Reconcilation

In the fall, House passes one version, with public option.  The Senate, rather than use the House-passed health bill, instead uses an unrelated tax bill (HR 3590) as the shell for its version (See Sinclair, p. 211 for a discussion of the differences.)

Scott Brown's election prompts a different kind of procedure:  passing the Senate version, with agreed-upon changes in the reconciliation bill.

The final legislation.

House Leaders contemplate "Deem and Pass," then decide on a direct vote.

The real Frank Underwood explains:

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