http://timesofindia.indiatimes.com/world/us/US-House-passes-bill-to-overhaul-healthcare/articleshow/5208619.cms

US House passes bill to overhaul healthcareREUTERS 8 November 2009, 12:13pm
IST
 WASHINGTON: The House of Representatives approved a sweeping healthcare
reform bill on Saturday, backing the biggest health policy changes in four
decades and handing President Barack Obama a crucial victory.

 On a narrow 220-215 vote, including the support of one Republican, the
House endorsed a bill that would expand coverage to nearly all Americans and
bar insurance practices such as refusing to cover people with pre-existing
conditions.

Most Republicans criticized its $1 trillion price tag, new taxes on the
wealthy and what they said was excessive government interference in the
private health sector.

Democrats cheered and hugged when the 218th vote was recorded, and again
when House Speaker Nancy Pelosi pounded the gavel and announced the
results.

The battle over Obama's top domestic priority now moves to the Senate, where
work on its own version has stalled for weeks as Senate Democratic leader
Harry Reid searches for an approach that can win the 60 votes he needs.

Any differences between the Senate and House bills ultimately will have to
be reconciled, and a final bill passed again by both before going to Obama
for his signature.

"Thanks to the hard work of the House, we are just two steps away from
achieving health insurance reform in America. Now the United States Senate
must follow suit and pass its version of the legislation," Obama said in a
statement after the vote.

"I am absolutely confident it will, and I look forward to signing
comprehensive health insurance reform into law by the end of the year," he
said.

The overhaul would spark the biggest changes in the $2.5 trillion U.S.
healthcare system, which accounts for one sixth of the U.S. economy, since
the creation of the Medicare government health program for the elderly in
1965.

ABORTION DEAL
The vote followed days of heavy lobbying of undecided Democrats by Obama,
his top aides and House leaders. The narrow victory was clinched early on
Saturday by a deal designed to mollify about 40 Democratic opponents of
abortion rights.

Democrats had a cushion of 40 of their 258 House members they could lose and
still pass the bill. In the end, 39 Democrats sided with Republicans against
it.

The lone Republican to vote in favor of it was first-term Representative Anh
Cao of Louisiana. "It was a bipartisan vote," Democratic leader Steny Hoyer
said to laughter among fellow Democrats afterward.

The landmark vote was a huge step for Obama, who has staked much of his
political capital on the healthcare battle. A loss in the House would have
ended the fight, impaired the rest of his legislative agenda and left
Democrats vulnerable to big losses in next year's congressional elections.

Obama traveled to Capitol Hill on Saturday morning to meet with House
Democrats and emphasize the vital need for the healthcare reform bill.

Republicans and Democrats battled in sometimes testy debate through the day
and into the night on Saturday over the bill, which would require
individuals to have insurance and all but the smallest employers to offer
health coverage to workers.

It would set up exchanges where people could choose to purchase private
plans or a government-run insurance option bitterly opposed by the insurance
industry, and it would offer subsidies to help low-income Americans buy
insurance.

Congressional budget analysts say the bill would extend coverage to 36
million uninsured people living in the United States, covering about 96
percent of the population, and would reduce the budget deficit by about $100
billion over 10 years.

"We can't afford this bill," said Republican Representative Roy Blunt. "It's
a 2,000-page road map to a government takeover of healthcare."

REPUBLICAN PLAN REJECTED
Democrats rejected on a 258-176 vote the much smaller Republican healthcare
plan, which focused on cost controls and curbing medical malpractice
lawsuits but did not include many of the insurance reforms of the Democratic
plan.

The House also approved on a 240-194 vote an amendment that would impose
tighter restrictions on using federal funds to pay for abortions.

House Democratic leaders agreed to allow a vote on the amendment to mollify
about 40 moderate House Democrats who threatened to oppose the overhaul
without changes to ensure federal subsidies in the bill for insurance
purchases were not used on abortion.

The move enraged Democratic abortions rights supporters, but they largely
voted in favor of the bill in hopes they can remove the language later in
the legislative process.

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