This second bill was called the Reconciliation Act of 2010. So the House passed PPACA, the Senate bill, as well as their Reconciliation Act. At this point PPACA was ready for the President to sign, but the Senate still needed to pass the Reconciliation Act from the House.
The Fifth Amendment was part of the Bill of Rights that was added to the Constitution on December 15, 1791. It covers a number of topics and issues including the grand jury, double jeopardy, self-incrimination (taking the fifth), due process, and eminent domain. We'll explain each of these in more detail below.
The ancient protection of the Common Law against double jeopardy is maintained in its full rigor in the United States, beyond reach of any change save that of a Constitutional Amendment. The Fifth Amendment to the United States Constitution provides: