Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999
Encyclopedia
The Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (also called the Balanced Budget Refinement Act or BBRA) is a federal law of the United States, enacted in 1999. The BBRA was first introduced into the House
United States House of Representatives
The United States House of Representatives is one of the two Houses of the United States Congress, the bicameral legislature which also includes the Senate.The composition and powers of the House are established in Article One of the Constitution...

 as H.R. 3075 on October 14, 1999 by Rep. William M. Thomas
Bill Thomas
William Marshall Thomas , commonly known as Bill Thomas, is an American politician, and a Republican member of the United States House of Representatives from 1979–2007, finishing his tenure representing California's 22nd congressional district and as the Chairman of the House Ways and Means...

 (R-CA) with 75 cosponsors. It was read twice and then referred to the Senate Committee on Finance
United States Senate Committee on Finance
The U.S. Senate Committee on Finance is a standing committee of the United States Senate. The Committee concerns itself with matters relating to taxation and other revenue measures generally, and those relating to the insular possessions; bonded debt of the United States; customs, collection...

. The bill was then slightly altered and reintroduced by Thomas as H.R. 3426 on November 17, 1999. After referral to the House committees on Ways and Means
United States House Committee on Ways and Means
The Committee of Ways and Means is the chief tax-writing committee of the United States House of Representatives. Members of the Ways and Means Committee are not allowed to serve on any other House Committees unless they apply for a waiver from their party's congressional leadership...

 and Commerce
United States House Committee on Energy and Commerce
The Committee on Energy and Commerce is one of the oldest standing committees of the United States House of Representatives. Established in 1795, it has operated continuously—with various name changes and jurisdictional changes—for more than 200 years...

, it was incorporated by cross-reference in the conference report into H.R. 3194 on November 18, 1999. The H.R. 3194 bill had been introduced by Rep. Ernest J. Istook, Jr.
Ernest Istook
Ernest James Istook Jr. is a former Republican member of the United States House of Representatives from Oklahoma's 5th congressional district. He held his congressional seat for 14 years, completing seven terms in the House...

 (R-OK) on November 2, 1999, and was enacted with official title: Making consolidated appropriations for the fiscal year ending September 30, 2000, and for other purposes.

The BBRA was signed by President Bill Clinton
Bill Clinton
William Jefferson "Bill" Clinton is an American politician who served as the 42nd President of the United States from 1993 to 2001. Inaugurated at age 46, he was the third-youngest president. He took office at the end of the Cold War, and was the first president of the baby boomer generation...

 on November 29, 1999 after passing in Congress
United States Congress
The United States Congress is the bicameral legislature of the federal government of the United States, consisting of the Senate and the House of Representatives. The Congress meets in the United States Capitol in Washington, D.C....

.

External links

, Legislative History, Legislative History, Legislative History
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