CQ Political News: House Faces Pivotal Votes on Health Care

Democrats are entering a critical week in the health care debate, as party leaders close in on the 216-vote threshold they need for the House to clear a Senate-passed overhaul bill.

But they still are trying to resolve at least two important issues: making Medicaid funding equitable to all states and addressing Hispanic lawmakers’ concerns about immigration. A third issue, abortion, has been set aside, Democrats say.

Despite holdouts in different quarters of her caucus, Speaker Nancy Pelosi sounded confident on March 12 that she would have the votes to finish the health care overhaul.

“We stand ready to stay as long as it takes to pass the bill,” Pelosi, D-Calif., told reporters. “I think members are eager to pass the bill. . . . It won’t be long before we’ll be making a real difference in the lives of the American people.”

Democrats will use an elaborate series of parliamentary procedures to try to accomplish the task. House Democratic leaders are preparing to clear the Senate-passed bill by the end of the week or soon thereafter. It will be considered with a companion bill, to be sent to the Senate, that would amend the Senate measure with changes demanded by House Democrats.

The companion bill will probably be combined with a student loan proposal that some Democrats believe could attract additional votes in the House. The proposal would make the federal government the sole originator of the student loans, which Democrats contend is less costly to taxpayers than subsidizing banks to loan money to students.

The House passed such legislation last year, but proponents say it would be easier to pass the bill in the Senate using expedited reconciliation rules to avoid a Republican filibuster.

The House Budget Committee is scheduled to start the process Monday by marking up a reconciliation bill containing proposals previously submitted by three panels with jurisdiction over health care issues — Energy and Commerce, Ways and Means, and Education and Labor. The bill will also contain the student loan measure.

Later in the week, the House Rules Committee is expected to replace the health care language in the reconciliation bill with the bill the House wants to use to amend the Senate-passed health care bill. The Rules Committee is scheduled to meet March 17.

Congressional Quarterly