Skip vote and go straight to law

As lawmakers clashed fiercely over major health care legislation on the House floor, Democrats struggled Tuesday to defend procedural shortcuts they might use to win approval for their proposals in the next few days.

House Democrats are so skittish about the piece of legislation that is now the vehicle for overhauling the health care system — the bill ****** by the Senate in December — that they are considering a maneuver that would allow them to pass it without explicitly voting for it.

Under that approach, House Democrats would approve a package of changes to the Senate bill in a budget reconciliation bill. The Senate bill would be “deemed ******” if and when the House adopts rules for debate on the reconciliation bill — or perhaps when the House passes that reconciliation bill.

The idea is to package the changes and the underlying bill together in a way that amounts to an amended bill in a single vote. Many House Democrats dislike some provisions of the Senate bill, including special treatment for a handful of states, like Medicaid money for Nebraska, and therefore want to avoid a direct vote on it.

Republicans paraded to the House floor on Tuesday to denounce the maneuver as a parliamentary trick. Representative Ted Poe, Republican of Texas, said Democrats were using “a sneaky snake oil gimmick” to pass their bill. “Let’s have an up-or-down vote on this bill and not hide behind some procedural mumbo jumbo,” Mr. Poe said.

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