Democrats pushed the legislation through the evenly divided chamber, with Vice President Kamala Harris breaking the tie and overcoming unanimous Republican opposition.
, boosting the sprawling collection of President Joe Biden's priorities on climate, energy, health and taxes past its initial test as it starts moving through Congress.
MacDonough said Democrats violated Senate budget rules with language imposing hefty penalties on drug makers who boost their prices beyond inflation in the private insurance market. Those were the bill's chief pricing protections for the roughly 180 million people whose health coverage comes from private insurance, either through work or bought on their own.
Senate Minority Leader Mitch McConnell, R-Ky., said Democrats"are misreading the American people's outrage as a mandate for yet another reckless taxing and spending spree." He said Democrats"have already robbed American families once through inflation and now their solution is to rob American families yet a second time."
Assuming Democrats fight off a nonstop"vote-a-rama" of amendments - many designed by Republicans to derail the measure - they should be able to muscle the measure through the Senate. Expiring subsidies that help millions of people afford private insurance premiums would be extended for three years, and there is $4 billion to help Western states combat drought. A new provision would create a $35 monthly cap for insulin, the expensive diabetes medication, for Medicare and private insurance patients starting next year. It seemed possible that language could be weakened or removed during debate.
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