Next Steps: Senate Passes Reform

Next Steps:  Senate Passes Reform

The Senate on Thursday passed its version of the health care bill, inching the country closer to the biggest expansion of medical coverage since Medicare was enacted more than four decades ago.

Senate Democrats declared victory after the 60-39 party line vote, but one of the most complicated tasks is still ahead.

A conference committee must reconcile the differences -- notably a public option, how to pay for the plan that emerges, and coverage for abortion -- and merge them into one.

The House and Senate will then have to pass the revised plan before it can be sent to President Obama's desk. Each chamber needs a simple majority vote for final passage.

Although the House won't be in session until January 12, House staff will begin working through the differences on the two chambers' bills, according to several Democratic aides. Leaders and committee chairmen will return in early January for health care meetings.

South Carolina Sen. Lindsey Graham said the House and Senate bills are in some ways "irreconcilable." Republican National Committee Chairman Michael Steele scoffed at the idea of negotiations.

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