Congressional Negotiations Continue on Health Reform Legislation; Complex Policy Issues and Procedural Tactics in Play

Congressional negotiators assembling a health-care overhaul package are considering procedural as well as policy details as they try to obtain the votes needed in both the House and Senate to complete President Obama’s legislative priority.

Pushing the health-care overhaul to final passage requires work on three fronts. Key Democrats are negotiating the proposal language that will address House concerns with the Senate bill including abortion language and the level of subsidies offered to people buying coverage through insurance exchanges. The proposal waits final scoring from the Congressional Budget Office and the cost of the proposal will be a factor in its passage. Finally, Democratic congressional leadership is seeking guidance about the rules involved with the Senate passing elements of health-care reform through the budget reconciliation process.

On the procedural front, President Obama has set a deadline of March 18 for action on a completed health-care overhaul. Although few, if any, believe the Congress will meet this target, congressional leaders are working fast and furiously on a plan to ensure passage. The current plan is to have the House of Representatives pass the original Senate-passed bill (HR 3590), along with a proposal that addresses House concerns with the Senate bill. Once both documents are passed by the House of Representatives, then the Senate bill and proposal for amendment will move to the Senate for action through the budget reconciliation process. If the Senate bill and proposal are approved by both Houses, then the President will sign the legislation into law. Congress is scheduled to break for its spring recess on March 26.

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