Changes

In June and July 2009 some 200 Planned Parenthood activists arrived in Washington<ref>Connolly, C. (2009, July 13). "[http://voices.washingtonpost.com/health-care-reform/2009/07/state_of_play_democrats_dig_in.html State of Play: Democrats Dig In Despite Senate Focus on Hearings]." Daily Dose. ''Washington Post''.</ref> and a number of Pro-Choice bills began receiving support, as the Pro-Choice movement sought to ensure [[abortion]] would be mandated in health care reform.<ref>Novak, V. (2009, July 31). "[https://www.factcheck.org/2009/07/surgery-for-seniors-vs-abortions/ Surgery for Seniors vs. Abortions?]" ''FactCheck.org''.</ref>  The Republicans would find an unlikely ally in the Pro-Life Democrats (Democrats for Life of America). On June 25, 2009, 19 of them sent a letter to House leader Nancy Pelosi expressing refusal to support any healthcare bill with an abortion agenda,<ref>Kenworthy, Z. (2009, June 30). "[https://www.foxnews.com/story/0,2933,529632,00.html President Obama's Approval Index Rating Takes a Dive]." ''FOX News''.<br>Russert, L. (2009, July 16). "[http://firstread.msnbc.msn.com/_news/2009/07/16/4429288-health-bill-to-floor-in-two-weeks Health Bill to Floor in Two Weeks]." First Read. ''MSNBC''.</ref> which firmly stated, "''Therefore, we cannot support any health care reform proposal unless it explicitly excludes abortion from the scope of any government-defined or subsidized health insurance plan... By ensuring that abortions are not funded through any health care reform package, we will take this controversial issue off the table so that Congress can focus on crafting a broadly-supported health care reform bill.''"<ref>Gilbert, Kathleen (2009, June 26). "[https://www.lifesitenews.com/news/archive/ldn/2009/jun/09062608 Pro-Life Democrats Unite to Protect Unborn Children in Healthcare Restructuring]." ''LifeSiteNews''.</ref>

In June and July 2009 some 200 Planned Parenthood activists arrived in Washington<ref>Connolly, C. (2009, July 13). "[http://voices.washingtonpost.com/health-care-reform/2009/07/state_of_play_democrats_dig_in.html State of Play: Democrats Dig In Despite Senate Focus on Hearings]." Daily Dose. ''Washington Post''.</ref> and a number of Pro-Choice bills began receiving support, as the Pro-Choice movement sought to ensure [[abortion]] would be mandated in health care reform.<ref>Novak, V. (2009, July 31). "[https://www.factcheck.org/2009/07/surgery-for-seniors-vs-abortions/ Surgery for Seniors vs. Abortions?]" ''FactCheck.org''.</ref>  The Republicans would find an unlikely ally in the Pro-Life Democrats (Democrats for Life of America). On June 25, 2009, 19 of them sent a letter to House leader Nancy Pelosi expressing refusal to support any healthcare bill with an abortion agenda,<ref>Kenworthy, Z. (2009, June 30). "[https://www.foxnews.com/story/0,2933,529632,00.html President Obama's Approval Index Rating Takes a Dive]." ''FOX News''.<br>Russert, L. (2009, July 16). "[http://firstread.msnbc.msn.com/_news/2009/07/16/4429288-health-bill-to-floor-in-two-weeks Health Bill to Floor in Two Weeks]." First Read. ''MSNBC''.</ref> which firmly stated, "''Therefore, we cannot support any health care reform proposal unless it explicitly excludes abortion from the scope of any government-defined or subsidized health insurance plan... By ensuring that abortions are not funded through any health care reform package, we will take this controversial issue off the table so that Congress can focus on crafting a broadly-supported health care reform bill.''"<ref>Gilbert, Kathleen (2009, June 26). "[https://www.lifesitenews.com/news/archive/ldn/2009/jun/09062608 Pro-Life Democrats Unite to Protect Unborn Children in Healthcare Restructuring]." ''LifeSiteNews''.</ref>

In July, Stupak introduced the Stupak-Pitts amendment to ensure [[abortions]] would not be subsidized in the healthcare bill,<ref>(2009, July 22). "[https://www.cbsnews.com/8301-503544_162-5180854-503544.html Dem Says Abortion Language a Must in Healthcare Bill]. ''CBS News''.</ref> but it was defeated 30-29 in the Energy and House Committee, the committee responsible for drafting it for proposal to the entire House of Representatives, when Bart Gordon sneakily switched his vote from Yes to No last minute.<ref>McCormack, J. (2009, July 31). "[https://www.weeklystandard.com/weblogs/TWSFP/2009/07/house_democrat_introduces_comp.asp Waxman Strong-Arms Vote to Allow Abortion Coverage in Public Plan]." ''The Weekly Standard''.</ref> Chairman Henry Waxman replaced it with the Capps amendment, which mandated one healthcare plan in each state must cover abortions.<ref name=menges>Menges, D. (2009, October 30). "[https://www.washingtontimes.com/news/2009/oct/31/stupak-on-the-attack/ Stupak On the Attack]." ''The Washington Times''.</ref> On July 17, 2009, Obama once more urged rapid passage of the healthcare bill.<ref>(2009, July 17). "[http://www.google.com/hostednews/afp/article/ALeqM5hXW-UnAKQIiTxd2SoCN6TDQ0Fm3Q Obama Urges Congress to Pass Health Care Reform]." ''AFP''.<br>Ferraro, T. & Smith, D. (2009, September 10). "[https://www.reuters.com/article/2009/09/10/us-usa-healthcare-obama-idUSTRE5881V520090910 Democrats Seek to Build Momentum On Healthcare]." ''Reuters''.</ref> Pro-Life Democrats then, in mid-July, nearly stopped the healthcare process in its tracks by initially defeating a rule required to start healthcare reform legislation, 215-214, but Democrats managed to persuade a few members to change their votes, barely passing it.<ref>Pergram, C. (2009, July 17). "[https://www.foxnews.com/politics/2009/07/17/abortion-debate-complicate-efforts-overhaul-health-care Abortion Debate May Complicate Efforts to Overhaul Health Care]." ''FOX News''.</ref>

In July, Stupak introduced the Stupak-Pitts amendment to ensure [[abortions]] would not be subsidized in the healthcare bill,<ref>(2009, July 22). "[https://www.cbsnews.com/8301-503544_162-5180854-503544.html Dem Says Abortion Language a Must in Healthcare Bill]. ''CBS News''.</ref> but it was defeated 30–29 in the Energy and House Committee, the committee responsible for drafting it for proposal to the entire House of Representatives, when Bart Gordon sneakily switched his vote from Yes to No last minute.<ref>McCormack, J. (2009, July 31). "[https://www.weeklystandard.com/weblogs/TWSFP/2009/07/house_democrat_introduces_comp.asp Waxman Strong-Arms Vote to Allow Abortion Coverage in Public Plan]." ''The Weekly Standard''.</ref> Chairman Henry Waxman replaced it with the Capps amendment, which mandated one healthcare plan in each state must cover abortions.<ref name=menges>Menges, D. (2009, October 30). "[https://www.washingtontimes.com/news/2009/oct/31/stupak-on-the-attack/ Stupak On the Attack]." ''The Washington Times''.</ref> On July 17, 2009, Obama once more urged rapid passage of the healthcare bill.<ref>(2009, July 17). "[http://www.google.com/hostednews/afp/article/ALeqM5hXW-UnAKQIiTxd2SoCN6TDQ0Fm3Q Obama Urges Congress to Pass Health Care Reform]." ''AFP''.<br>Ferraro, T. & Smith, D. (2009, September 10). "[https://www.reuters.com/article/2009/09/10/us-usa-healthcare-obama-idUSTRE5881V520090910 Democrats Seek to Build Momentum On Healthcare]." ''Reuters''.</ref> Pro-Life Democrats then, in mid-July, nearly stopped the healthcare process in its tracks by initially defeating a rule required to start healthcare reform legislation, 215–214, but Democrats managed to persuade a few members to change their votes, barely passing it.<ref>Pergram, C. (2009, July 17). "[https://www.foxnews.com/politics/2009/07/17/abortion-debate-complicate-efforts-overhaul-health-care Abortion Debate May Complicate Efforts to Overhaul Health Care]." ''FOX News''.</ref>

Obama on July 16 pressured Republicans to support the healthcare bill, even as the Congressional Budget Office criticized the proposed healthcare reform for not paying for itself.<ref>Dixon, K. (2009, July 16). "[https://www.reuters.com/article/2009/07/16/usa-healthcare-idUSN1641208920090716?pageNumber=2 WRAPUP 2-Obama Looks for Republican Healthcare Backing]." ''The New York Times''.</ref>  Republicans criticized the lack of tort reform and insistence on covering 5.6 million illegal immigrants.<ref>(2009, July 22). "[https://www.foxnews.com/politics/2009/07/22/president-obama-uses-magnetism-political-capital-push-health-care/ President Obama Uses Magnetism, Political Capital to Push Health Care Bill]." ''FOX News''.</ref> Obama predicted he would be held responsible if the bill failed, stating:

Obama on July 16 pressured Republicans to support the healthcare bill, even as the Congressional Budget Office criticized the proposed healthcare reform for not paying for itself.<ref>Dixon, K. (2009, July 16). "[https://www.reuters.com/article/2009/07/16/usa-healthcare-idUSN1641208920090716?pageNumber=2 WRAPUP 2-Obama Looks for Republican Healthcare Backing]." ''The New York Times''.</ref>  Republicans criticized the lack of tort reform and insistence on covering 5.6 million illegal immigrants.<ref>(2009, July 22). "[https://www.foxnews.com/politics/2009/07/22/president-obama-uses-magnetism-political-capital-push-health-care/ President Obama Uses Magnetism, Political Capital to Push Health Care Bill]." ''FOX News''.</ref> Obama predicted he would be held responsible if the bill failed, stating:

====Passage====

====Passage====

Bart Stupak and his 40 Pro-Life Democrats refused to budge,<ref>(2009, November 6). "[https://www.npr.org/templates/story/story.php?storyId=120161271 No Public Money for Abortion]." ''The National Review''.</ref> and Pelosi until the last day tried to play 'chicken', denying the Stupak Amendment its vote.<ref>McCormack, J. (2009, November 5). "[https://www.weeklystandard.com/weblogs/TWSFP/2009/11/post_149.asp Pelosi Likely to Allow Vote on Phony Abortion Compromise Ellsworth Amendment (Update)]." ''The Weekly Standard''.</ref> On November 7 Obama made personal last-minute contact with moderate Democrats in an attempt to persuade them to vote for the healthcare bill without Stupak's amendment.<ref>Haberkorn, J. (2009, November 7). "[https://www.washingtontimes.com/news/2009/nov/07/furious-scramble-for-health-reform-support/ Furious Scramble for Health Reform Support]." ''The Washington Times''.<br>Allen, J. & Hooper, M. (2009, November 7). "[https://thehill.com/homenews/house/66787-health-bill-reaches-moment-of-truth Health Bill Reaches Moment of Truth]." ''The Hill''.</ref> A desperate Nancy Pelosi met with Bart Stupak last-minute and at his request, the Conference of Catholic Bishops,<ref>''Associated Press'' (2009, November 11). "[https://www.foxnews.com/politics/2009/11/11/catholic-bishops-inserting-influence-health-care-fight/ Catholic Bishops Sway Health Care Fight]." Retrieved from ''FOX News''.</ref> ultimately allowing the Stupak-Pitts amendment its vote, which passed by a vote of 240-194.<ref>Silva, C. (2009, November 23). "[http://www.ama-assn.org/amednews/2009/11/23/gvsa1123.htm Abortion Amendment Threatens to Derail Health Reform]." ''The American Medical Association''.<br>Duin, J. (2009, November 19). "[https://www.washingtontimes.com/news/2009/nov/19/duin-catholics-celebrate-their-stand-on-health-bil/ Catholics Celebrate Their Stand on Health Bill]." ''The Washington Times''.</ref> While some Republicans had considered voting 'Present' on the Stupak amendment to defeat it and thus perhaps healthcare reform, Pro-Life groups opposed the strategy and were scoring the vote so less than a 'Yes' would change a member's perfect Pro-Life rating.<ref>Hooper, M. (2009, November 9). "[https://thehill.com/homenews/house/67091-house-gop-mulled-present-strategy-on-abortion-amendment House GOP Mulled 'Present' Strategy on Abortion Amendment]." ''The Hill''.</ref> Republican House leader John Boehner confronted Democrat Charles Rangel on the House floor, asking whether the Stupak language would be preserved in the final bill or removed in the end, stating, "I have my doubts this language if it passes has any chance of being in the final version of this bill".<ref>(2009, November 9). "[https://www.foxnews.com/politics/2009/11/07/republicans-question-abortion-agreement-effort-stop-health-care-momentum/ Republicans Question Abortion Agreement in Effort to Stop Health Care Momentum]." ''FOX News''.</ref> Boehner refused to vote for the bill without a guarantee the language would be kept.<ref>Phillips, K. (2009, November 7). "[http://prescriptions.blogs.nytimes.com/2009/11/07/rangel-boehner-tangle-over-ethics-abortion/ Rangel and Boehner Tangle Over Ethics and Abortion]." ''The New York Times''.</ref> {{cquote|"Republican congressional leaders have to be chuckling right now. In the end, all the tea-party town halls, Glenn Beck rallies and 'death panel' rumors may have less of a hand in bringing down health care reform than an intraparty Democratic culture war. Congressman Bart Stupak of Michigan, whose amendment restricting abortion coverage on all policies sold through the new insurance exchange paved the way for passage of health reform in the House of Representatives, vows that 'there will be hell to pay' if his language gets stripped out of, or weakened in, the final legislation."

Bart Stupak and his 40 Pro-Life Democrats refused to budge,<ref>(2009, November 6). "[https://www.npr.org/templates/story/story.php?storyId=120161271 No Public Money for Abortion]." ''The National Review''.</ref> and Pelosi until the last day tried to play 'chicken', denying the Stupak Amendment its vote.<ref>McCormack, J. (2009, November 5). "[https://www.weeklystandard.com/weblogs/TWSFP/2009/11/post_149.asp Pelosi Likely to Allow Vote on Phony Abortion Compromise Ellsworth Amendment (Update)]." ''The Weekly Standard''.</ref> On November 7 Obama made personal last-minute contact with moderate Democrats in an attempt to persuade them to vote for the healthcare bill without Stupak's amendment.<ref>Haberkorn, J. (2009, November 7). "[https://www.washingtontimes.com/news/2009/nov/07/furious-scramble-for-health-reform-support/ Furious Scramble for Health Reform Support]." ''The Washington Times''.<br>Allen, J. & Hooper, M. (2009, November 7). "[https://thehill.com/homenews/house/66787-health-bill-reaches-moment-of-truth Health Bill Reaches Moment of Truth]." ''The Hill''.</ref> A desperate Nancy Pelosi met with Bart Stupak last-minute and at his request, the Conference of Catholic Bishops,<ref>''Associated Press'' (2009, November 11). "[https://www.foxnews.com/politics/2009/11/11/catholic-bishops-inserting-influence-health-care-fight/ Catholic Bishops Sway Health Care Fight]." Retrieved from ''FOX News''.</ref> ultimately allowing the Stupak-Pitts amendment its vote, which passed by a vote of 240–194.<ref>Silva, C. (2009, November 23). "[http://www.ama-assn.org/amednews/2009/11/23/gvsa1123.htm Abortion Amendment Threatens to Derail Health Reform]." ''The American Medical Association''.<br>Duin, J. (2009, November 19). "[https://www.washingtontimes.com/news/2009/nov/19/duin-catholics-celebrate-their-stand-on-health-bil/ Catholics Celebrate Their Stand on Health Bill]." ''The Washington Times''.</ref> While some Republicans had considered voting 'Present' on the Stupak amendment to defeat it and thus perhaps healthcare reform, Pro-Life groups opposed the strategy and were scoring the vote so less than a 'Yes' would change a member's perfect Pro-Life rating.<ref>Hooper, M. (2009, November 9). "[https://thehill.com/homenews/house/67091-house-gop-mulled-present-strategy-on-abortion-amendment House GOP Mulled 'Present' Strategy on Abortion Amendment]." ''The Hill''.</ref> Republican House leader John Boehner confronted Democrat Charles Rangel on the House floor, asking whether the Stupak language would be preserved in the final bill or removed in the end, stating, "I have my doubts this language if it passes has any chance of being in the final version of this bill".<ref>(2009, November 9). "[https://www.foxnews.com/politics/2009/11/07/republicans-question-abortion-agreement-effort-stop-health-care-momentum/ Republicans Question Abortion Agreement in Effort to Stop Health Care Momentum]." ''FOX News''.</ref> Boehner refused to vote for the bill without a guarantee the language would be kept.<ref>Phillips, K. (2009, November 7). "[http://prescriptions.blogs.nytimes.com/2009/11/07/rangel-boehner-tangle-over-ethics-abortion/ Rangel and Boehner Tangle Over Ethics and Abortion]." ''The New York Times''.</ref> {{cquote|"Republican congressional leaders have to be chuckling right now. In the end, all the tea-party town halls, Glenn Beck rallies and 'death panel' rumors may have less of a hand in bringing down health care reform than an intraparty Democratic culture war. Congressman Bart Stupak of Michigan, whose amendment restricting abortion coverage on all policies sold through the new insurance exchange paved the way for passage of health reform in the House of Representatives, vows that 'there will be hell to pay' if his language gets stripped out of, or weakened in, the final legislation."

-[[Amy Sullivan]], ''Time Magazine'', [http://www.time.com/time/politics/article/0,8599,1939600,00.html#ixzz1vJ6ILjRr Can Dems Resolve Their Abortion Split?]<ref>Sullivan, Amy (2009, November 16). "[http://www.time.com/time/politics/article/0,8599,1939600,00.html#ixzz1vJ6ILjRr Can Dems Resolve Their Abortion Split?]" ''Time Magazine''.</ref>}}

-[[Amy Sullivan]], ''Time Magazine'', [http://www.time.com/time/politics/article/0,8599,1939600,00.html#ixzz1vJ6ILjRr Can Dems Resolve Their Abortion Split?]<ref>Sullivan, Amy (2009, November 16). "[http://www.time.com/time/politics/article/0,8599,1939600,00.html#ixzz1vJ6ILjRr Can Dems Resolve Their Abortion Split?]" ''Time Magazine''.</ref>}}

On November 8, 2009, the House healthcare bill, newly amended with the Pro-Life Stupak-Pitts amendment, narrowly passed the House by a vote of 220-215.<ref>''Associated Press'' (2009, November 9). "[https://www.cbsnews.com/stories/2009/11/07/politics/main5570400.shtml House Passes Landmark Healthcare Bill]." ''CBS News''.<br>Condon, S. (2009, November 16). "[https://www.cbsnews.com/stories/2009/11/09/politics/main5588038.shtml Health Care Progress Report: November 9]." ''CBS News''.</ref> Joseph Cao was the only Republican to vote in favor of the bill.<ref>Haberkorn, J. (2009, November 12). "[https://www.washingtontimes.com/news/2009/nov/12/cao-explains-his-breaking-rank-in-health-care-vote/ Lone GOPer: Health Vote Could End Career]." ''The Washington Times''.</ref> 39 Democrats still voted against the bill, including many fiscally conservative Blue Dog Democrats and socially conservative Pro-Life Democrats affiliated with DFLA.<ref>Blake, A. (2009, November 10). "[https://thehill.com/homenews/campaign/67097-at-risk-dems-defend-their-tough-votes At-Risk Democrats Defend Their Tough Votes on Healthcare Reform Bill]." ''The Hill''.</ref>

On November 8, 2009, the House healthcare bill, newly amended with the Pro-Life Stupak-Pitts amendment, narrowly passed the House by a vote of 220–215.<ref>''Associated Press'' (2009, November 9). "[https://www.cbsnews.com/stories/2009/11/07/politics/main5570400.shtml House Passes Landmark Healthcare Bill]." ''CBS News''.<br>Condon, S. (2009, November 16). "[https://www.cbsnews.com/stories/2009/11/09/politics/main5588038.shtml Health Care Progress Report: November 9]." ''CBS News''.</ref> Joseph Cao was the only Republican to vote in favor of the bill.<ref>Haberkorn, J. (2009, November 12). "[https://www.washingtontimes.com/news/2009/nov/12/cao-explains-his-breaking-rank-in-health-care-vote/ Lone GOPer: Health Vote Could End Career]." ''The Washington Times''.</ref> 39 Democrats still voted against the bill, including many fiscally conservative Blue Dog Democrats and socially conservative Pro-Life Democrats affiliated with DFLA.<ref>Blake, A. (2009, November 10). "[https://thehill.com/homenews/campaign/67097-at-risk-dems-defend-their-tough-votes At-Risk Democrats Defend Their Tough Votes on Healthcare Reform Bill]." ''The Hill''.</ref>

====Reaction====

====Reaction====

On November 18 the U.S. Senate under Senate Leader Harry Reid introduced its own health care bill (H.R. 3963 The Affordable Health Care for America Act), separate from the House bill. Obama called this bill a 'milestone' and urged Congress to pass it quickly.<ref>Bazinett, K. & McAuliff, M. (2009, November 19). "[http://articles.nydailynews.com/2009-11-19/news/17939142_1_reform-bill-illegal-immigrants-public-health-insurance-plan Senate Rolls Out $849 Billion Health Care Reform Bill; President Obama Urges Congress To Act Quickly]. ''New York Daily News''.</ref>

On November 18 the U.S. Senate under Senate Leader Harry Reid introduced its own health care bill (H.R. 3963 The Affordable Health Care for America Act), separate from the House bill. Obama called this bill a 'milestone' and urged Congress to pass it quickly.<ref>Bazinett, K. & McAuliff, M. (2009, November 19). "[http://articles.nydailynews.com/2009-11-19/news/17939142_1_reform-bill-illegal-immigrants-public-health-insurance-plan Senate Rolls Out $849 Billion Health Care Reform Bill; President Obama Urges Congress To Act Quickly]. ''New York Daily News''.</ref>

Senator Ben Nelson of Nebraska attempted to introduce the Nelson Amendment, a Pro-Life amendment identical to the Stupak-Pitts amendment, but it was defeated 54-45.<ref>Feldmann, L. (2009, December 9). "[http://www.minnpost.com/christian-science-monitor/2009/12/nelson-amendment-fails-health-care-abortion-battle-isn’t-over Nelson Amendment Fails, But Healthcare Abortion Battle Isn't Over]." ''The Christian Post''.</ref>

Senator Ben Nelson of Nebraska attempted to introduce the Nelson Amendment, a Pro-Life amendment identical to the Stupak-Pitts amendment, but it was defeated 54–45.<ref>Feldmann, L. (2009, December 9). "[http://www.minnpost.com/christian-science-monitor/2009/12/nelson-amendment-fails-health-care-abortion-battle-isn’t-over Nelson Amendment Fails, But Healthcare Abortion Battle Isn't Over]." ''The Christian Post''.</ref>