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If the Republicans resort to filibusters to block passage, the Democrats should use a budget reconciliation procedure that requires only a majority vote for passage in the Senate.
Senator Christopher J. Dodd, Democrat of Connecticut and an architect of the Senate health bill, said he was "not a great fan" of using the budget reconciliation procedure.
Senator Orrin G. Hatch, Republican of Utah, said that using the budget reconciliation procedure to pass a health bill would be "an abuse of the process," which was meant to focus on spending and tax policy.
The No. 2 Republican in the House, Representative Eric Cantor of Virginia, asked the House Democratic leader, Representative Steny H. Hoyer of Maryland, to renounce use of the budget reconciliation procedure for health care.
Senator Kent Conrad, Democrat of North Dakota and chairman of the Budget Committee, said it might be possible to use the reconciliation procedure for "a set of relatively minor matters that have a budget impact".
It is still possible that if all else fails the House Democrats will reluctantly adopt the Senate bill, removing the need for the Senate to vote on it again, and then introduce amendments under a budget reconciliation procedure that does not require a supermajority.
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Second, Democratic leaders in Congress have opted not to pursue energy legislation under filibuster-proof "reconciliation" procedures.
Democratic Congressional aides say the House, at the behest of the White House, is likely to call for reconciliation procedures in its coming budget resolution.
Which is how Mr. Boehner felt about a Democratic majority using complex "reconciliation" procedures to push through Mr. Obama's health care plan last year.
So what is going wrong Certainly, with its nine-month negotiating timetable, multiple committees and complex reconciliation procedures, America's budget process is no model of efficiency.
By using budget reconciliation procedures, Senate Democrats could limit debate, but not necessarily the number of amendments, and Republicans are prepared to offer dozens.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com