A complete description of the unfolding health care process in the Senate

by: Chris Bowers

Tue Nov 17, 2009 at 12:42


The CBO is expected to complete its analysis of the Senate health care bill today.  This completes the merging of the Senate Help and Senate Fiannce committee bills, and starts the process of bringing the bill to the floor of the full Senate.

Courtesy of a Senate aide, here is a complete description of the process required to bring the health care bill to the floor of the Senate.

Health Care Process

  1. Leader Reid moves to proceed to an HR bill, which will be the vehicle for the Senate health care bill, and files a cloture motion on the motion to proceed.

  2. Two calendar days later, the cloture motion on the motion to proceed ripens (there has to be one intervening calendar day between the day you file cloture and the day you have the vote)

  3. The cloture vote on the motion to proceed occurs one hour after we convene on the third day (If cloture is filed on Wednesday, the cloture vote is Friday. If cloture is filed on Thursday, the cloture vote is on Saturday, etc)

  4. Assuming 60 Senators vote to limit debate on the motion to proceed and end the filibuster, the Senate invokes cloture on the motion to proceed

  5. Thirty hours after cloture is invoked the Senate will proceed to vote on adoption of the motion to proceed itself (This assumes (a) consent will not be granted to yield back any post-cloture time on the motion to proceed and (b) consent will not be granted to adopt the motion to proceed itself---adoption of the motion to proceed itself is routinely agreed to by UC but Rs could force a roll call vote).

  6. Upon adoption of the motion to proceed, the Senate will be on the Health Care bill

  7. Leader Reid will immediately be recognized to offer the complete Senate substitute amendment to the Health Care bill

  8. Under the rules (Rule XV, to be exact), an amendment must be read before debate can begin on an amendment.  (This is routinely waived by UC (you'll often hear Senators ask consent that the reading of the amendment be dispensed with when an amendment is offered) but Dr. Coburn has threatened that he will not agree to waive the reading of the substitute amendment).  Reading the entire substitute amendment would take several days.

  9. Whether read aloud in full or not, at this point, the substitute amendment will be pending and the full amendment process will begin when we return from Thanksgiving Recess.

Relating to the reading of the bill out loud, David Waldman notes:

Democrats, in return, say they'll force Republicans to stay on the floor continuously throughout the exercise. At least one Coburn ally will have to remain on the floor to object to unanimous consent requests to dispense with the reading. Whether they'll be able to require the presence of more than one Republican, though, remains to be seen.

The long and short of it is that, starting today, the Senate health care bill will be debated in public for two weeks before debate starts on the Senate floor.  The Thanksgiving holiday, and all of these procedural hoops, delay the process tremendously compared to the House.  All of this is just to start debate on the health care bill on the Senate floor, and there will be many more hoops to jump through once that begins.

Chris Bowers :: A complete description of the unfolding health care process in the Senate

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Can Reid hire a speed reader to do the reading of the bill? (4.00 / 1)
That would cut down the reading time by almost an order of magnitude.  

That's frightening, or really sad (0.00 / 0)
Or both.

Even though this bill is going to be extremeley weak tea (4.00 / 1)
I'd still like to amp up the pressure on the rethuglicans and push back against their stalling tactics and do-nothingism. A la Alan Grayson, how about we make a very loud fuss about how many Americans are dying each day due to lack of health care while the Senate does its circle jerk?

Keeping a human face on this thing is key, and we shouldn't let up now, regardless of how toothless the bill is. If nothing else, it makes it harder for the corporate media and politicians to keep the debate solely focused on money and faux deficit hawk hypocritical bullshit.  


Focusing on death cuts both ways (0.00 / 0)
it might highlight the stalling tactics of the right, but it will also highlight the slow roll-out of the current plan and undermine the "we'll fix it later" or "let's start over" arguments from elements of the Democratic party.

Besides, its not like a perfect health care system will prevent death. No one here gets out alive. While I understand the gut-level appeal of this approach, it is a bit disingenuous and may have long term consequences when it gets thrown back in our faces should it become necessary to vote "no" because the final bill is not sufficient.


"It sounds wrong...
     ...but its right."


[ Parent ]
Pay Attention (4.00 / 2)
If you want a functioning "Progressive Block" in the Senate, you need to elect progressive politicians who are willing to use tactics like this.

Things You Don't Talk About in Polite Company: Religion, Politics, the Occasional Intersection of Both

Are 24 hour sessions a realistic strategy? (or possibly preferable to the nuclear option/reconciliation?) (0.00 / 0)
I know the only way to "make them filibuster" requires keeping at least 50 senators (a quorum) on the floor at all times which is a pain--but it seems worth it to pass health care reform.  Will republicans really get up there and start reading the phonebook for 10+ hours each in a 24-hour news cycle environment?

I know Harkin and Brown have both brought up the idea of 24-hour sessions


Can't make them speak (0.00 / 0)
This Huffpo piece explains why this idea is a bust - no obvious flaws in the reasoning, that I can see.

[ Parent ]
Can it be done before Christmas? (0.00 / 0)
Seems to be impossible. I understand that after the Senate vote, the bills have to be merged and then voted upon again in both Houses? And all this in 3 weeks? Good luck!

Hey, didn't someone promise healthcare reform before Christmas?


It'll all be over by Christmas (4.00 / 1)
It's always over by Christmas. Just not always the next Christmas.

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[ Parent ]
Let's hope the "Ghost of Christmas Yet to Come" has some good news (0.00 / 0)
For a change.

[ Parent ]
The Senate is the sole arbiter of its own rules... (0.00 / 0)
...but is it really fait accompli for it to set its rules in such an ineffective and basically just fucking stupid way?

I mean, okay, let's say they don't want to get rid of the filibuster because each individual Senator likes the power it gives them. Is even at least making cloture motions go faster completely out of the question?


Lieberman? (0.00 / 0)
If a cloture vote (or any other vote) is on Friday night or Saturday (the Jewish Sabbath) will he vote?

Just Like An "Ent Moot" From the Lord of the Rings! (4.00 / 2)
Nothing Better Illustrates the Schlerotic and Arthritic Nature of the Senate Better Than This!

What outsider would believe this swill? That they take days and days to formally begin a debate and have endless motions before they can really start.

The only thing comparable that comes to mind is the "Ent Moot" from the Lord of the Rings where it took the ents days just to say "hello"!

Only this is supposed to be a FUNCTIONING elective body?!

They've simply got to change the rules. Period. This is absurd. The entire Senate rules structure is an antique creaking machine that only works if both sides constantly oil and maintain it.

Only the Republicans have decided that they want NOTHING to pass as long as Democrats are in charge. So they throw their wooden shoes into the machine and break it so nothing works and nothing comes out.

Then they sit there and say "See! Democrats can't do anything!"

The machinery simply needs to change. The club rules have become so arcane they no longer meet the needs of the country. NONE of this is enshrined in the Constitution after all. It's just a patchwork of rules adopted for the convenience of the Senators!


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