Changes

The only healthcare industry to not readily acquiesce to the administration's demands for cooperation, medical device manufacturers, were hit with a 2.3% excise tax.<ref>LeBlanc, S. (2010, June 7). "[http://www.boston.com/business/taxes/articles/2010/06/07/medical_device_makers_new_tax_will_cost_jobs/ Medical Device Makers: New Tax Will Cost Jobs]." ''Associated Press''.<br>Morris, D. & McGann, E. (2009, October 23). "[http://thehill.com/blogs/pundits-blog/healthcare/64493-obama-taxes-pacemakers-heart-valves Obama Taxes Pacemakers, Heart Valves]." Pundits. ''The Hill''.<br>Musgrove, M. (2009, October 14). "[http://www.washingtonpost.com/wp-dyn/content/article/2009/10/13/AR2009101303015.html Planned Tax on Medical-Device Makers Too High, Firms Say]." ''Washington Post''.</ref> The Wall Street Journal suggested this was due to retaliation since the tax would add just $40 billion in funds for a bill costing $900 billion.<ref>(2009, September 18). "[http://online.wsj.com/article/SB10001424052970204518504574418941379207328.html The Innovation Tax]." ''Wall Street Journal''.</ref> Medical device makers continue to accuse the tax of costing jobs in 2012.<ref>Kelly, S. (2012, April 18). "[http://www.reuters.com/article/2012/04/18/medicaldevices-tax-idUSL2E8FI25620120418 Medical Device Tax May Spur Price Hike, Cost Cuts]." ''Reuters''.<br>Pecquet, J. (2012, March 26). "[http://thehill.com/blogs/healthwatch/medical-devices-and-prescription-drug-policy-/218151-medical-device-makers-decry-cost-of-new-tax- Medical Device Makers Decry Cost of New Tax]." HealthWatch. ''The Hill''.<br>Flavelle, C. (2012, March 22). "[http://www.businessweek.com/articles/2012-03-22/how-much-will-the-medical-device-tax-hurt How Much Will the Medical Device Tax Hurt?]" ''Bloomberg Businessweek''.</ref>

The only healthcare industry to not readily acquiesce to the administration's demands for cooperation, medical device manufacturers, were hit with a 2.3% excise tax.<ref>LeBlanc, S. (2010, June 7). "[http://www.boston.com/business/taxes/articles/2010/06/07/medical_device_makers_new_tax_will_cost_jobs/ Medical Device Makers: New Tax Will Cost Jobs]." ''Associated Press''.<br>Morris, D. & McGann, E. (2009, October 23). "[http://thehill.com/blogs/pundits-blog/healthcare/64493-obama-taxes-pacemakers-heart-valves Obama Taxes Pacemakers, Heart Valves]." Pundits. ''The Hill''.<br>Musgrove, M. (2009, October 14). "[http://www.washingtonpost.com/wp-dyn/content/article/2009/10/13/AR2009101303015.html Planned Tax on Medical-Device Makers Too High, Firms Say]." ''Washington Post''.</ref> The Wall Street Journal suggested this was due to retaliation since the tax would add just $40 billion in funds for a bill costing $900 billion.<ref>(2009, September 18). "[http://online.wsj.com/article/SB10001424052970204518504574418941379207328.html The Innovation Tax]." ''Wall Street Journal''.</ref> Medical device makers continue to accuse the tax of costing jobs in 2012.<ref>Kelly, S. (2012, April 18). "[http://www.reuters.com/article/2012/04/18/medicaldevices-tax-idUSL2E8FI25620120418 Medical Device Tax May Spur Price Hike, Cost Cuts]." ''Reuters''.<br>Pecquet, J. (2012, March 26). "[http://thehill.com/blogs/healthwatch/medical-devices-and-prescription-drug-policy-/218151-medical-device-makers-decry-cost-of-new-tax- Medical Device Makers Decry Cost of New Tax]." HealthWatch. ''The Hill''.<br>Flavelle, C. (2012, March 22). "[http://www.businessweek.com/articles/2012-03-22/how-much-will-the-medical-device-tax-hurt How Much Will the Medical Device Tax Hurt?]" ''Bloomberg Businessweek''.</ref>

==Role of Pro-Life Democrats==

===Role of Pro-Life Democrats===

===House Bill: H.R. 3962===

====House Bill: H.R. 3962====

====Stupak's Resistance====

=====Stupak's Resistance=====

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). "[http://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). "[http://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). "[http://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). "[http://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). "[http://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). "[http://www.lifesitenews.com/news/archive/ldn/2009/jun/09062608 Pro-Life Democrats Unite to Protect Unborn Children in Healthcare Restructuring]." ''LifeSiteNews''.</ref>

In late September after 31 different Pro-Life Democrats had signed various letters opposing abortion in the healthcare bill, Nancy Pelosi and Obama began meeting with their leader, Bart Stupak, for the first time.<ref>Kirkpatrick, D. (2009, September 28). "[http://www.nytimes.com/2009/09/29/health/policy/29abortion.html Abortion Fight Complicates Healthcare Debate]." ''New York Times''.<br>Gilgoff, D. (2009, November 9). "[http://www.usnews.com/news/religion/articles/2009/10/09/the-countrys-emerging-shift-on-abortion?page=2 The Country's Emerging Shift on Abortion]." ''U.S. News & World Report''.</ref> Stupak denied claims that he was trying to "kill" healthcare reform, stating publicly at the time, "I believe we need comprehensive healthcare reform and I am excited that we are closer than we have ever been to passing a healthcare reform bill in Congress. But any reform must address legitimate concerns, including using public funding for abortions, even if party leaders disagree."<ref>Stupak, B. (2009, October 29). "[http://thehill.com/opinion/op-ed/65297-i-am-not-trying-to-kill-health-reform-abortion-issue-is-key Stupak: I am Not Trying to Kill Health Care Reform; Abortion Still a Concern]." ''The Hill''.</ref> On October 21, a coalition of Pro-Life groups led by key Republicans, including Mike Pence, delivered a petition signed by 137,000 Americans to Congress expressing disapproval with the healthcare reform legislation.<ref>Brandt, J. (2009, October 21). "[http://www.foxnews.com/politics/2009/10/21/house-members-raise-concerns-abortion-funding-health-reform/ House Members Raise Concerns Over Abortion Funding in Health Reform Bill]." ''FOX News''.</ref>

In late September after 31 different Pro-Life Democrats had signed various letters opposing abortion in the healthcare bill, Nancy Pelosi and Obama began meeting with their leader, Bart Stupak, for the first time.<ref>Kirkpatrick, D. (2009, September 28). "[http://www.nytimes.com/2009/09/29/health/policy/29abortion.html Abortion Fight Complicates Healthcare Debate]." ''New York Times''.<br>Gilgoff, D. (2009, November 9). "[http://www.usnews.com/news/religion/articles/2009/10/09/the-countrys-emerging-shift-on-abortion?page=2 The Country's Emerging Shift on Abortion]." ''U.S. News & World Report''.</ref> Stupak denied claims that he was trying to "kill" healthcare reform, stating publicly at the time, "I believe we need comprehensive healthcare reform and I am excited that we are closer than we have ever been to passing a healthcare reform bill in Congress. But any reform must address legitimate concerns, including using public funding for abortions, even if party leaders disagree."<ref>Stupak, B. (2009, October 29). "[http://thehill.com/opinion/op-ed/65297-i-am-not-trying-to-kill-health-reform-abortion-issue-is-key Stupak: I am Not Trying to Kill Health Care Reform; Abortion Still a Concern]." ''The Hill''.</ref> On October 21, a coalition of Pro-Life groups led by key Republicans, including Mike Pence, delivered a petition signed by 137,000 Americans to Congress expressing disapproval with the healthcare reform legislation.<ref>Brandt, J. (2009, October 21). "[http://www.foxnews.com/politics/2009/10/21/house-members-raise-concerns-abortion-funding-health-reform/ House Members Raise Concerns Over Abortion Funding in Health Reform Bill]." ''FOX News''.</ref>

====Bill Introduced====

=====Bill Introduced=====

On October 26, the House healthcare bill was unveiled, a 1,930 page piece of legislation,  the Affordable Healthcare for America Act (H.R. 3962).<ref>Allen, J. & Soaghan, M. (2009, November 29). "[http://thehill.com/homenews/house/65409-pelosi-unveils-healthcare-bill-house-moves-toward-floor-vote Pelosi Unveils Healthcare Bill; House Moves Toward Floor Vote]." ''The Hill''.<br>Jackson, J. (2009, November 7). "[http://www.cbsnews.com/8301-503544_162-5570605-503544.html Key Provisions of the House Healthcare Bill]." ''CBS News''.</ref> Representative Mike Pence (R-IN) accused the bill of being a "government takeover of health care in America".<ref>Barrett, T., Bash, D., et. al. (2009, October 29). "[http://edition.cnn.com/2009/POLITICS/10/29/health.care/ House Democrats Unveil $894 Billion Health Care Bill]." ''CNN''.</ref> By early November, the House was trying to pass the healthcare bill<ref>(2009, November 4). "[http://www.foxnews.com/politics/2009/11/04/democrats-running-time-address-abortion-dispute-health-care-reform/ Democrats Running Out of Time to Address Abortion Dispute]." ''FOX News''.<br>Oliphant, J. (2009, November 4). "[http://articles.chicagotribune.com/2009-11-04/news/0911030597_1_abortion-rights-activists-supporters-of-abortion-rights-hyde-amendment Delay on Health Care Bills Loom in Congress]." ''The Chicago Tribune''.<br>(2009, November 2). "[http://www.foxnews.com/politics/2009/11/02/abortion-health-care-reform-question/ Abortion Part of Health Care Reform Still in Question]." ''FOX News''.<br>(2009, November 2). "[http://www.usatoday.com/printedition/news/20091102/editorial02_st.art.htm Abortion Foes Seek to Use Health Plan to Curb Access]." ''USA Today''.</ref> but Bart Stupak claimed 40 Pro-Life Democrats could vote with him if his Stupak-Pitts Amendment was not voted on to prevent abortion funding in the bill.<ref>Bacon Jr., P. (2009, November 3). "[http://www.washingtonpost.com/wp-dyn/content/article/2009/11/02/AR2009110203232.html Some Democrats Concerned Over Abortion Provisions in Health Bill]." ''The Washington Post''.<br>McCormack, J. (2009, September 21). "[http://www.weeklystandard.com/Content/Public/Articles/000/000/016/941kghiv.asp Democratic Dissenters]." ''The Weekly Standard''.</ref> With 218 votes required for passage, this would derail the historic vote set to occur on November 7.<ref>Whitesides, J. (2009, November 4). "[http://www.reuters.com/article/2009/11/05/us-usa-healthcare-congress-idUSTRE5A233B20091105 Democrats Wrestle With Abortion on Health Bill]." ''Reuters''.<br>Soraghan, M. (2009, October 22). "[http://thehill.com/homenews/house/64439-whip-count-shows-dems-lack-votes-on-public-plan Whip Count Shows Democrats Lack Votes on 'Robust' Public Option for Healthcare]."  ''The Hill''.</ref> While Senate Leader Harry Reid (D-UT) sought to create a separate bill in the Senate, he continued to lack the 60 votes needed for a public option, i.e. a government insurance program.<ref>Jen.sen, K. & Litvan, L. (2009, November 2). "[http://www.bloomberg.com/apps/news?pid=newsarchive&sid=aTYrPXF97cFw Senate, House Move Closer on Health Bills as Battle Goes Public]." ''Bloomberg''.</ref>  

On October 26, the House healthcare bill was unveiled, a 1,930 page piece of legislation,  the Affordable Healthcare for America Act (H.R. 3962).<ref>Allen, J. & Soaghan, M. (2009, November 29). "[http://thehill.com/homenews/house/65409-pelosi-unveils-healthcare-bill-house-moves-toward-floor-vote Pelosi Unveils Healthcare Bill; House Moves Toward Floor Vote]." ''The Hill''.<br>Jackson, J. (2009, November 7). "[http://www.cbsnews.com/8301-503544_162-5570605-503544.html Key Provisions of the House Healthcare Bill]." ''CBS News''.</ref> Representative Mike Pence (R-IN) accused the bill of being a "government takeover of health care in America".<ref>Barrett, T., Bash, D., et. al. (2009, October 29). "[http://edition.cnn.com/2009/POLITICS/10/29/health.care/ House Democrats Unveil $894 Billion Health Care Bill]." ''CNN''.</ref> By early November, the House was trying to pass the healthcare bill<ref>(2009, November 4). "[http://www.foxnews.com/politics/2009/11/04/democrats-running-time-address-abortion-dispute-health-care-reform/ Democrats Running Out of Time to Address Abortion Dispute]." ''FOX News''.<br>Oliphant, J. (2009, November 4). "[http://articles.chicagotribune.com/2009-11-04/news/0911030597_1_abortion-rights-activists-supporters-of-abortion-rights-hyde-amendment Delay on Health Care Bills Loom in Congress]." ''The Chicago Tribune''.<br>(2009, November 2). "[http://www.foxnews.com/politics/2009/11/02/abortion-health-care-reform-question/ Abortion Part of Health Care Reform Still in Question]." ''FOX News''.<br>(2009, November 2). "[http://www.usatoday.com/printedition/news/20091102/editorial02_st.art.htm Abortion Foes Seek to Use Health Plan to Curb Access]." ''USA Today''.</ref> but Bart Stupak claimed 40 Pro-Life Democrats could vote with him if his Stupak-Pitts Amendment was not voted on to prevent abortion funding in the bill.<ref>Bacon Jr., P. (2009, November 3). "[http://www.washingtonpost.com/wp-dyn/content/article/2009/11/02/AR2009110203232.html Some Democrats Concerned Over Abortion Provisions in Health Bill]." ''The Washington Post''.<br>McCormack, J. (2009, September 21). "[http://www.weeklystandard.com/Content/Public/Articles/000/000/016/941kghiv.asp Democratic Dissenters]." ''The Weekly Standard''.</ref> With 218 votes required for passage, this would derail the historic vote set to occur on November 7.<ref>Whitesides, J. (2009, November 4). "[http://www.reuters.com/article/2009/11/05/us-usa-healthcare-congress-idUSTRE5A233B20091105 Democrats Wrestle With Abortion on Health Bill]." ''Reuters''.<br>Soraghan, M. (2009, October 22). "[http://thehill.com/homenews/house/64439-whip-count-shows-dems-lack-votes-on-public-plan Whip Count Shows Democrats Lack Votes on 'Robust' Public Option for Healthcare]."  ''The Hill''.</ref> While Senate Leader Harry Reid (D-UT) sought to create a separate bill in the Senate, he continued to lack the 60 votes needed for a public option, i.e. a government insurance program.<ref>Jen.sen, K. & Litvan, L. (2009, November 2). "[http://www.bloomberg.com/apps/news?pid=newsarchive&sid=aTYrPXF97cFw Senate, House Move Closer on Health Bills as Battle Goes Public]." ''Bloomberg''.</ref>  

====Passage====

=====Passage=====

Bart Stupak and his 40 Pro-Life Democrats refused to budge,<ref>(2009, November 6). "[http://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). "[http://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). "[http://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). "[http://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). "[http://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). "[http://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). "[http://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). "[http://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). "[http://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). "[http://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). "[http://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). "[http://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). "[http://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). "[http://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). "[http://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). "[http://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). "[http://www.cbsnews.com/stories/2009/11/07/politics/main5570400.shtml House Passes Landmark Healthcare Bill]." ''CBS News''.<br>Condon, S. (2009, November 16). "[http://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). "[http://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). "[http://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). "[http://www.cbsnews.com/stories/2009/11/07/politics/main5570400.shtml House Passes Landmark Healthcare Bill]." ''CBS News''.<br>Condon, S. (2009, November 16). "[http://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). "[http://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). "[http://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=====

Afterwards, Obama stressed that it was time for the Senate to "take the baton."<ref>(2009, November 8). "[http://articles.cnn.com/2009-11-08/politics/health.care_1_public-option-republican-filibuster-health-insurance?_s=PM:POLITICS Obama: Time For Senate to 'Take the Baton' on Health Care Reform]." Healthcare Insurance. ''CNN''.</ref> Several Democrats including Debbie Wasserman Schultz (D-FL) revealed they voted for the bill only with the understanding that it would be removed from the final bill version.<ref>O'Brien, M. (2009, November 9). "[http://thehill.com/index2.php?option=com_content&task=view&id=66969&pop=1&page=8&Itemid=70 Senior Democrat is 'Confident' that Stupak Amendment Will be Stripped]." ''The Hill''.</ref> The passage of Stupak's Pro-Life amendment in the House healthcare bill led to a letter signed by 40 Pro-Choice Senate Democrats, led by Dianna DeGette<ref name=thrush>Thrush, G. (2009, November 17). "[http://www.politico.com/news/stories/1109/29651.html Abortion Causes Family Feud for Democrats]." ''Politico''.<br>Halloran, L. (2009, November 10). "[http://www.npr.org/templates/story/story.php?storyId=120254656 Democrats Face Backlash Over House Abortion Limits]." ''NPR''.<br>Cooper, C. (2009, November 10). "[http://www.cbsnews.com/8301-504365_162-5605926-504365.html?tag=contentMain;contentBody The Left's Stupak Stupification]." Coop's Corner. ''CBS News''.</ref>, saying that they would not pass healthcare reform unless Stupak's amendment was removed,<ref>Litvan, L & Rowley, Rowley, J. (2009, November 9). "[http://www.bloomberg.com/apps/news?pid=newsarchive&sid=aaqkPE6p_8ig Abortion Curbs Draw 40 Democrats' Threat of 'No' Vote (Update 1)]." ''Bloomberg''.<br>Young, J. (2009, November 9). "[http://thehill.com/homenews/house/67099-liberals-threaten-to-sink-health-bill-over-abortion Liberals Threaten to Oppose Healthcare Bill Over Stupak Abortion Amendment]." ''The Hill''.<br>(2009, November 27). "[http://www.thedailybeast.com/newsweek/2009/11/27/abortion-s-new-battleground.html Abortion's New Battleground]." ''Newsweek Magazine''.</ref> even as Senate Pro-Life Democrats vowed to reject any bills with abortion agendas. Senator Ben Nelson (D-NE) promised, "If it isn’t clear that government money is not to be used to fund abortions, I won’t vote for it," and Obama assured that "This is a health-care bill, not an abortion bill."<ref>Jen.sen, K. & Litvan, L. (2009, November 10). "[http://www.bloomberg.com/apps/news?pid=newsarchive&sid=aI.clKoFb__M Abortion Issue Threatens Healthcare Overhaul Plan (Update 1)]." ''Bloomberg''.<br>(2009, November 10). "[http://www.foxnews.com/politics/2009/11/10/abortion-haggling-looms-health-care-debate-senate/ Abortion Haggling Looms Over Health Care Debate in Senate]." ''FOX News''.<br>Franke-Ruta, G. (2009, November 13). "[http://voices.washingtonpost.com/44/2009/11/a-new-frontier-opens-up-in-the.html A New Frontier in the Abortion Wars: Health Insurance]." 44 - Politics and Policy. ''The Washington Post''.</ref>  

Afterwards, Obama stressed that it was time for the Senate to "take the baton."<ref>(2009, November 8). "[http://articles.cnn.com/2009-11-08/politics/health.care_1_public-option-republican-filibuster-health-insurance?_s=PM:POLITICS Obama: Time For Senate to 'Take the Baton' on Health Care Reform]." Healthcare Insurance. ''CNN''.</ref> Several Democrats including Debbie Wasserman Schultz (D-FL) revealed they voted for the bill only with the understanding that it would be removed from the final bill version.<ref>O'Brien, M. (2009, November 9). "[http://thehill.com/index2.php?option=com_content&task=view&id=66969&pop=1&page=8&Itemid=70 Senior Democrat is 'Confident' that Stupak Amendment Will be Stripped]." ''The Hill''.</ref> The passage of Stupak's Pro-Life amendment in the House healthcare bill led to a letter signed by 40 Pro-Choice Senate Democrats, led by Dianna DeGette<ref name=thrush>Thrush, G. (2009, November 17). "[http://www.politico.com/news/stories/1109/29651.html Abortion Causes Family Feud for Democrats]." ''Politico''.<br>Halloran, L. (2009, November 10). "[http://www.npr.org/templates/story/story.php?storyId=120254656 Democrats Face Backlash Over House Abortion Limits]." ''NPR''.<br>Cooper, C. (2009, November 10). "[http://www.cbsnews.com/8301-504365_162-5605926-504365.html?tag=contentMain;contentBody The Left's Stupak Stupification]." Coop's Corner. ''CBS News''.</ref>, saying that they would not pass healthcare reform unless Stupak's amendment was removed,<ref>Litvan, L & Rowley, Rowley, J. (2009, November 9). "[http://www.bloomberg.com/apps/news?pid=newsarchive&sid=aaqkPE6p_8ig Abortion Curbs Draw 40 Democrats' Threat of 'No' Vote (Update 1)]." ''Bloomberg''.<br>Young, J. (2009, November 9). "[http://thehill.com/homenews/house/67099-liberals-threaten-to-sink-health-bill-over-abortion Liberals Threaten to Oppose Healthcare Bill Over Stupak Abortion Amendment]." ''The Hill''.<br>(2009, November 27). "[http://www.thedailybeast.com/newsweek/2009/11/27/abortion-s-new-battleground.html Abortion's New Battleground]." ''Newsweek Magazine''.</ref> even as Senate Pro-Life Democrats vowed to reject any bills with abortion agendas. Senator Ben Nelson (D-NE) promised, "If it isn’t clear that government money is not to be used to fund abortions, I won’t vote for it," and Obama assured that "This is a health-care bill, not an abortion bill."<ref>Jen.sen, K. & Litvan, L. (2009, November 10). "[http://www.bloomberg.com/apps/news?pid=newsarchive&sid=aI.clKoFb__M Abortion Issue Threatens Healthcare Overhaul Plan (Update 1)]." ''Bloomberg''.<br>(2009, November 10). "[http://www.foxnews.com/politics/2009/11/10/abortion-haggling-looms-health-care-debate-senate/ Abortion Haggling Looms Over Health Care Debate in Senate]." ''FOX News''.<br>Franke-Ruta, G. (2009, November 13). "[http://voices.washingtonpost.com/44/2009/11/a-new-frontier-opens-up-in-the.html A New Frontier in the Abortion Wars: Health Insurance]." 44 - Politics and Policy. ''The Washington Post''.</ref>  

Democratic Senator Barbara Boxer vowed to keep the Stupak-Pitts amendment from passing in the Senate.<ref name=thrush /> White House Senior Advisor David Axelrod claimed Obama would intervene to change the Stupak language, and Stupak responded with "They're not going to take it out. If they do, health care will not move forward,. We won fair and square. ... That's why Mr. Axelrod's not a legislator. He doesn't really know what he's talking about."<ref>(November 17, 2009). "[http://www.foxnews.com/politics/2009/11/17/stupak-health-care-stall-white-house-strips-abortion-restrictions/ Stupak: Health Care Bill Will Stall if White House Strips Abortion Restrictions]." ''FOX News''.</ref> Polls taken in mid-November showed public support for the Pro-Life Democrat position. 61% of Americans, according to a CNN/Opinion Research Corp. survey, oppose using federal money for abortions, while a CBS News poll found 56% oppose federal subsidies for abortions.<ref>Black, N. (2009, November 18). "[http://www.christianpost.com/news/most-americans-against-abortion-coverage-in-health-care-bill-41906/ Most Americans Against Abortion Coverage in Health Care Bill]." ''The Christian Post''.</ref>

Democratic Senator Barbara Boxer vowed to keep the Stupak-Pitts amendment from passing in the Senate.<ref name=thrush /> White House Senior Advisor David Axelrod claimed Obama would intervene to change the Stupak language, and Stupak responded with "They're not going to take it out. If they do, health care will not move forward,. We won fair and square. ... That's why Mr. Axelrod's not a legislator. He doesn't really know what he's talking about."<ref>(November 17, 2009). "[http://www.foxnews.com/politics/2009/11/17/stupak-health-care-stall-white-house-strips-abortion-restrictions/ Stupak: Health Care Bill Will Stall if White House Strips Abortion Restrictions]." ''FOX News''.</ref> Polls taken in mid-November showed public support for the Pro-Life Democrat position. 61% of Americans, according to a CNN/Opinion Research Corp. survey, oppose using federal money for abortions, while a CBS News poll found 56% oppose federal subsidies for abortions.<ref>Black, N. (2009, November 18). "[http://www.christianpost.com/news/most-americans-against-abortion-coverage-in-health-care-bill-41906/ Most Americans Against Abortion Coverage in Health Care Bill]." ''The Christian Post''.</ref>

===Senate Bill: H.R. 3963===

====Senate Bill: H.R. 3963====

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>

== Basic Requirements ==

== Basic Requirements ==