Senate OKs health care measure, reaching milestone

WASHINGTON — Senate Democrats passed a landmark health care bill in a climactic Christmas Eve vote that could define President Barack Obama's legacy and usher in near-universal medical coverage for the first time in the country's history.

"We are now finally poised to deliver on the promise of real, meaningful health insurance reform that will bring additional security and stability to the American people," Obama said shortly after the Senate acted.

"This will be the most important piece of social legislation since Social Security passed in the 1930s," said Obama, standing with Vice President Joe Biden in the State Room of the White House.

The 60-39 vote on a cold winter morning capped months of arduous negotiations and 24 days of floor debate. It also followed a succession of failures by past congresses to get to this point. Biden presided as 58 Democrats and two independents voted "yes." Republicans unanimously voted "no."

An exhausted Senate Majority Leader Harry Reid, D-Nev., initially cast a "no" vote by mistake, then quickly corrected himself as fellow senators burst out laughing.

The tally far exceeded the simple majority required for passage.

The Senate's bill must still be merged with legislation passed by the House before Obama could sign a final bill in the new year. There are significant differences between the two measures but Democrats say they've come too far now to fail.

Both bills would extend health insurance to more than 30 million more Americans. Obama said the legislation "includes the toughest measures ever taken to hold the insurance industry accountable."

Vicki Kennedy, the widow of Sen. Edward M. Kennedy, D-Mass., who made health care reform his life's work, watched the vote from the gallery. So did Rep. John Dingell, D-Mich., the longest-serving House member and a champion of universal health care his entire career.

"This morning isn't the end of the process, it's merely the beginning. We'll continue to build on this success to improve our health system even more," Reid said before the vote. "But that process cannot begin unless we start today ... there may not be a next time."

At a news conference a few moments later, Reid said the vote "brings us one step closer to making Ted Kennedy's dream a reality."

The Nevadan said that "every step of this long process has been an enormous undertaking."