But being a global nurse, he says, doesnât necessarily mean practicing nursing âbeyond the borders of the U.S.â It can also mean being a nurse in your own community. âItâs still practicing health equity and thatâs the common denominator of the issues,â he says.
It's not that a piece of legislation requires 60 votes to be passed, 51 will do. 1. 2. So, combining those two rules, we see that it is theoretically possible for any Senator to decide for him or herself that they are so opposed to a measure that they will speak, forever, in order to prevent it's passage.
So Senate Leader Harry Reid cut a deal with Pelosi: the House would pass the Senate bill without any changes if the Senate agreed to pass a separate bill by the House that made changes to the Senate version of Obamacare. 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.