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WASHINGTON (AP) — 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.
Under the
arrangement, Democratic Reps. Bart Stupak of Michigan, Brad Ellsworth
of Indiana and other abortion opponents were promised an opportunity to
insert tougher restrictions into the legislation during debate on the
House floor. The leadership's hope is that no matter how that
vote turns out, Democrats on both sides of the abortion divide will
then unite to give the health care bill a majority over unanimous
Republican opposition. "We wish to maintain current law, which
says no public funding for abortion," Stupak said. "We are not writing
a new federal abortion policy." Ellsworth added, "From day one,
my goal has been to ensure federal tax dollars are not used to pay for
abortions and to provide Americans with pro-life options on the
exchange. And I am proud to be part of an effort to help make this goal
a reality." With Democrats' command of the necessary votes looking tenuous in the final hours, Obama
threw the weight of his administration behind the effort to round up
support. He and top administration officials worked the phones to
pressure wavering lawmakers. Rep. Jason Altmire, D-Pa., said he heard Friday from Obama,
White House Chief of Staff Rahm Emanuel, Health and Human Services
Secretary Kathleen Sebelius and Education Secretary Arne Duncan. Their message: "This is a historic moment. You don't want to end up with nothing," said Altmire, who remained undecided. Democratic leaders hoped to hold the vote Saturday evening, but Majority Leader Steny Hoyer said it could slip. Democrats
hold 258 seats in the House and can afford 40 defections and still wind
up with 218, a majority if all lawmakers vote. But all 177 Republicans
were expected to vote "no," and Democratic leaders faced a series of
complications trying to seal the needed votes for their complex and
controversial legislation that would affect one-sixth of the economy
and touch the lives of countless Americans. In the GOP's weekly
radio address, Mississippi Gov. Haley Barbour said Democrats should
scrap their ambitious legislation and concentrate on modest health care
changes that could find bipartisan support. "The House Democrats' health care bill should be withdrawn and reworked," he said. Tuesday's
elections — in which Democrats lost two governors' races — sent a
message that voters care about jobs, not growing the size of
government, Barbour said. The final hurdle for the Democrats was
a controversy over federal funding for abortion, which simmered into
Friday night with tensions running high as party leaders shuttled
between meetings of anti-abortion and abortion rights lawmakers. Federal
law currently prohibits the use of federal funds to pay for abortions
except in the case of rape, incest of situations in which the life of
the mother is in danger. That left unresolved whether individuals would
be permitted to use their own funds to buy insurance coverage for the
procedure in the federally backed insurance exchange envisioned under
the legislation. Democrats have little room for error, with the
prospect of the 2010 midterms looming large and a some of their own
moderates already declaring their opposition.
The 10-year, $1.2
trillion House bill would create a new federally supervised insurance
marketplace where the uninsured could purchase coverage. Consumers would have the option of picking a government-run plan, the most hotly contested item in the legislation.
Associated Press writers David Espo and Ricardo Alonso-Zaldivar contributed to this report.
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