Types of Problems at Nursing Homes. Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem.
House of Representatives. The House may use either of the methods used by the Senate, though roll-call votes are rare. Alternately, the House of Representatives may take a standing division vote or a recorded vote. Generally, the Speaker of the House chooses the voting method, though votes must be by the recorded method if one-fifth of Congress requests it. In a division vote, the ayes and noes are asked to stand.
Senate Action. If a bill passes in the U.S. House of Representatives, an exact copy is sent to the U.S. Senate. The bill is sent to a Senate committee for review and discussion before proceeding to the Senate floor for a vote. Bills: There are two types of bills, public and private. 2  Public bills affect the general public while private bills affect a specific individual or group. 3  In order to become law, bills must be approved by both Chambers and the President.