Video: Senate Dems hold together, win vote

  1. Closed captioning of: Senate Dems hold together, win vote

    >>> good evening. for the second time this month members of congress are working on a saturday night deciding the future of health care reform . after the house passed its own bill a couple weekends ago, the u.s. senate headed into session this evening to decide whether to move forward on debating their own version. a bill that would extend health care coverage to more than 30 million uninsured americans. while republicans have been you nighted in their opposition, for senate democrats tonight's procedural vote is a critical test of their shaky majority and the president himself has a lot riding on the outcome. nbc's kelly o'donnell is on capitol hill right now with the latest. kelly ?

    >> reporter: good evening, lester. tonight there will be no defections from democrats, so the white house and senate leaders have lined up enough votes to move health care reform to the next stage where debate will begin for a few weeks and changes will be made. now, the last of the democrat holdouts told their colleagues today they would vote yes and they come from states that president obama did not win in last year's election. senators mary landrieu of louisiana and blanche lincoln of arkansas did make it clear though that they are not promising to vote for health care reform in the end.

    >> i have decided that there are enough significant reforms and safeguards in this bill to move forward, but much more work needs to be done.

    >> and i will not vote in favor of the proposal that has been introduced by leader reid as it is written.

    >> reporter: so what do they oppose? senators lincoln and landrieu and a handful of other moderate democrats are really concerned about what's known as the public option. that's why the federal government would set up its own health insurance to compete with private insurance. all republicans are against that as well. the senate would permit states to opt out and that would mean they would pass a law to say they reject this sort of federal government insurance. there are some other key points. this plan would offer insurance to 31 million who are now uninsured, and to pay for it, those who earn more than $200,000 a year would see a jump in their payroll taxes under medicare and they'd see that taken out of their checks, and there would be new taxes on expensive health care benefits, on medical devices , and even on elective cosmetic surgery. now, republicans point out that the taxes would kick in next year, but many of the programs people are concerned about wouldn't start until 2014 .

    >> americans know that a vote to proceed on this bill, to get on this bill, is a vote for higher premiums, higher taxes, and massive cuts to medicare. that's a pretty hard thing to justify supporting.

    >> reporter: and after tonight's vote, congress will go back home for a week for the thanksgiving recess, and as we saw back in august, they will likely hear a lot from their constituents who have strong feelings in both ways about what should be done with health care reform . lester?

    >> kelly o'donnell tonight on capitol hill . kelly , thank you. as we noted at the beginning

updated 11/21/2009 10:23:30 PM ET 2009-11-22T03:23:30

Invoking the memory of Edward M. Kennedy, Democrats united Saturday night to push historic health care legislation past a key Senate hurdle over the opposition of Republicans eager to inflict a punishing defeat on President Barack Obama. There was not a vote to spare.

The 60-39 vote cleared the way for a bruising, full-scale debate beginning after Thanksgiving on the legislation, which is designed to extend coverage to roughly 31 million who lack it, crack down on insurance company practices that deny or dilute benefits and curtail the growth of spending on medical care nationally.

The spectator galleries were full for the unusual Saturday night showdown, and applause broke out briefly when the vote was announced. In a measure of the significance of the moment, senators sat quietly in their seats, standing only when they were called upon to vote.

In the final minutes of a daylong session, Majority Leader Harry Reid, D-Nev., accused Republicans of trying to stifle a historic debate the nation needed.

"Imagine if, instead of debating whether to abolish slavery, instead of debating whether giving women and minorities the right to vote, those who disagreed had muted discussion and killed any vote," he said.

The Republican leader, Sen. Mitch McConnell of Kentucky, said the vote was anything but procedural — casting it as a referendum on the bill itself, which he said would raise taxes, cut Medicare and create a "massive and unsustainable debt."

For all the drama, the result of the Saturday night showdown had been sealed a few hours earlier, when two final Democratic holdouts, Sens. Mary Landrieu of Louisiana and Blanche Lincoln of Arkansas, announced they would join in clearing the way for a full debate.

"It is clear to me that doing nothing is not an option," said Landrieu, who won $100 million in the legislation to help her state pay the costs of health care for the poor.

Lincoln, who faces a tough re-election next year, said the evening vote will "mark the beginning of consideration of this bill by the U.S. Senate, not the end."

Both stressed they were not committing in advance to vote for the bill that ultimately emerges from next month's debate.

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Of particular contentiousness to moderates is a provision for the government to sell insurance in competition with private companies, subject to state approval — a part of Reid's bill expected to come under significant pressure as the debate unfolds.

Even so, their announcements marked a major victory for Reid and the White House in a year-end drive to enact the most sweeping changes to the nation's health care system in a half-century or more.

At the White House, press secretary Robert Gibbs issued a statement saying the president was gratified by the vote, which he says "brings us one step closer to ending insurance company abuses, reining in spiraling health care costs, providing stability and security to those with health insurance, and extending quality health coverage to those who lack it."

The legislation would require most Americans to carry insurance and provide subsidies to those who couldn't afford it. Large companies could incur costs if they did not provide coverage to their workforce. The insurance industry would come under significant new regulation under the bill, which would first ease and then ban the practice of denying coverage on the basis of pre-existing medical conditions.

Congressional budget analysts put the legislation's cost at $979 billion over a decade and said it would reduce deficits over the same period while extending coverage to 94 percent of the eligible population.

At its core, the legislation would create insurance exchanges beginning in 2014 where individuals, most of them lower income and uninsured, would shop for coverage. The bill sets aside hundreds of billions of dollars in tax credits to help those earning up to 400 percent of poverty, $88,200 for a family of four.

The House approved its version of the bill earlier this month on a near party line vote of 220-215, and Reid has said he wants the Senate to follow suit by year's end. Timing on any final compromise was unclear.

All 58 Senate Democrats and two independents voted to advance the bill. All 39 votes in opposition were cast by Republicans. GOP Sen. George Voinovich of Ohio was the only senator not to vote. Montana Sen. Max Baucus, the chairman of the Senate Finance Committee who has labored on health care for more than a year, flew in from his home state on a government plane for the vote and was returning afterward to be with his ailing mother.

While timing made Landrieu and Lincoln the final two Democrats to announce their intentions, Sen. Paul Kirk of Massachusetts had a clear claim as the 60th vote.

Appointed to office this fall after the death of Kennedy, who championed health care issues for decades, Kirk said he spoke for those "who for so many years revered and loved and elected and re-elected (him) ... that I think they're all — they all, as we do, have him in our minds and our hearts tonight. ..."

Sen. Chris Dodd, D-Conn., echoed those sentiments later in the evening when he referred to Kennedy's "lifelong quest" for national health care and said "tonight and in the days to come we will pay him the highest compliment by fulfilling that" goal.

At a post-vote news conference, Reid said he had talked with Kennedy's widow, Vicki, about the vote. "We both said Ted would be happy," Reid said.

In hours of debate before the Saturday evening vote, a few Republicans piled copies of the 2,0974-page bill on their desks while others criticized it as a government takeover of health care and worse.

"Move over, Bernie Madoff. Tip your hat to a trillion-dollar scam," said Sen. Kit Bond, R-Mo., likening the bill's supporters to the imprisoned investor who fleeced millions.

In her remarks, Landrieu said, "I've decided that there are enough significant reforms and safeguards in this bill to move forward, but much more work needs to be done." She also touted the $100 million included in the legislation to help her state cover its costs under Medicaid, the state-federal health care program for the poor.

Lincoln referred repeatedly to the political controversy surrounding the issue. She said $3.3 million has already been spent by outside groups advertising either for or against health care legislation, and said, "these outside groups seem to think that this is all about my re-election. I simply think they don't know me very well."

To finance the expanded coverage, Reid proposed higher taxes as well as cuts totaling hundreds of billions of dollars in projected Medicare payments. Hardest hit would be the private insurance Medicare plans, although providers such as home health agencies would also receive significantly less in future years than now estimated.

The bill raises payroll taxes on incomes over $200,000 for individuals and $250,000 for couples. Reid eased the impact of an earlier proposal to tax high-value insurance plans, which has emerged as one of the principal methods for restraining the growth in health costs.

The bill includes tax increases on insurance companies, medical device makers, patients electing to undergo cosmetic surgery and drugmakers.

Copyright 2009 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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