Senators Defeat Anti-Abortion Amendment in Health Care Bill By 54-45

The Senate today rejected an amendment in the health care bill that would tighten restrictions on abortion coverage.

By a vote of 54-45, senators dismissed the abortion amendment offered by Democratic Sen. Ben Nelson of Nebraska and Sen. Orrin Hatch, R-Utah.

Nelson had threatened to vote no on final passage if his amendment was not included, but he declined to say today if he would abandon the Democrats' razor thin 60-vote majority.

Video of Senator Reid

"This makes it very hard for me to support it," Nelson told reporters after the vote.

In casting his "No" vote, Senate Majority Leader Harry Reid, D-Nev., acknowledged that while he may oppose abortion rights, it "doesn't mean I'm opposed to finding common ground for the greater good."

Senators today spent the majority of the day arguing the bipartisan amendment, which would prohibit private insurers that get federal money from providing abortion, and would also bar recipients of federal affordability tax credits from purchasing a policy that covers abortion.

The current language in the Senate health care bill restricts the use of public funds for abortion services. But private insurance plans that are offered in the insurance exchange can cover abortion if funds for the procedure are used only from premiums paid by beneficiaries.

The bill "does not require any current plans to cover abortion or prohibit them from doing so," Reid argued. "No one should use the issue of abortion to rob millions of the opportunity to get good health care. This is not the right place for this debate."

However, Nelson, who offered the amendment with eight Republicans and Democratic Sen. Robert Casey from Pennsylvania, argued that there should be more stringent restrictions. They wanted to take the language on abortion further and restrict coverage strictly to cases of rape, incest or when the life of the mother is in danger.

The issue of abortion reflects the deep divide within Democrats and it will remain an important issue in the health care overhaul debate. The vote may alienate Nelson, who opposes abortion rights. He had threatened to reject the final bill if it did not include his amendment, and in the absence of Republican support, Democrats need Nelson's vote to break a Republican filibuster of the bill.

Even if Nelson can be brought on-board, a House bill, which narrowly passed last month, includes the more restrictive language. The Senate amendment was crafted along the lines of a similar measure that passed in the House legislation. That proposal, crafted by Rep. Bart Stupak, D-Mich., took similar steps by not only cutting federal funding for abortion-related services, but also limiting access to abortions for people who receive federal subsidies and those who purchase insurance through a health insurance exchange, a marketplace where people would be able to shop for and compare insurance plans. The two would have to be reconciled.

Seven other Democrats voted in favor of Nelson's amendment. However, two Republicans, Sens. Susan Collins and Olympia Snowe, both of Maine, opposed it.

The emotional chord that the issue strikes was evident on the Senate floor.

"We cannot be distracted by detours or derailed by diversions," Reid said on the Senate floor, adding later, "This is a health care bill. It is not an abortion bill. We cannot afford to miss the big picture."

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