Reid can’t afford any defections on health

Majority Leader Harry ReidHarry Mason ReidMcConnell not yet ready to change rules for Trump nominees The Hill's Morning Report — Sponsored by CVS Health — Trump’s love-hate relationship with the Senate Trump to press GOP on changing Senate rules MORE (D-Nev.) wants the healthcare debate to formally begin this week, before the chamber recesses for the Thanksgiving break. But the absence of both a final bill and a cost estimate from the Congressional Budget Office (CBO) has made some centrists anxious about offering their support for an otherwise routine test vote that typically unites a majority party.

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The cost estimate and the final legislative language were expected last week, but both have subsequently been delayed. The healthcare bill could be unveiled as soon as Monday evening or Tuesday.

Another complicating factor is the health of Sen. Robert Byrd (D-W.Va.), who has missed more than 130 roll call votes this year.

Reid needs every member of his party because Republicans have indicated they will vote en masse against the Democratic legislation.

Senior Democrats believe their party members will fall into line when the time comes. But public statements by two centrists in particular — Sens. Blanche Lincoln (D-Ark.) and Ben Nelson (D-Neb.) — have given Reid and other leaders reason for concern.

Sen. Tom HarkinThomas (Tom) Richard HarkinDem Senator open to bid from the left in 2020 Senate GOP rejects Trump’s call to go big on gun legislation Trump should require federal contractors to follow the law MORE (D-Iowa), the chairman of the Health, Education, Labor and Pensions (HELP) Committee, predicted during an interview on the liberal “Bill Press Radio Show” that the Senate will have the 60 votes needed to call up the healthcare bill this week.

The Iowa senator laid out an ambitious schedule for the final weeks before the end of the year and said Reid is committed to working through every weekend in December if that’s what it takes to pass the bill before lawmakers break for the holiday.

“We’re going to be going long days — I’ve already talked to Leader Reid about this — long nights, weekends — constantly, from then until right before Christmas, when I think we’ll have the votes, hopefully, to pass the bill,” he said.

But Democrats remain divided over key elements yet to be resolved: whether to create a government-run insurance program, how to pay for expanding insurance coverage and how strongly to prohibit federal dollars from paying for abortion services.

First Reid must win over his centrists to begin the debate. Pressure on the party holdouts is expected to intensify from Senate Democratic leaders, the White House and liberal activists, but the centrists have their own political situations to consider.

Lincoln is the most at risk. She is up for reelection next year in a red state amid what is shaping up to be a bad environment for Democrats. Lincoln, who has misgivings about the public option, has also complained about being asked to support the procedural motion without first seeing the final bill.

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“I haven’t committed my vote to anybody,” Lincoln said during a conference call with home-state reporters last week after meeting with President Barack ObamaBarack Hussein ObamaFormer GOP lawmaker says Obama got elected because he was black To woo black voters in Georgia, Dems need to change their course of action 2018 midterms: The blue wave or a red dawn? MORE, as reported by Arkansas News. “I just felt like it was really my obligation to my constituents to exhaust all avenues to try and make sure that we affect the process that’s happening and what the outcome is going to be before the full Senate goes into this debate or proceeds to a bill.”

Nelson has withheld a commitment to vote on the motion to proceed and criticized the bill on a number of issues. He has left the door open to support a Republican filibuster at any stage in the legislative process.

Centrist Democrats have been under fire all year from liberal activist groups and labor unions on a range of issues in healthcare reform, primarily the public option. Left-leaning groups such as Healthcare for America Now, MoveOn.org and Change Congress are continuing or ratcheting up their advertising pressure campaigns on lawmakers such as Lincoln, Nelson, Sen. Joe Lieberman (I-Conn.), Sen. Mary LandrieuMary Loretta LandrieuLandrieu dynasty faces a pause in Louisiana Senate GOP rejects Trump’s call to go big on gun legislation Project Veritas at risk of losing fundraising license in New York, AG warns MORE (D-La.) and Sen. Evan Bayh (D-Ind.).

Landrieu continues to be targeted despite telling the Huffington Post last month, “I’m not right now inclined to support any filibuster. … I’m not going to be joining people that don’t want progress.” But liberals remain dubious, especially after Landrieu told reporters last week that she had not decided what she would do, according to press reports. A Landrieu spokeswoman did not respond to a request for comment.

Bayh received a torrent of liberal criticism for several days last month when he seemed to suggest he would not necessarily vote in favor of the motion to proceed on the healthcare bill. He quickly clarified that on the first vote, at least, he would vote with his party.

Republicans have for the most part been united against the Democratic legislation. Senate Minority Leader Mitch McConnellAddison (Mitch) Mitchell McConnellMcConnell sees Ohio in play as confidence about midterms grows   Giuliani: White House wants briefing on classified meeting over Russia probe GOP senators introduce Trump's plan to claw back billion in spending MORE (R-Ky.) made clear that the GOP will portray even votes on procedural motions as endorsements of the healthcare bill itself. “A vote on cloture on the motion to proceed to this bill will be treated as a vote on the merits of the bill,” McConnell recently said.

The one wildcard is Sen. Olympia Snowe (Maine), who voted to approve the Finance Committee measure. But Snowe has since indicated Reid lost her vote by including a public option in the bill that the full Senate will consider.

Getting past the motion to proceed, of course, will be an easier task than those that lie ahead. Centrists like Lieberman and liberals like Sen. Roland Burris (D-Ill.) have indicated that while they will vote with Reid on the first procedural motion, they could oppose or even filibuster the bill itself.


Michael O’Brien contributed to this article.