Senate Passes Sweeping Health-Care Bill - WSJ

Senate Passes Sweeping Health-Care Bill

WASHINGTON -- The Senate approved sweeping health-overhaul legislation on Thursday, a landmark moment for White House-led efforts to expand insurance coverage to more than 30 million Americans.

The bill, approved by a 60-39 vote, would deliver on a long-promised Democratic goal of extending coverage to nearly every American, and would represent the biggest expansion of the federal safety net since the 1965 creation of Medicare, the health-insurance program for the elderly and disabled.

Thursday's vote was a victory for President Barack Obama, who made the issue his top domestic priority despite lingering divisions among Democrats and the fierce opposition of Republicans. And it was a validation of Senate Majority Leader Harry Reid's decision to build consensus on his side of the aisle, rather than reach across party lines, a move that would have forced a lowering of ambitions.


Republicans said the bill would impose massive regulatory and financial burdens on taxpayers and businesses, and would dig the government even deeper in debt. Senate Minority Leader Mitch McConnell (R., Ky.) told the chamber just before the vote that Democrats should expect an "earful" from angry constituents when they go home

"This fight is long from over," Mr. McConnell said. "My colleagues and I will fight to ensure this bill doesn't become law. That's the clear will of the American people."

Mr. Reid said he also expected to get an earful, but from Americans who will benefit from the expanded health-care coverage and new rules on insurance companies. "Our charge is to move forward," he said, adding that the bill meets a national need that presidents have pushed for since Harry Truman. "Though some may slow the progress, they cannot stop it," he said.

With Christmas looming, Mr. Reid closed a series of last-minute deals to secure the support of balky Democrats and then plunged the Senate into a forced march, beginning with a 1 a.m. vote Monday and culminating with Thursday's roll call at 7 a.m. on passage of the bill.

The 10-year $871 billion measure would expand Medicaid, the federal-state health program for the poor, and create new tax subsidies to help lower- and middle-income families comply with a mandate to purchase insurance. That mandate would be enforced by a financial penalty of up to $750 for any individual who fails to get coverage.

The nonpartisan Congressional Budget Office estimates the legislation would reduce the budget deficit by $132 billion over the next decade, through a combination of tax increases on the health-care sector and spending cuts, which largely fall on Medicare payments to health-care providers.

The last time the Senate voted on Christmas Eve was 1895, the issue then being whether to provide federal benefits for U.S. servicemen. In a ceremony with 19th-century echoes, senators rose one by one Thursday from their simple wooden desks to cast their votes. Vice President Joe Biden presided over the chamber.

"Mr. President, this is for my friend Ted Kennedy. Aye," said 92-year-old Democratic Sen. Robert Byrd of West Virginia, referring to the late Sen. Edward Kennedy, who was a champion of universal health care. Sen. Kennedy's widow watched the vote from the gallery.

Sen. Chris Dodd (D., Conn.) called the vote the "most important" in his more than 20 years as a U.S. senator.

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