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US Senate Test Vote On Health Bill Hits 60-Vote Threshhold



By Patrick Yoest, Of DOW JONES NEWSWIRES

WASHINGTON -(Dow Jones)- The U.S. Senate on Saturday voted to begin debate on an $848 billion health-care overhaul measure, marking the first step of Senate Democrats' politically treacherous quest to win passage of President Barack Obama's top legislative priority.

Senate Majority Leader Harry Reid, (D., Nev.) had to secure 60 votes to avoid a filibuster of a procedural motion to allow debate on the bill, which he melded together by from two committee measures approved earlier this year. Reid succeeded by getting unanimous support in his caucus for the motion, while no Republicans voted in favor of it.

The final vote was 60-39 in favor of the motion.

"Imagine if, instead of debating the bills that created Social Security or Medicare, those who didn¹t like it said: let's just move on to the next issue.," Reid said of the vote on the bill, which the Senate will begin debating after a one-week recess in observance of Thanksgiving.

Two centrist Democrats--Sens. Mary Landrieu (D, La.) and Blanche Lincoln (D, Ark.)--kept the outcome of the vote in question until Saturday afternoon. A third, Sen. Ben Nelson (D., Neb.) announced that he would vote in favor of the motion on Friday.

All three have cautioned that their vote for the motion did not signal a vote for final passage of the bill, signifying the difficulty Reid faces in balancing the liberal and moderate wings of his caucus. A proposed public health insurance plan in the bill--which states could choose not to carry--represents a major dividing line among Democrats.

Lincoln said that she and other expected "legitimate opportunities" to make changes to the bill, saying she would not vote in favor of the public plan "that has been introduced by Leader Reid as it is written."

But Lincoln, who faces a tough re-election battle next year, already began to see attacks Saturday aimed at her tenuous political fortunes.

"There's no doubt that this vote will be a critical issue for Sen. Lincoln as she embarks on her uphill re-election bid, and the people of Arkansas will have an opportunity to hold her accountable when they cast their ballots next November, said National Republican Senatorial Committee spokeswoman Amber Wilkerson Marchand.

The bill, like a measure passed in the House on November 7, would vastly reduce the ranks of the uninsured by creating a system of tax credits for individuals to purchase insurance. Individuals would be required to purchase health insurance, which for those without employer-based coverage would be available in state-based "exchanges" created by the bill.

The Congressional Budget Office estimates that the bill would extend insurance to 31 million Americans, resulting in 94% of Americans having insurance coverage.

The cost of the measure would be offset through a variety of revenue-raising provisions, including a tax on high-cost insurance plans, annual levies on insurers, drug makers and medical device manufacturers and a cut in subsidies to privately-run Medicare plans known as Medicare Advantage.

Republicans sought to cast the bill, which would make fundamental changes to a sector that comprises one-sixth of the U.S. economy, as an undue intrusion by the federal government.

"After the bailouts for Wall Street and Detroit, a stimulus bill that left us with the highest unemployment in 26 years, and the Fed shoveling money out the door without any accountability, people across the country have had enough," said Sen. Charles Grassley, (R., Iowa), the top Republican on the Senate Finance Committee.

The contentious public plan provision likely will take center stage in Senate debate of the measure.

Sen. Olympia Snowe (R., Maine) viewed as a possible Republican vote for the legislation, has sought a "trigger" that would put in place public plans in states that did not have an affordable insurance plan available to enough of its residents. Landrieu said that Snowe's proposal represented a "possible compromise" on the public plan.

Sen. Thomas Carper (D., Del.) has said that he is working on an alternative to the public option that would create a national nonprofit entity to administer a health insurance plan to states that do not have a low-cost insurance option available to enough of its residents.

But liberal senators appeared ready to fight to retain the public plan in some form. "Why shouldn't the American people have access to a public option?," said Sen. Barbara Boxer (D., Calif.) pointing to existing government programs such as Medicare and the health insurance for government employees as "public options."

-By Patrick Yoest, Dow Jones Newswires; 202-862-3554; patrick.yoest@ dowjones.com


  (END) Dow Jones Newswires
  11-21-092027ET
  Copyright (c) 2009 Dow Jones & Company, Inc.

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