Massachusetts Election Jeopardizes Future of Health Overhaul Legislation

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Scott Brown's victory in the special election to fill the late Senator Edward Kennedy's Senate seat means that the Democrats no longer have the 60-person majority that could block united Republican opposition to health reform and other Democratic legislation. However, the Democrats still have a significant majority in both the House and Senate. The Democratic leadership has said they still plan to pass health reform and have several options to do it (albeit some much less realistic than others):

A new bill could be pushed through both chambers before the election is certified and Brown is seated while the 60-person majority is still in place. This option is highly unlikely for several reasons. First, it assumes all Democrats would agree on the legislation, which may be difficult to achieve. Crafting a new measure quickly would require the speedy development of a new bill, a timely Congressional Budget Office fiscal analysis, compliance with a promised 72-hour waiting period prior to a House vote and an amenable Senate. In addition, at least one Senator is calling for health-care votes to be suspended until Brown is seated, and many believe the Democrats pushing a bill through would meet with enormous public backlash.

The House could pass the Senate bill "as is" and then, simultaneously, bring up a corrections bill that would incorporate deals made in House-Senate negotiations over the last week. The corrections bill could be passed through an expedited process, assuming Democratic leaders find the votes.

A third scenario would have the Democrats return to square one and write a new bill that the Republicans would support. This scenario is extremely unlikely given the extreme partisanship in Congress.

Finally, the Democrats could use the budget reconciliation process to pass a health reform bill. Reconciliation requires only 51 votes and does not permit a filibuster. A reconciliation measure, however, is not completely immune to delays and difficult votes. Provisions in a reconciliation bill are subject to complex parliamentary procedure, which can be used to strike provisions that do not directly produce a change in federal revenues or outlays (for example major provisions in the current bills, such as health insurance exchanges would have to be stripped). While Republicans likely could not break a 51-vote majority in their opposition, they could use several tactics to slow down all business in the Senate.

Democratic strategists are working it out and expect to have a plan shortly.

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