“My biggest fight has been between those who wanted to do something incremental and those who wanted to do something comprehensive,” Nancy Pelosi said in a meeting with reporters this morning. “We won that fight, and once we kick through this door, there’ll be more legislation to follow.”
Easier said than done, as anyone who’s been watching this process knows. Democrats have been on the verge of passing health-care reform for many months now, but for all the doors they’ve kicked in, they’ve found more doors waiting on the other side. But today, Pelosi made her clearest statements yet on how she means to finish this bill. The issue is how to sequence the Senate health bill, which the House doesn’t like, with the package of fixes (including, Pelosi said, the elimination of the Nebraska and Florida deals, the delay of the excise tax, more affordability and oversight provisions and more funding of community health centers), which the House does like. There are a number of procedural options on the table, but today, Pelosi said that she favors the “deem and pass” strategy.
Here’s how that will work: Rather than passing the Senate bill and then passing the fixes, the House will pass the fixes under a rule that says the House “deems” the Senate bill passed after the House passes the fixes.