Official Title: Establishing the budget for the United States Government for fiscal year 2012 and setting forth appropriate budgetary levels for fiscal years 2013 through 2021.
HConRes 34: Ryan budget bill
Passed by House April 15, 2011
Rejected by Senate May 24/25, 2011
Synopsis: When House Budget Committee Chairman Paul Ryan (R.-Wis.) proposed a 2012 budget that sought to drastically limit government spending, Medicare became the center of a dramatic confrontation between Democrats and Republicans in Congress. Ryan's goal was to slash government outlays by $5.8 trillion over the next decade.
Ryan's budget called for fundamentally changing Medicare by converting it to a type of voucher system for those currently under 55 years of age. Beginning in 2022, most seniors would no longer receive insurance directly from the government. Instead, Washington would give them vouchers that they could then use to buy private insurance plans.
The voucher would rise in value from year to year, in tandem with annual growth in Gross Domestic Product (GDP) plus one-half percentage point. Critics of the bill noted that this is well below the rate of growth in health care costs in recent decades.
According to the Congressional Budget Office, seniors would wind up paying much more out of pocket for medical care. The Ryan plan also called for gradually raising Medicare's eligibility age from 65 to 67 for people turning 65 in 2023
In addition, Ryan's budget proposed converting federal funding for Medicaid into block grants to the states. By 2050, federal funding, measured as a share of GDP, would be cut in half.
Finally, while slicing government spending, Ryan's budget made the Bush-era tax cuts for high-income Americans permanent.
More: select a member to see his or her other key health care votes.