S. 1903 would prevent Congress from using a procedural tool called budget reconciliation to make changes to Medicare and Medicaid. Budget reconciliation is a legislative process that allows certain bills to pass the Senate with a simple majority rather than the 60 votes normally required, making it easier for the majority party to pass legislation without opposition support. By prohibiting Medicare and Medicaid changes through this process, the bill would make it significantly harder to modify these two major health insurance programs for seniors, disabled individuals, and low-income Americans. The bill was introduced by Senators Reed, Heinrich, and Markey in May 2025 and was referred to the Senate Budget Committee. This measure would require any future changes to Medicare or Medicaid to go through the standard legislative process, which typically requires broader bipartisan agreement.
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