Here is a further explanation I received.

-------- Original Message --------
Subject:        RE: is the Health Care Bill and entrenched statute
Date:   Tue, 22 Dec 2009 09:02:30 -0500
From:   Chris SCHROEDER <[email protected]>


The Reid health care bill, which is available here,  (
http://democrats.senate.gov/reform/patient-protection-affordable-care-act.pdf
)appears to contain several "shall not be in order" provisions.  The only one I
have looked at in any detail (which is to say that I have skimmed it) sets up an
independent Medicare Advisory Board that is empowered to propose steps to reduce
Medicare spending whenever projections indicate that spending will exceed the
target growth rate for the year.  The Secretary of HHS is then required to
implement those proposals unless Congress enacts legislation "pursuant to this
section."  The bill also sets up a procedure for any member of Congress to
introduce such a superseding bill.   It then protects this procedure through the
language that Seth has quoted.  It also provides that this provision can be
waived only by an affirmative 3/5's vote -- the same as required to end a
filibuster.

There are analogs to this set up in current law.  The current federal budget
process contains similar procedures:  once the budget resolution has been
enacted, any legislation and violates the spending or revenue levels contained
in the resolution is subject to a point of order.  The default rule on a point
of order is that it requires a simple majority vote to waive the point of order,
but many of the points of order in the budget process require 60 votes, as this
one in the health bill does.

Points of order are enforceable by the legislative body.  I do not know of any
where even an attempt at judicial enforcement has been made.

There are parliamentary ways to get around a point of order by simple majority
vote, but they require the chair to rule against the point of order.  When a
member moves to challenge the chair's ruling, another member (who wishes the
point of order to be waived) moves to table the appeal of the chair's ruling.
Such a procedural motion cannot be filibustered, so it takes a simple majority
to table the appeal, essentially killing it.   When the Republicans controlled
the Senate by virtue of VP Cheney being the presiding officer, this was how the
"nuclear option" -- to knock out the ability to filibuster judicial nominations
-- was going to be implemented.   Reports are that then Majority Leader Frist
was prepared to trigger the nuclear option, but the deal struck by the gang of
14 intervened.

Chris



-- Jon

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