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The board was a top priority for Mr. Obama during the long legislative battle.
It has been suggested that even given the long legislative process, the bill could become law as early as May.
"We show where the waste is in medicine," said Dr. Elliott Fisher, a physician who is one of the principal authors of the Dartmouth work and was a frequent visitor to Washington during the long legislative debate.
It will be up to them to decide whether to start the long legislative process that could eventually result in the banking restrictions becoming law throughout the 27-nation European Union.
A fresh multimillion-dollar wave of television and radio advertisements was to begin Tuesday morning, with groups on both sides of the contentious health care issue trying to influence the lasting impressions about the long legislative debate.
While President Bush's commitment to a stronger clean air law opened a path out of the long legislative deadlock, his opposition to the original Senate bill as too expensive had threatened to undermine Congressional efforts.
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The result was a budget deadlock that forced the longest legislative session in Virginia history.
With the House of Representatives approving a plan to raise most of the money through a three-year income tax surcharge that would be repealed in two years if the economy improves, the longest legislative summer for the state ended.
The Senate, ending the longest legislative session in state history, voted 20 to 9 in favor of a budget that uses $560 million of the state's tobacco settlement money to balance the books.
"That's the governor's message," said Charles Perry, a Tea Party-anointed lawmaker who defeated the nearly three decade long legislative veteran Delwin Jones in the 2010 primary, mounting a grassroots attack from the right.
Mr. Daschle also told Mr. Obama that the benefits of having more experience in the Senate would be outweighed by the burdens of a long legislative history that could be picked apart by his rivals.
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