After a landmark win in the House of Representatives, President Barack Obama's push for healthcare reform faces a difficult path in the Senate amid divisions in his own Democratic Party on how to proceed.
On a 220-215 vote, including the support of one Republican and opposition from 39 Democrats, the House backed a bill late on Saturday that would expand coverage to nearly all Americans and bar insurance practices such as refusing to cover people with pre-existing medical conditions.
The battle now shifts to the Senate, where work on Obama's top domestic priority has been stalled for weeks as Democratic leader Harry Reid searches for an approach that can win the 60 votes he needs to overcome Republican procedural hurdles.
Don't look for the Senate to quickly follow the House on health care overhaul.
A government health insurance plan included in the House bill is unacceptable to a few Democratic moderates who hold the balance of power in the Senate. They're locked in a battle with liberals, with the fate of President Barack Obama's signature issue at stake.
If a government plan is part of the deal, "as a matter of conscience, I will not allow this bill to come to a final vote," said Sen. Joe Lieberman, the Connecticut independent whose vote Democrats need to overcome GOP filibusters.
"The House bill is dead on arrival in the Senate," Sen. Lindsey Graham, R-S.C., said.
The House of Representatives narrowly endorsed on Saturday the biggest healthcare overhaul in decades, giving President Barack Obama a crucial victory in a battle that now moves to the Senate.
By a 220-215 vote, including the support of one Republican, the House backed a bill that would expand coverage to nearly all Americans and bar insurance practices such as refusing to cover people with pre-existing conditions.
But in the Senate, work on a healthcare bill -- Obama's top domestic priority -- has stalled for weeks as Democratic leader Harry Reid searches for an approach that can win the 60 votes he needs.
Any differences between the Senate and House bills ultimately will have to be reconciled, and a final bill passed again by both before going to Obama for his signature.
The US House of Representatives has approved the broadest overhaul of US health care in four decades, handing President Barack Obama a hard-fought victory for his top domestic priority.
Heeding Obama's appeal to "answer the call of history," lawmakers late Saturday capped 12 hours of bitter debate with a 220-215 vote.
The bill amounts to a 10-year, trillion-dollar plan to extend health coverage to some 36 million Americans who lack it now.
"Tonight, in an historic vote, the House of Representatives passed a bill that would finally make real the promise of quality, affordable health care for the American people," Obama said in a statement.
The Democratic-controlled House has narrowly passed landmark health care reform legislation, handing President Barack Obama a hard won victory on his signature domestic priority.
Republicans were nearly unanimous in opposing the plan that would expand coverage to tens of millions of Americans who lack it and place tough new restrictions on the insurance industry.
The 220-215 vote late Saturday cleared the way for the Senate to begin a long-delayed debate on the issue that has come to overshadow all others in Congress.
A triumphant Speaker Nancy Pelosi compared the legislation to the passage of Social Security in 1935 and Medicare 30 years later.
A bipartisan House coalition voted Saturday to prohibit coverage of abortions in a new government-run health care plan that Democrats would establish to compete with private insurers.
The 240-194 vote on an amendment by Rep. Bart Stupak, D-Mich., was a blow to liberals, who would have allowed the Obama administration and its successors to decide whether abortions would be covered by the government plan. Sixty-four Democrats joined 176 Republicans in favor of the prohibition.
Stupak's measure also would bar anyone getting federal health subsidies from purchasing private insurance polices that included abortion coverage.
"Let us stand together on principle — no public funding for abortions, no public funding for insurance policies that pay for abortions," Stupak urged fellow lawmakers before the vote.
President Barack Obama is traveling to Capitol Hill on Saturday to try to close the sale on his signature health care overhaul, facing a make-or-break vote in the House certain to be seen as a test of his presidency.
Obama scheduled a late-morning visit with House Democrats convening a rare Saturday session on legislation to remake the U.S. health care system, extending coverage to tens of millions now uninsured and banning insurance company practices such as denial of coverage based on pre-existing medical problems.
Late Friday, House Democrats cleared an abortion-related impasse blocking a vote and officials expressed optimism they had finally lined up the support needed to pass Obama's signature issue.
House Democrats are scrambling to secure enough support to pass President Barack Obama's historic health overhaul initiative, working to soothe last-minute concerns from rank-and-file Democrats ahead of a make-or-break vote.
Voting is set for Saturday on the 10-year, $1.2 trillion legislation that embraces Obama's goals of extending health coverage to tens of millions of uninsured Americans and putting tough new restrictions on insurance companies.
Obama was set to make a personal appeal to the Democratic rank and file in a visit Friday to Capitol Hill. That was called off late Thursday after the shootings at Fort Hood, Texas, and rescheduled for Saturday.
House Democratic leaders are offering a $1.2 trillion, 10-year health overhaul bill that expands coverage to millions of Americans. House Republicans have unveiled their alternative, after months of criticizing the Democrats' approach.
In the Senate, Majority Leader Harry Reid, D-Nev., is finalizing legislation merging the work of two committees and making other changes.
Here are details on the three bills. The Senate bill has not yet been made public, so some specifics are unknown.
The House Democratic bill (Affordable Health Care for America Act):
WHO'S COVERED: About 96 percent of legal residents under age 65 — compared with 83 percent now. About one-third of the remaining 18 million people under age 65 left uninsured would be illegal immigrants.
Congress is one vote away from sending the president legislation that continues aid to more than a million jobless people and extends tax breaks to hundreds of thousands of prospective homebuyers and struggling businesses.
The legislation, recognizing the lingering distresses of the recession, passed the Senate Wednesday on a 98-0 vote and could come up in the House as early as Thursday, sending it to President Barack Obama for his signature.
House Majority Leader Steny Hoyer, D-Md., said the bill was "vital to Americans who have lost their jobs as a result of the deepest recession in over three-quarters of a century."