As healthcare reform vote nears, some lawmakers still deciding
| Washington
The book is closed on major changes to healthcare reform, Democratic leaders say, as the House moves toward a historic vote on Sunday. But it鈥檚 still in flux whether they have the 216 votes needed for passage.
鈥淲e can lose 35 to 36 [Democratic] votes,鈥� said Rep. Louise Slaughter (D) of New York, who chairs the House Rules Committee. 鈥淲e鈥檙e finished here. We鈥檙e going to do this vote.鈥�
While several undecided House members announced support for the bill Friday, others once viewed as sure 鈥測es鈥� votes shifted to no, unless their demands for 鈥渇ixes鈥� to the Senate bill are met.
Rep. Peter DeFazio (D) of Oregon, one of the most liberal members of the Democratic caucus, stunned colleagues Friday by announcing that he 鈥� and others 鈥� would vote no, unless changes are made in a Medicare reimbursement rate that disadvantages his state.
Those changes were in the House version of healthcare reform, voted on in November 2009. They were also included in a draft package of 鈥渇ixes鈥� to be voted on by the House and sent to the Senate for a vote next week. But at midday Friday, House leaders pulled the language, after objections from some senators that the fix could not survive procedural challenge on the Senate floor.
鈥淚 believe they can fix anything they want to. The Senate parliamentarian works for the Senate,鈥� Representative DeFazio said. 鈥淚鈥檓 not going home to tell my voters that they have a great new Medicare entitlement, but there won鈥檛 be any doctors willing to see them,鈥� because the federal payments are so low, he said.
At issue for many late deciders are high-stakes negotiations between the House and Senate over the final content of the 鈥渇ixes.鈥� House and Senate Democrats want to ensure that whatever passes the House can also make it over the high procedural hurdles in the Senate. Without identical language in both the House and Senate, there is not a healthcare reform bill.
鈥淲henever you get a critical vote coming forward and there鈥檚 some question about what will happen and every marginal vote matters, the temptation to use that for leverage is too great for an awful lot of members,鈥� says Norman Ornstein, resident scholar at the American Enterprise Institute in Washington.
For Rep. Bobby Rush (D) of Illinois, the tipping point could be a program of discounts on prescription drugs for poor people, also pulled after objections from the Senate. 鈥淭his program covers a sliver of our citizenry that have no voice,鈥� he said. 鈥淚鈥檝e moved from leaning undecided to very undecided,鈥� he told reporters Friday afternoon.
Still another bloc of some dozen Democrats is threatening to flip from yes to no because Democratic leaders are not including a 鈥渇ix鈥� for the Senate bill鈥檚 language on abortion. These Democrats see the Senate bill as leaving open the possibility of taxpayer dollars funding abortion.
鈥淲e are still working on clarifying the issue,鈥� said Rep. Marcy Kaptur (D) of Ohio, who voted yes last November for the House healthcare bill but now says she is undecided, pending a decision from House leaders on the abortion language.
鈥淭his is a very personal vote,鈥� says Rep. Brad Ellsworth (D) of Indiana, who voted 鈥渘o鈥� before but says he is open to a yes vote if the abortion language can be clarified. 鈥淚 don鈥檛 know if it can be,鈥� he adds.
Rep. John Boccieri (D) of Ohio, a no vote on the House healthcare bill, announced Friday that he would vote yes, citing the need to cover the millions of Americans without health insurance. But Reps. Jason Altmire (D) of Pennsylvania and Jim Marshall (D) of Georgia, both no votes before, said they would vote no on the Senate bill, even with fixes.
Keeping a majority in line is a decisive test for Speaker Nancy Pelosi and for President Obama, who is coming to Capitol Hill on Saturday afternoon to meet with Democrats for a last push on healthcare.
鈥淚 am very excited about the momentum that is developing around the bill,鈥� said Speaker Pelosi at a midday briefing on Friday. 鈥淲ith the release yesterday of the [Congressional Budget Office] figures, now people have seen the bill, have seen the score. The list of supporters grows.鈥�
Pelosi said she is working on language to resolve the Medicare payments issue but does not plan to include new abortion language in the package of fixes to be sent to the Senate.
At the time of writing, the speaker was meeting with House Democrats who oppose federal funding of abortion in a bid to ease their concerns.
鈥淭his bill is about healthcare, not about abortion.... So if you don't want federal funding, and you want the status quo for abortion access, and you want to pass a healthcare bill, this is it,鈥� she said.
