The Congressional Democratic push to overhaul health care is finally, at very long last, done.
House Democrats voted 220-207 Thursday night to approve a package of fixes to the underlying law after the Senate made two minor changes to the version the House first passed on Sunday night. Thirty-two Democrats voted no. The reconciliation package now heads to President Barack Obama for his signature.
The package makes a number of changes to the Senate-authored health care overhaul demanded by House Democrats. It dramatically scales back and delays until 2018 a tax on high-cost Cadillac insurance plans, strikes some special deals cut with individual Senators, boosts affordability credits, and adds a revamp of the student-loan industry.
It first cleared the House on Sunday night, but the Senate was unable to approve the bill unchanged after Republicans found two minor provisions that the Parliamentarian agreed should be stricken because they were in violation of strict budget reconciliation rules. The final Senate vote Thursday for passage, 56-43, was more than the commitments Senate Majority Leader Harry Reid (D-Nev.) told Pelosi he had, noted Sen. Charles Schumer (N.Y.), the No. 3 Democrat in the chamber.
Sens. Blanche Lincoln (D-Ark.), Mark Pryor (D-Ark.) and Ben Nelson (D-Neb.) voted with all Republicans against the bill, despite having been part of the filibuster-proof 60-vote majority that pushed the Senate bill to passage on Christmas Eve 2009. Lincoln, for example, said she did not believe the reconciliation process which by law cannot be filibustered was the right way to make changes to the Senate bill that Obama signed into law Tuesday.
Though they couldnt live up to their promise to pass reconciliation intact, Senate Democrats did beat back 42 GOP amendments to the reconciliation package in a two-day vote-a-rama. Even after it became clear that Republicans would be able to strike 16 lines of text from the bill, Democrats continued to vote down politically sensitive amendments, including a proposal by Sen. Tom Coburn (R-Okla.) that would have barred insurance coverage of erectile dysfunction drugs for sex offenders. Democrats fear votes against proposals like Coburns could be turned into an effective campaign attack ad come November.
Sen. Benjamin Cardin (D-Md.) said Democrats were largely committed to keeping the reconciliation bill free of other amendments because of the Houses leap of faith in passing the Senate health care bill.
I think that most Democrats agree that this is basically a conference report that was well-negotiated between the House and the Senate and that its not up to the Senate at this point to make changes in the bill, Cardin said.
Democrats were not united on all amendment votes, but their 59-member Conference was large enough to let some Members vote with Republicans while still killing most of the GOP attempts to amend the bill.
Nelson and Lincoln voted the most often against the majority of their party.