policies for those who fall ill; Includes a “medical loss ratio” (MLR) requirement; Mandates insurance on employers and individuals: People would be required to have insurance or pay a penalty starting in 2014 and companies with more than 50 people would face a requirement to help provide coverage; Authorizes nearly a half- trillion dollars in cuts to Medicare provider payments over the next decade, in order to fund other programs; Would raise $150 billion over a decade by taxing high-cost insurance plans. The bill passed 60-39. [CQ Today, 12/24/09; Vote 396, 12/24/09]  XXXX Stood Against Health Care Reform At Every Turn: In December 2009, XXXX voted against a motion to invoke cloture on the health care reform bill. The amendment was adopted 60-39. [Vote 395, 12/23/09] In December 2009, XXXX voted against the substitute amendment to the health care reform bill. The amendment was adopted 60-39. [Vote 394, 12/23/09] In December 2009, XXXX voted against invoking cloture, or limiting debate, on the substitute amendment to the health care reform bill. The motion to invoke cloture passed 60-39. [Vote 388, 12/22/09] In December 2009, XXXX voted against adopting Senate Majority Leader Reid’s manager’s amendment to the health care reform bill. The amendment was adopted 60-39. [Vote 387, 12/22/09] In December 2009, XXXX voted against limiting debate on a wide-ranging amendment to the health care reform bill. The motion to invoke cloture passed 60-40. [Vote 385, 12/21/09] In November 2009, XXXX voted against a motion to begin debating a health care system overhaul plan. The Senate legislation that Majority Leader Harry Reid assembled combined features of bills (S 1679, S 1796) approved by the Health, Education, Labor and Pensions Committee and the Finance Committee. The motion passed along party lines, 60-39. [CQ Today, 11/21/09; Vote 353, 11/21/09] XXXX Voted to Tighten Restrictions on Abortion in the Health Overhaul Bill. In December 2009, XXXX voted to tighten restrictions for funding of abortions in a health overhaul bill. The vote would kill an amendment by Democrat Ben Nelson and Republican Orrin Hatch that would have matched House-passed language limiting coverage of abortions – the so-called Stupak amendment. The amendment would have prohibited insurance plans participating in the state-run insurance exchanges created by the bill from providing coverage of abortion services except in cases of rape or incest or when the woman’s life is in danger. It also stated that no insurance plan participating in the exchanges can discriminate against any health care provider or facility because of its unwillingness to provide, cover or refer abortions. The amendment was tabled 54-45. [CQ Today, 12/08/09; Vote 369, 12/08/09] XXXX Voted Against Exempting Businesses of Less Than 25 Employees From Tax Compliance In Health Care Reform Bill And Small Business Tax and Lending Provisions. In September 2010, XXXX voted against a Motion to invoke cloture (thus limiting debate) on the Nelson, D-Fla., amendment no. 4595 to the Baucus, D- Mont., and Landrieu, D-La., substitute amendment no. 4594. The Nelson amendment would exempt businesses with fewer than 25 employees from the tax compliance provision in the 2010 health care overhaul law and would raise the reporting threshold for the remaining companies from $600 to $5,000. It also would exempt credit card purchases and give the Treasury Department more flexibility in implementing the reporting requirements. It would be offset by eliminating a 6-percent tax deduction for certain oil companies. The substitute would provide for a variety of small-business tax provisions, including a revival of an expired bonus depreciation provision to allow companies to write off assets more quickly, and authorize a small-business lending fund. The cloture motion was rejected 56-42. [Vote 232, 9/14/10] REPEAL 157