US House passes key healthcare reform bill

Extract from BBC News Online, 22 March 2009

The US House of Representatives has narrowly voted to pass a landmark healthcare reform bill at the heart of President Barack Obama's agenda.

The bill was passed by 219 votes to 212, with no Republican backing, after hours of fierce argument and debate.

It extends coverage to 32 million more Americans, and marks the biggest change to the US healthcare system in decades.

"We proved that we are still a people capable of doing big things," Mr Obama said in remarks after the vote.

"This legislation will not fix everything that ails our healthcare system, but it moves us decisively in the right direction," he said.

Mr Obama is expected to sign the legislation into law shortly.

But a new challenge is expected in the Senate, where Democrats hope amendments to the bill will be enacted by a simple majority. Republicans say the move is unconstitutional and plan to stop it.

Historic vote

This is the most significant victory for the president since he took office 14 months ago, says BBC North America editor Mark Mardell.

He has been tough and tenacious - some might say stubborn - in pushing this legislation after so much opposition and so many setbacks, our correspondent says.

When the vote count hit the magic number of 216 - the minimum needed to pass the bill - Democrats hugged and cheered in celebration and chanted: "Yes we can!"

Under the legislation, health insurance will be extended to nearly all Americans, new taxes imposed on the wealthy, and restrictive insurance practices such as refusing to cover people with pre-existing medical conditions will be outlawed.

The bill's final approval represented a stunning turnaround from January, when it was considered dead after Democrats lost their 60-seaty majority in the Senate, which is required to defeat a filibuster.

To avoid a second Senate vote, the House also approved on Sunday evening a package of reconciliation "fixes" - agreed beforehand between House and Senate Democrats and the White House - amending the bill that senators adopted in December.

The White House plans to launch a campaign this week to persuade sceptical Americans that the reforms offer immediate benefits to them and represent the most significant effort to reduce the federal deficit since the 1990s.

According to the Congressional Budget Office, the healthcare bill will cut the federal deficit by $138bn (£92bn) over 10 years.

[Read the article in full here]