All revenue-related bills must originate in the House. Since it was first passed by the House, the Senate used HR 3590 for their health care reform proposal, completely revising the content of the bill. The amended bill incorporated elements of earlier proposals reported favorably by the Senate Health and Finance committees. The bill passed on a party-line vote (60–39) on December 24, 2009, with one Senator (Jim Bunning) not voting.
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