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CBS/ AP/ March 26, 2010, 10:09 AM

Senate Passes Reconciliation Health Bill

Updated at 5:50 p.m. ET

The Senate on Thursday passed the reconciliation bill to amend the health care reforms recently signed into law, bringing the health care debate one step closer to an end.

The package of changes passed by a vote of 56 to 43 and now goes to the House for a final vote. The House will take up the measure this evening.

"The American people have waited for this moment for a century," Senate Majority Harry Reid said after the vote.

Sen. Max Baucus, D-Mont., called the moment a "tectonic plate shift" for the nation.

Three Democrats sided with Republicans and voted against the measure: Sens. Blanche Lincoln (Ark.), Mark Pryor (Ark.) and Ben Nelson (Neb.). One senator missed the vote -- Johnny Isakson (R-Ga.) is hospitalized in Georgia with an infection.

The Senate would have been the final stop for the bill before President Obama's desk, but Senate Republicans learned early Thursday that they could kill some language in the measure. Even though the House passed the reconciliation bill on Sunday, they have to pass it again now that the language has been altered.

Democratic leaders say the changes are minor and passing the bill again in the House will not be a problem.

"Of all the things they could have sent back, this is probably the most benign, easily fixed," House Speaker Nancy Pelosi said on Thursday.

The president, who signed the landmark legislation into law on Tuesday, flew to Iowa Thursday for the first of many appearances he will make around the country before the fall congressional elections to sell his health care revamp.

Mr. Obama went to Iowa City, where as a presidential candidate in 2007 he touted his ideas for health coverage for all. His trip coincided with polls showing people are divided over the new health law, and Democratic lawmakers from competitive districts hoping he can convince more voters by November that it was the right move.

"From this day forward," Mr. Obama said today, "all of the cynics and the naysayers will have to confront the reality of what this reform is and what it isn't."

A CBS News poll released Wednesday found that nearly two in three Americans said they wanted Republicans to continue challenging parts of the health care reform bill.

Republicans this week were hunting for ways to bring down the reconciliation bill. The minor provisions that had to be removed from the bill today related to Pell grants for low-income students.

Complete Coverage: Health Care Reform

Besides reshaping parts of the landmark health overhaul, the legislation transforms the federal student loan program - in which private banks distribute the money - into one in which the government issues the loans directly. That produces some federal savings, which the bill uses in part to increase Pell grants to needy students.

Democratic aides said the problematic provisions dealt with protecting students from future cuts in their grants if Congress does not provide enough money for them. They violated budget rules because they did not produce savings, one aide said.

The development came as the Senate completed nine hours of uninterrupted voting on GOP amendments to the legislation. Majority Democrats defeated every amendment.

The legislation would change the new health care law by making drug benefits for Medicare recipients more generous by gradually closing a gap in coverage, increasing tax subsidies to help low-income people afford health care, and boosting federal Medicaid payments to states.

It kills part of the new statute uniquely giving Nebraska extra Medicaid funds - designed to lure support from that state's Sen. Ben Nelson - that had become a glaring embarrassment to Democrats. It also eases a new tax on expensive health coverage bitterly opposed by unions and many House Democrats, while delaying and increasing a new levy on drug makers.

More Coverage on Health Care Reform:

Obama Dares GOP to Run on Repeal of Health Bill
Poll: Most Want GOP to Keep Fighting on Health Bill
Eric Cantor Says Bullet Shot Through His Office Window This Week
Joe Biden: "F-Bomb" During Health Care Signing was the Highlight of the Day
Coffin on Lawmaker's Lawn, Other Reports of Angry Actions Surface
Violent Threats Leveled at House Members
Poll: Small Bump in Health Care Believers
Health Care Bill Myths Likely to Linger
Biden Swears at Bill Signing: Just Biden Being Biden?

As they began pushing the bill to passage on Wednesday afternoon, Democrats ran into a mountain of GOP amendments designed to slow passage of the legislation. Outnumbered and all but assured of defeat, Republicans forced votes on amendments aimed at reshaping the measure - or at least forcing Democrats to take votes that could be used against them in TV ads in the fall campaigns.

"There's no attempt to improve the bill. There's an attempt to destroy this bill," said an exasperated Majority Leader Reid.

"The majority leader may not think we're serious about changing the bill, but we'd like to change the bill, and with a little help from our friends on the other side we could improve the bill significantly," answered Senate Minority Leader Mitch McConnell, R-Ky.

Senators voted on 29 consecutive GOP amendments between 5:30 p.m. Wednesday and 2:30 a.m. Thursday, when they recessed. Resuming later in the morning, they voted on 12 more.

By 57-42, Democrats rejected an amendment by Sen. Tom Coburn, R-Okla., barring federal purchases of Viagra and other erectile dysfunction drugs for sex offenders. Coburn said it would save millions, while Sen. Max Baucus, D-Mont., called it "a crass political stunt."

Democrats also deflected GOP amendments rolling back the health law's Medicare cuts; killing extra Medicaid funds for Tennessee and other state-specific spending; barring tax increases for families earning under $250,000; and requiring the president and other administration officials to purchase health care from exchanges the statute creates.

The landmark legislation that Mr. Obama signed Tuesday is expected to provide health care to 32 million uninsured people, and make coverage more affordable to millions of others by expanding the reach of Medicaid and creating new subsidies. Insurance companies will be forbidden to refuse coverage to people with pre-existing illnesses, individuals will be able to buy policies on newly created exchanges and parents will be able to keep children on their family plans until their 26th birthdays.

The $938 billion, 10-year price tag will be financed largely by culling savings from Medicare and imposing new taxes on higher income people and the insurance, pharmaceutical and medical device industries.

Details of the Bill:
Summary of What's in the Bill
Uninsured? What the New Bill Means for You
Already Insured? Get Ready to Pay More
Health Reform Tweaks Seniors' Medicare
Feds Eye Big Savings from Health Reform
How Health Reform Affects Small Businesses
Provisions Which Take Effect in Short-Term
Read the Text (PDF): Complete Senate Bill | Reconciliation Measure
CBS/ AP
184 Comments Add a Comment
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Bianchi2122 says:
Typical Republican cry babies. Like kids who need to have something done for their own good, in this case health care reform. All I'm hearing are complaints with no ideas, threats of revenge. The sky is falling for these wackos, These people are descendants of those who thought the world was flat during the middle ages, from the witch hunters. They hold back progress as history has shown in every era. Europe has evolved past this, we just need to deal with it as progress is slow. Fortunately we have a progressive thinking LIBERAL and we're on our way.
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Cattzen replies:
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We're on our way, whew...(exhale).
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50BMS13 says:
Hey slow___ Thanks for your link...I tried it and couldn't get anything...
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slownewsday_____ replies:
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Well, shoot! Search "SOI Tax Stats - 2004 Personal Wealth Tables" at irs.gov

(You can also put the link into Google)
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huffie04 says:
"For most Americans insured through work, health care coverage is expected to stay the same -- or improve. No lifetime caps. No denial of benefits if people get sick. And continued coverage if you lose or change jobs.But premiums will continue to rise. How much? No one's certain. To pay for this sweeping reform, here's what will change": I thought rates are going to stay the same and theres a loop for kids with pre-existing condition they aren't going to be covered until the loop hole is fixed. I wonder how many more loop holes are there.
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50BMS13 says:
Slow___ Where dod you get this 19 trillion personal weath in this country? The NYSE is worth way more than that. Anyways, don't want to argue. But I look at things in the macro not the micro. This bill has opened up a can of worms that will make everyone shudder in 10 years. Illegal aliens and immigration of the poor I could go on and on. The big companies that are in the medical business will do well. That is whole other angle of corruption. Too many blank checks. Too many flaws. Just my opinion. We will see what the people say in November. When Pelosi told her Democrats to vote for it even if they lose their jobs over it, that it would be the right thing to do. That is plain scary.
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slownewsday_____ replies:
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I've gotta run out for a few minutes, 50 - back in about a half hour...
50BMS13 replies:
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Slow___ The NYSE was worth 18 trillion nearly 10 years ago. There is a lot more money here than you think. I suppose you think China has more Billionaires/millionares than us too? Or GDP is higher than ours too. I agree on term limits for all politicians.
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ll2owt says:
did you repugknuts get that vote 220-207: FINAL FINAL. YOU LOSE AGAIN..say your prayers and go nite nite now..
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antoniof123 replies:
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brian1920 I guess we will wait to find out in November but I can tell you things change and in a couple of months those that could not get health insurance will be able too. They have friends and those friends have friends. The first effect is oh lets see, oh yes autism, child cancer and yes mental illness for children other illness as well. Like dude things have a way of changing very fast in this country and we do like Obama a lot.

Just because you wing nuts don't doesn't mean a thing.

Have nice day!!!!!
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TVO1CITW says:
I just don't remember waiting for this for 100 years.
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slownewsday_____ replies:
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You must be really really old....
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butterflydi says:
what about the Military? Why isn't there insurance being mandated that you have to cover children until they are 26 years old?
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50BMS13 says:
Hi Slow____. I'm not a Mitt Romney fan. I don't agree with his quote.
Hope you are well today. This new mortgage bailout for the ones that lose their jobs has me baffled.
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slownewsday_____ replies:
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Just curious, and you don't have to answer, but what part of his quote don't you agree with? I'm really interested in your take on the last few sentences.
50BMS13 replies:
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Slow___ The way it works....the poor pay a very low premium or get fined. That entitles them to free medical and prescriptions. The way it is now, there are no premiums so he is making it sound like they are getting a free ride. The free ride starts when they pay their low premium and fill the halls at doctors offices and hospitals. One day in a hospital will blow away years of premiums. Romney is sly. The package is the same in effect as the Dems. He is plain lying and decieving for political posterity.
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50BMS13 says:
Fox news and the Washington Post are reporting today that Obama is working on paying mortgage payments for those that get laid off or lose their jobs!!! THIS IS RIDICULOUS! That means another branch of government and more taxes! The rich and successful will be paying for everything while the inept, poor, lazy and in somecases unfortunate will be bailed out. Look....if you buy a house and get fired, sell the house and rent. Big deal. Free medical for 35,000,000. Who will pay for it? Take a guess.....
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ll2owt replies:
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50sbowelmovement...sheep and fox news both lie...hehehe. you lost, you lost, you lost
slownewsday_____ replies:
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Hey there, 50BMS13 -

What do you think of the Mitt Romney quote?
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IrishJohn2 says:
I don't get it. The republicans had eight years to put forth a health care reform they would like, and a finance reform too. They also had a republican president who would have signed anything they put on his desk. So why didn't they get it done?!?!?! Did the health care system (and finance system) just fall apart over night? They had eight years? How many years does it take them? Someone else puts forth a plan that can be worked on, and it by definition is wrong?
How many years does it take republicans to earn what they are paid?
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OhCry replies:
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by IrishJohn2 March 25, 2010 8:20 PM EDT
I don't get it. The republicans had eight years to put forth a health care reform they would like, and a finance reform too. They also had a republican president who would have signed anything they put on his desk. So why didn't they get it done?!?!?! Did the health care system (and finance system) just fall apart over night? They had eight years? How many years does it take them? Someone else puts forth a plan that can be worked on, and it by definition is wrong?
How many years does it take republicans to earn what they are paid?
=================

I voted for John McCain, but realistically the GOP has paid a huge price by losing many elections over Health Care.

The key ?

If this Bill ends up poorly managed the GOP will be called on quite fast. I believe the Democrats are taking a huge risk, but a gutsy risk. I hope it works.

Why ? I root for America to succeed regardless of political party.
jschmidt27 replies:
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Think they might have been pre-occupied with 9/11, Homeland Security, war on 2 fronts, hurricanes, floods, wildfires- you now all those things they spent money on. Plus when they tried to setup private accounts to rescue SS and then set up the medicare drug plan, the left and the media complained bitterly. So why would they want to open a hornets nest on another social program when all the other Democrat social programs were going under. When the Republicans said SS and medicare were in deep trouble, the Dems denied it. Now SS is taking out more than is being put in and that is 6 years earlier than predicted.
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