; (B) privatize or turn the Medicare program into a voucher system; (C) block grant the Medicaid program under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.), impose per capita spending caps on State plans under such title, or decrease coverage under such program from current levels; or (D) reduce or eliminate the ability of States to provide comprehensive and affordable health coverage through medical assistance to low-income, non-elderly individuals as established under section 1902(a)(10)(A)(i)(VIII) of the Social Security Act ( 42 U.S.C. 1396a(a)(10)(A)(i)(VIII) ). (2) Waiver and appeal (A) Waiver Paragraph (1) may be waived or suspended in the Senate only by an affirmative vote of three-fifths of the Members, duly chosen and sworn. (B) Appeals An affirmative vote of three-fifths of the Members of the Senate, duly chosen and sworn, shall be required to sustain an appeal of the ruling of the Chair on a point of order raised under paragraph (1) and debate on such an appeal shall be limited to 1 hour, to be equally divided between, and controlled by the appellant and the manager of the reconciliation bill, reconciliation resolution, or joint resolution described in paragraph (1), as the case may be. .