Posts Tagged ‘Patient Protection and Affordable health Care Act’

Part seven of the continuing saga of H.R.3590.

On December 21 at 1:08 AM EST, the Senate voted to invoke cloture on H.R. 3590. This means they have decided to cut off further debate and vote on whether to pass the health reform bill, still known under it’s original title as the “Service Members Home Ownership Tax Act of 2009”, but amended to read: “ Patient Protection and Affordable Care Act”.

This means the fifteen amendments and the agreed to tabling motions will stand. The remaining 459 amendments that were submitted will not be debated. There are, however, two additional new amendments that were submitted and agreed to as part of the motion to invoke cloture. They are: S.AMDT.3276, the so called “Manager’s Amendment”, introduced by Harry Reid, and S.AMDT.3277, an amendment as seen below, that directs the bill start date to be five days after it becomes an act by presidential signature.

S.AMDT.3276 contains the language directing the “compromise” on women’s rights over their bodies regarding abortion.  It also contains the language on Medicaid disbursement by the Federal Government for new Medicaid patients. There is an intriguing reference to ARRA on page 13500, which might mean something if they decide to extend it.

S.AMDT.3276 was only available on the Congressional Record pages, so I have cut, pasted and printed the pages to .pdf to produce the document S.AMDT.3276.  As with any pdf document it is keyword searchable. For your info, in the Record, 39 pages were used, however, when I printed it to .pdf, it took 178 pages.

The final vote, possibly turning this thing into an act, may come today.

Manager’s Amendment


Amends: H.R.3590, S.AMDT.2786

Amendments to this amendment: S.AMDT.3277

Sponsor: Sen Reid, Harry [NV] (submitted 12/19/2009) (proposed 12/19/2009)


To improve the bill.




Amendment SA 3276 proposed by Senator Reid to Amendment SA 2786. (consideration: CR S13477-13478)


Cloture motion on amendment SA 3276 presented in Senate. (consideration: CR S13477-13478; text: S13477-13478)


Considered by Senate.


Considered by Senate.


Cloture on amendment SA 3276 invoked in Senate by Yea-Nay Vote. 60 – 40. Record Vote Number: 385.


Sen Baucus, Max [MT] – 12/19/2009

Sen Dodd, Christopher J. [CT] – 12/19/2009

Sen Harkin, Tom [IA] – 12/19/2009

Enactment Date Amendment


Amends: H.R.3590 , S.AMDT.3276

Sponsor: Sen Reid, Harry [NV] (submitted 12/19/2009) (proposed 12/19/2009)


To change the enactment date.




Amendment SA 3277 proposed by Senator Reid to Amendment SA 3276. (consideration: CR S13478; text: CR S13478)


Considered by Senate.


Considered by Senate.

SA 3277. Mr. REID proposed an amendment to amendment SA 3276 proposed by Mr. Reid (for himself, Mr. Baucus, Mr. Dodd, and Mr. Harkin) to the amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, Mr. Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the Internal Revenue Code of 1986 to modify the first-time homebuyers credit in the case of members of the Armed Forces and certain other Federal employees, and for other purposes; as follows:

At the end of the amendment, add the following:

The provisions of this Act shall become effective 5 days after enactment.

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Politico is reporting that the Senate has reached a compromise on the Health Care Reform Plan.


Updated: 12/19/09 12:57 PM EST


Senate Democrats announced a deal Saturday morning on a wide-ranging overhaul of the nation’s health care system, setting a course for a vote by Christmas and delivering President Barack Obama a badly needed victory on his top legislative priority.

A 13-hour negotiating session that stretched into the night Friday finally clinched the support of the last Democratic holdout, moderate Sen. Ben Nelson (D-Neb.) The handshake deal cleared the way for a series of votes that could stretch until 7 p.m. Christmas Eve.


Blue Lyon has a good synopsis of what the Health care reform might do to abortion as it relates to State exchanges. For a .pdf description of a health exchange go HERE.

Senator Ben Nelson’s snagging of 100% Federal funding for all new Nebraska Medicaid patients, is a perfect example of the argument expressed by EuandUs last week on the difference between Representatives and Senators – that being how Representatives represent people and Senators represent states.

To reach this bill’s passage they will have to do a lot of voting yet, and then send it to reconciliation with the House bill. It’s gonna take 45 million to make Senator Nelson make him king of his state. In the mean time, the Stupakians are plotting. Which persons actually are involved in the reconciliation anyway? Anyone know?

And what about all those remaining 459 amendments sitting there?

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If you want to make your own evaluation of the health bill’s progress, go to Thomas at the Library of Congress. In fact, aside from information from pundits you trust, this is one of the best ways to avoid heart palpitations. That is because the amendments are numbered and entered before they are debated. That gives you a little time to read them for yourself and ponder a few questions. Here is how:

As we said, on November 21st the Senate agreed to debate H.R. 3590 Patient Protection and Affordable Care Act”.  That debate began on December 2nd. Since  HR. 3590 was amended by S.Amdt.2786, and changed to the health care act, as of this morning, another 91 amendments have been proposed. Several have been voted on and approved.

They are numbered and listed in numerical order as they arrive to the Senate Floor. Most of them do not yet have titles, but are to be given them at the time of their debate. They all have text and can be found and read by doing a search at the Library of Congress. If you want to try, it’s really pretty easy after you get the hang of it, and it is public information to which everyone is entitled. Go HERE.

This is the search page for all bills.  Type in where it says “word/phrase”, the title: “Patient Protection and Affordable Care Act”, and hit the orange search button below.

Right now this search will give you a list of around 60 possible bills, with one at the top listed exactly as entered. That is H.R.3590.AS. Clicking on that link will take you to the index of the bill, from which you can do several interesting things. Click the link that says: “Bill Summary & Status file”. This will give you an overview of all the places the bill’s activity is being recorded.

Click “Amendments”. This will give you a list of 92, or possibly more, later in the day, with the first one, S.AMDT.2786 that changed the bill from a homeowners affordablity bill, to a health care bill at the top. It you want to read more about these later, or get the text just click on one of the amendment numbers.

However, let’s do a back click to the previous page. All the current information about the bill that the Library of Congress has can be gathered from this location. The current text can be downloaded from here; also cosponsors, dates, and related bills.

If you want to know what happened yesterday, The Congressional Record (CR) does what it’s title suggests; It records for posterity all the debate and action that occurred. So click the link that says “Congressional Record with Amendments”. This will take you to an index of all activity that H.R.3590 has received since it was first introduced to the Senate.

As an example, scroll down to 12/2/09 and AMDT.2808. It says it was proposed by Durbin for Vitter. The number below; CRS12152 is the link to the overview of  the index of the actual debate and speech as recorded in text. Don’t be fooled by the title, “SERVICE MEMBERS HOME OWNERSHIP TAX ACT OF 2009”, remember, that was the bill’s title before it was gutted and the health bill inserted. The CR must maintain the chain of information. Click on the top link dated “Senate – December 02, 2009”. There is the index. The debate for S.AMDT.2808 is index listed by page. Clicking a page will give you a word for word text of the debate till the next page.

Back clicking to the Congressional Record index and checking all the references for S.AMDT.2808, you will see that this amendment was voted on and passed. So, it is now a part of bill H.R. 3590.

Similarly, if you want to see what was said by Senator McCain, yesterday, in regards to Social Security, check out December 3rd. On November 30th he had recommended that the Bill be sent to the Finance Committee. That motion was voted down yesterday.

Try it out, and make up your own mind about what is happening.

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I’ll have more in a bit, but the vote to cloture just ended and the Senate has passed it’s first hurdle. After debating whether to debate the bill they now agree, that they will. (I know, it seems redundant, but this is how this goes. The Senate had to decide if they and the bill were ready.)

Today’s debate over whether to introduce the Senate Health bill to the Floor, illustrates the circuitous route a bill sometimes takes. HR 3590 is a case in point.

HR 3590, was entitled “To amend the Internal Revenue Code of 1986 to modify the first-time homebuyers credit in the case of members of the Armed Forces and certain other Federal employees, and for other purposes”. It was agreed to and sent to the Senate for consideration on Oct 8th of this year. The two page document can be seen HERE.

The Senate then ordered the document to lie on the table. The bill was amended using AMDT. NO. 2786. The document’s title was revised to  the “Patient Protection and Affordable Care Act”, the original contents removed, and the Senate’s 479  page  health care platform was inserted.

Also see the previous related posts :

Senate Health Debate May Begin Soon

More Info on H.R. 3962

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