SAMDT 1693 — To establish a deficit-neutral reserve fund relating to preventing a reduction in Medicaid funding that could lead to rural hospital closures, cost increases for individuals with other kinds of insurance, or higher rates of uncompensated care.

AMENDS

HCONRES 14 — Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034.

RESOLVING DIFFERENCES

AMENDMENT PROGRESS

STEP 3 OF 3

Proposed

Considered

Disposed

Proposed
Considered
Disposed

DISPOSITION

FAILED

APR 5, 2025

“Amendment SA 1693 not agreed to in Senate by Yea-Nay Vote. 49 - 50. Record Vote Number: 186.”

what this changes

This amendment would have created a special placeholder in the federal budget to protect Medicaid funding. Its goal was to ensure that future laws aimed at preventing rural hospital closures or rising insurance costs would not be blocked by certain budget rules.

WHY IT MATTERS

Rural hospitals often rely heavily on Medicaid payments to stay open. Without this budget placeholder, it may be more difficult for Congress to pass future legislation protecting these hospitals from funding cuts without violating budget deficit rules.

WHO IS AFFECTED

This primarily affects low-income Americans who rely on Medicaid and residents of rural communities whose local hospitals are at risk of closing due to funding gaps.

AMENDS

HCONRES 14RESOLVING DIFFERENCES

Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034.

OTHER AMENDMENTS TO THIS BILL

KEY POINTS

low

Budget Placeholder

A reserve fund allows Congress to spend money on a specific priority later in the year as long as they find a way to pay for it elsewhere.

low

Rural Healthcare Access

Rural hospitals are often the only source of emergency care for miles, and Medicaid cuts can force them to shut down.

low

Preventing Cost Shifts

When government funding for hospitals is cut, those hospitals often raise prices for people with private insurance to cover the loss, leading to higher premiums.

GLOSSARY

deficit-neutral reserve fund: A rule in a budget resolution that allows for future spending on a specific topic without increasing the total national debt, provided the cost is offset by other cuts or revenue.
uncompensated care: Medical services provided by a hospital for which no payment is received from the patient or an insurance provider.

Official sources

SAMDT 1693 on Congress.gov

This analysis used: Amendment purpose · Latest action · Amended bill: summary

ACTION TIMELINE

7 EVENTS

APR 5, 25

Amendment SA 1693 not agreed to in Senate by Yea-Nay Vote. 49 - 50. Record Vote Number: 186.

FLOOR

APR 5, 25

Amendment SA 1693 proposed by Senator Baldwin to Amendment SA 1717. (consideration: CR S2356) To establish a deficit-neutral reserve fund relating to preventing a reduction in Medicaid funding that could lead to rural hospital closures, cost increases for individuals with other kinds of insurance, or higher rates of uncompensated care.

FLOOR

APR 5, 25

Senate amendment proposed (on the floor): Amendment SA 1693 proposed by Senator Baldwin to Amendment SA 1717.

FLOOR

APR 5, 25

Senate amendment not agreed to: Amendment SA 1693 not agreed to in Senate by Yea-Nay Vote. 49 - 50. Record Vote Number: 186.

FLOOR

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To establish a deficit-neutral reserve fund relating to preventing a reduction in Medicaid funding that could lead to rural hospital closures, cost increases for individuals with other kinds of insurance, or higher rates of uncompensated care.

AMENDS

SUMMARY

KEY POINTS

SPONSORSHIP

ACTION TIMELINE

AMENDMENT INFO

READER REACTIONS

Discussion

To establish a deficit-neutral reserve fund relating to preventing a reduction in Medicaid funding that could lead to rural hospital closures, cost increases for individuals with other kinds of insurance, or higher rates of uncompensated care.

AMENDS

AMENDMENT PROGRESS