The Senate cast its first votes on remaking the nation's health care system Thursday, approving an amendment to safeguard coverage of mammograms and preventive screening tests for women under a revamped system.
The 61-39 vote on a provision by Democrat Barbara Mikulski of Maryland and Republican Olympia Snowe of Maine was the first substantive ballot in an acrimonious debate that promises to go on for weeks, the legislative equivalent of trench warfare.
The vote came after three days of angry debate in which Democrats accused Republicans of stalling to try to kill the bill, and Republicans protested that they were only exercising their right to give the complex legislation full scrutiny.
The first vote was held under a special agreement requiring 60 votes to prevail. The outcome underscored the fragility of the coalition Democrats are counting on to move President Barack Obama's signature issue.
Votes on Medicare were scheduled for Thursday afternoon.
After that will come an amendment to restrict abortion funding, except in cases of rape, incest or to save the life of the mother. Drafted by an abortion opponent — Democratic Sen. Ben Nelson of Nebraska — it looms as a major challenge for the Democrats.
Though Democrats have 60 votes in the Senate, two Democratic senators voted against the Mikulski amendment — Russ Feingold of Wisconsin and Nelson. The measure was saved by three Republicans voting in favor — Snowe, David Vitter of Louisiana and Susan Collins of Maine.
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