WASHINGTON (CNN) – President Barack Obama is set to claim final victory on his top domestic priority Tuesday by signing into law a package of changes to the newly enacted health care reform bill.
The signing ceremony at a community college in northern Virginia will culminate almost a year of fiercely partisan debate and a tortuous legislative journey on the proposals generated by Democrats and unanimously opposed by Republicans.
Due to a shifting political landscape, Democrats eventually needed the separate bill being signed Tuesday to make changes in the original legislation in order to get the overall package passed by Congress.
Among other things, the so-called "fixes" bill significantly expands health insurance subsidies for lower- and middle-income families while watering down a tax on expensive health policies.
The bill also increases the overall cost of the health care reform legislation to $940 billion over the next 10 years, $65 billion more than the original health care bill Obama signed into law last week.
Washington (CNN) - Three representatives, all Democrats, voted differently on the Senate health care reform bill than they did on the subsequent reconciliation plan. A total of 34 Democrats voted against the Senate bill, while 33 voted against the reconcilation package.
Members who switched votes on the reconciliation plan
Member Party/District Senate Reconciliation
Jim Cooper D TN-5 Y N
Daniel Lipinski D IL-3 N Y
Stephen Lynch D MA-9 N Y