House of Representatives Clears Senate Health Reform Bill for President’s Signature; Approves Separate Package of Amendments for Senate’s Consideration

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In a highly anticipated and historic vote on Sunday, March 21, the U.S. House of Representatives adopted comprehensive health reform legislation. House approval was accomplished in two steps. First, the House approved the underlying Senate bill, the Patient Protection and Affordable Care Act (H.R. 3590), by a vote of 219 to 212. Then, by a vote of 220 to 211, the House approved the Health Care and Education Reconciliation Act (H.R. 4872) (the “Reconciliation Act”)1, a package of changes to the Senateapproved health bill. The Senate is now expected to consider the Reconciliation Act under an expedited procedure this week.

For details on the changes adopted in the Reconciliation Act, refer to Ropes & Gray’s newly updated side-by-side chart that compares the original Senate bill (approved by the House yesterday), the Senate bill as amended by the Reconciliation Act (also approved by the House yesterday), and the House health reform bill (H.R. 3962) (approved by the House last November). Our Health Reform Resource Center also contains the full text and official summaries of all legislation, the Congressional Budget Office (CBO) reports, including the CBO’s evaluation of the Reconciliation Act’s cost and impact on coverage, and other relevant information.

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