124 STAT. 496 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(3) LIMITATION ON CHANGES TO THE BOARD RECOMMENDA- TIONS.— ‘‘(A) IN GENERAL.—It shall not be in order in the Senate or the House of Representatives to consider any bill, resolu- tion, or amendment, pursuant to this subsection or con- ference report thereon, that fails to satisfy the requirements of subparagraphs (A)(i) and (C) of subsection (c)(2). ‘‘(B) LIMITATION ON CHANGES TO THE BOARD REC- OMMENDATIONS IN OTHER LEGISLATION.—It shall not be in order in the Senate or the House of Representatives to consider any bill, resolution, amendment, or conference report (other than pursuant to this section) that would repeal or otherwise change the recommendations of the Board if that change would fail to satisfy the requirements of subparagraphs (A)(i) and (C) of subsection (c)(2). ‘‘(C) LIMITATION ON CHANGES TO THIS SUBSECTION.— It shall not be in order in the Senate or the House of Representatives to consider any bill, resolution, amend- ment, or conference report that would repeal or otherwise change this subsection. ‘‘(D) WAIVER.—This paragraph may be waived or sus- pended in the Senate only by the affirmative vote of three- fifths of the Members, duly chosen and sworn. ‘‘(E) APPEALS.—An affirmative vote of three-fifths of the Members of the Senate, duly chosen and sworn, shall be required in the Senate to sustain an appeal of the ruling of the Chair on a point of order raised under this paragraph. ‘‘(4) EXPEDITED PROCEDURE.— ‘‘(A) CONSIDERATION.—A motion to proceed to the consideration of the bill in the Senate is not debatable. ‘‘(B) AMENDMENT.— ‘‘(i) TIME LIMITATION.—Debate in the Senate on any amendment to a bill under this section shall be limited to 1 hour, to be equally divided between, and controlled by, the mover and the manager of the bill, and debate on any amendment to an amendment, debatable motion, or appeal shall be limited to 30 minutes, to be equally divided between, and controlled by, the mover and the manager of the bill, except that in the event the manager of the bill is in favor of any such amendment, motion, or appeal, the time in opposition thereto shall be controlled by the minority leader or such leader’s designee. ‘‘(ii) GERMANE.—No amendment that is not ger- mane to the provisions of such bill shall be received. ‘‘(iii) ADDITIONAL TIME.—The leaders, or either of them, may, from the time under their control on the passage of the bill, allot additional time to any Senator during the consideration of any amendment, debatable motion, or appeal. ‘‘(iv) AMENDMENT NOT IN ORDER.—It shall not be in order to consider an amendment that would cause the bill to result in a net reduction in total Medicare program spending in the implementation year that is less than the applicable savings target established
