph not later than 15 months after the date of enactment
of the 'Space Leadership Preservation Act of 2012'.
''(3) Reports.--
''(A) Annual infrastructure, capabilities, and
workforce assessment.--The Board shall provide to the
President and the Congress annually a report assessing
the status of United States spaceflight infrastructure,
unique space capabilities, and the health of the United
States workforce necessary to maintain such
infrastructure and capabilities. The assessment shall
also identify areas of concern, gaps in capability
compared to foreign spaceflight capabilities, and
recommendations on how to strengthen or improve United
States capabilities and workforce.
''(B) Specific policy matter reports.--The Board
shall provide to the President and the Congress reports
on specific, individual policy matters within the
authority of the Administration (or otherwise as
requested by the Congress or the President) related to
human space flight, planetary science, earth science,
aeronautics, and science, technology, engineering, and
mathematics education, as the Board, the President, or
the Congress determines the need for such reports.
''(4) Quadrennial review.--The Board shall provide to the
President and the Congress, not later than the later of 180
days after the establishment of the Board or the third
quarterly meeting of the Board, and once every 4 years
thereafter, a quadrennial review of current space programs and
a vision for future space exploration.
''(5) Removal of administrator for cause.--The Board may
provide to the President and the Congress a report recommending
the removal of the Administrator for cause. Any such report
shall include the reasons for such recommendation.
''(m) Budget Meetings.--Portions of Board meetings in which the
Board considers the budget proposal required under subsection (l)(1)
for a particular fiscal year may be closed to the public until the
Board submits the proposal to the President and the Congress.
''(n) Financial Disclosure.--Members of the Board shall be required
to file a financial disclosure report under title II of the Ethics in
Government Act of 1978 (5 U.S.C. App. 92 Stat. 1836), except that such
reports shall be held confidential and exempt from any law otherwise
requiring their public disclosure.''.
(b) Table of Sections.--The table of sections for chapter 201 of
title 51, United States Code, is amended by adding at the end of the
items for subchapter II the following new item:

''20118. Board of Directors.''.

SEC. 4. BUDGET PROPOSAL.

Section 30103 of title 51, United States Code, is amended by adding
at the end the following new subsection:
''(e) Board of Directors Proposal.--
''(1) Inclusion in president's proposed budget.--The
proposed budget for the Administration submitted to the
Congress by the President for each fiscal year shall include a
description of, and a detailed justification for, any
differences between the President's proposed budget and the
budget provided by the Board of Directors under section
20118(l)(1).
''(2) Elements of budget proposal.--Subsections (a) through
(d) of this section shall apply to the proposed budget provided
by the Board of Directors under section 20118(l)(1).''.

SEC. 5. LONG TERM CONTRACTING.

(a) Amendments.--Section 20142 of title 51, United States Code, is
amended--
(1) in the section heading, by striking ''Contracts
regarding expendable launch vehicles'' and inserting ''Long
term contracting'';
(2) in subsection (a), by--
(A) striking ''expendable launch vehicle services''
and inserting ''rocket propulsion systems and manned
and unmanned space transportation vehicles and
payloads, including expendable launch vehicles, and any
other infrastructure intended for placement or
operation in space or on celestial bodies, and services
related thereto,''; and
(B) striking ''related to launch'' and inserting
''related to''; and
(3) in subsection (b), by striking ''launch services'' and
inserting ''the goods and services to have been provided under
the contract''.
(b) Table of Sections Amendment.--The item relating to section
20142 in the table of sections for chapter 201 of title 51, United
States Code, is amended to read as follows:

''20142. Long term contracting.''.
answer:
Space Leadership Preservation Act of 2012 - Establishes a Board of Directors for the National Aeronautics and Space Administration (NASA). Sets forth Board membership and appointment criteria. Directs the President to appoint the NASA Administrator and Deputy Administrator from among a list of nominees provided by the Board.

Requires the Board to provide: (1) NASA's proposed annual budget; (2) annual reports on spaceflight infrastructure, unique space capabilities, and the workforce necessary to maintain such infrastructure and capabilities; (3) reports on specific policy matters; and (4) quadrennial reviews of current space programs and a vision for future space exploration.

Authorizes the Administrator to enter into contracts for rocket propulsion systems and manned and unmanned space transportation vehicles and payloads.

question:
SECTION 1. SHORT TITLE.

This Act may be cited as the ''Dollar-for-Dollar Deficit Reduction
Act''.

SEC. 2. AMENDMENT TO TITLE 31.

(a) In General.--Subchapter I of chapter 31 of title 31, United
States Code, is amended by inserting after section 3101A the following:
''Sec. 3101B. Debt limit control
''(a) Declaration of a Debt Limit Warning.--
''(1) In general.--In the event of a near breach of the
public debt limit established by section 3101, the Secretary of
the Treasury shall issue a debt limit warning to the Committee
on Finance of the Senate and the Committee on Ways and Means of
the House of Representatives that shall include a determination
as to when extraordinary measures may be necessary in order to
prolong the funding of the United States Government.
''(2) Definitions.--In this subsection:
''(A) Extraordinary measures.--The term
'extraordinary measures' means measures that may be
taken by the Secretary of the Treasury in the event of
a breach of the debt limit by the United States to
prolong the function of the United States Government in
the absence of a debt limit increase.
''(B) Near breach.--The term 'near breach' means
the point at which the Secretary of the Treasury
determines that the United States Government will reach
the statutorily prescribed debt limit within 60
calendar days notwithstanding the implementation of
extraordinary measures.
''(b) Presidential Submission of Debt Limit Legislation.--
''(1) Savings recommendations from the president.--Any
formal Presidential request to increase the debt limit under
this section shall include the amount of the proposed debt
limit increase and be accompanied by proposed legislation to
reduce spending over the sum of the current and following 10
years by an amount equal to or greater than the amount of the
requested debt limit increase. Net interest savings may not be
counted towards spending reductions required by this paragraph.
''(2) Calculation.--The spending savings under paragraph
(1) shall be calculated against a budget baseline consistent
with section 257 of the Balanced Budget and Emergency Deficit
Control Act of 1985. This baseline shall exclude the
extrapolation of any spending that had been enacted under an
emergency designation.''.
(b) Subchapter Analysis.--The table of sections for chapter 31 of
title 31, United States Code, is amended by inserting after the item
for section 3101A the following:

''3101B. Debt limit control.''.

SEC. 3. CONGRESSIONAL REQUIREMENT TO RESTRAIN SPENDING WHILE RAISING
THE DEBT LIMIT.

(a) In General.--Title III of the Congress and Budget Act of 1974
(2 U.S.C. 631 et seq.) is amended by inserting at the end the
following:

''SEC. 316. DEBT LIMIT INCREASE POINT OF ORDER.

''(a) In General.--
''(1) Point of order.--Except as provided in subsection
(b), it shall not be in order in the Senate or the House of
Representatives to consider any bill, joint resolution,
amendment, motion, or conference report that increases the
statutory debt limit unless the bill contains net spending
reductions of an equal or greater amount over the sum of the
current and next 10 fiscal years. Net interest savings may not
be counted towards spending reductions required by this
paragraph.
''(2) Components of net spending reduction.--
''(A) Calculation.--The savings resulting from the
proposed spending reductions under paragraph (1) shall
be calculated by the Congressional Budget Office
against a budget baseline consistent with section 257
of the Balanced Budget and Emergency Deficit Control
Act of 1985. This baseline shall exclude the
extrapolation of any spending that had been enacted
under an emergency designation.
''(B) Availability.--The Senate and the House of
Representatives may not vote on any bill, joint
resolution, amendment, motion, or conference report
that increases the public debt limit unless the cost
estimate of that measure prepared by the Congressional
Budget Office has been publicly available on the Web
site of the Congressional Budget Office for at least 24
hours.
''(C) Prohibit timing shifts.--Any provision that
shifts outlays or revenues from within the 10-year
window to outside the window shall not count towards
the budget savings target for purposes of this
subsection.
''(b) Senate Supermajority Waiver and Appeal.--
''(1) Waiver.--In the Senate, subsection (a)(1) may be
waived or suspended only by an affirmative vote of three-fifths
of the Members, duly chosen and sworn.
''(2) Appeal.--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 subsection (a)(1).''.
(b) Conforming Amendment.--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 section 315 the following new item:

''Sec. 316. Debt limit increase point of order.''.
answer:
Dollar-for-Dollar Deficit Reduction Act This bill requires the Department of the Treasury to issue a debt limit warning to Congress if Treasury determines that the United States will reach the statutory debt limit within 60 days. The warning must include a determination of when extraordinary measures may be necessary to prolong the funding of the U.S. government in the absence of a debt limit increase. Any formal Presidential request to increase the debt limit must include: (1) the amount of the proposed increase, and (2) proposed legislation to reduce spending over the sum of the current and following 10 years by at least the amount of the requested increase. The bill amends the Congressional Budget Act of 1974 to create a point of order in the House and Senate against legislation increasing the debt limit, unless the legislation reduces spending over the sum of the current and following 10 years by at least the amount of the increase.