G.O.P. Forces New House Vote on Fixes to Health Bill

By DAVID M. HERSZENHORN and ROBERT PEAR
NYT

WASHINGTON — With the Senate working through an all-night session on a package of changes to the Democrats’ sweeping health care legislation, Republicans early Thursday morning identified parliamentary problems with at least two provisions that will require the measure to be sent back to the House for yet another vote, once the Senate adopts it.

Senate Democrats had been hoping to defeat all of the amendments proposed by Republicans and to prevail on parliamentary challenges so that they could approve the measure and send it to President Obama for his signature. But the bill must comply with complex budget reconciliation rules, and Republicans identified some flaws.

Under the reconciliation rules, provisions in the bill must directly affect government spending or revenues.

The successful parliamentary challenge did not appear to endanger the eventual adoption of the changes to the health care legislation. And Mr. Obama on Tuesday already signed the main health care bill into law.

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