WASHINGTON — Democrats pushed sweeping health care legislation to the threshold of Senate passage Wednesday, crushing a year-end Republican filibuster against President Barack Obama's call to remake the nation's health care system.
The 60-39 vote marked the third time in as many days Democrats have posted a supermajority needed to advance the legislation. Final passage, set for about dawn today, was a certainty, and will clear the way for talks with the House on a final compromise. Those negotiations likely will stretch into February.
The Senate has met for 24 consecutive days to debate the legislation, the second-longest such stretch in history, and Democrats held a celebratory news conference.
"We stand on the doorstep of history," said Majority Leader Harry Reid of Nevada, who painstakingly pieced together the bill — and the now-controversial deals with wavering lawmakers that made its passage possible.
The measure would extend coverage to an estimated 31 million who lack it, while banning the insurance industry from denying benefits or charging higher premiums on the basis of pre-existing medical conditions. The Congressional Budget Office predicts the bill will reduce deficits by $130 billion over the next 10 years, an estimate that assumes lawmakers carry through on hundreds of billions of dollars in planned cuts to insurance companies and doctors, hospitals and others who treat Medicare patients.
Obama has also said he wants legislation that slows the rate of growth in medical spending nationwide, but the CBO said it has not determined whether that is the case with the bill.
Unlike the House, the Senate measure omits a government-run insurance option, which liberals favored to apply pressure on private insurers but Democratic moderates opposed as an unwarranted federal intrusion into the health care system.
In an interview with PBS, Obama signaled he will sign a bill even if it lacks the provision.
"Would I like one of those options to be the public option? Yes. Do I think that it makes sense, as some have argued, that, without the public option, we dump all these other extraordinary reforms and we say to the 30 million people who don't have coverage, 'You know, sorry. We didn't get exactly what we wanted?' I don't think that makes sense."
Even before the bill passed, it was spinning off legal controversies at a remarkable rate.
Senate Republicans laid out two avenues for a court challenge.
Sen. John Ensign, R-Nev., argued the measure was unconstitutional, saying Congress lacks authority to require Americans to purchase insurance. Democrats defeated his attempt to derail the bill, 60-39, but other critics of the bill were already speaking of a court challenge based on the same point.
Sen. Kay Bailey Hutchison of Texas, who is running for governor, said the bill improperly usurps the authority of the states to regulate insurance. She lost in a Senate vote, but that argument, too, is ripe for a court challenge.
In one concession to the season and the weather, Republicans agreed to move up the vote on final passage by one hour, to 7 a.m. today.
When Sen. Patrick Leahy, D-Vt., asked if they were willing to push up the vote even more, a hush fell over the Senate chamber before the Republican leader, Sen. Mitch McConnell of Kentucky, indicated they were not prepared to do so.