WASHINGTON — Anything but jubilant, President Barack Obama awkwardly kept a promise Wednesday he made to ensure passage of historic health care legislation, pledging the administration would not allow federal funds to pay for elective abortions covered by private insurance.
Unlike Tuesday, when a beaming Obama signed the health care law in a nationally televised ceremony interrupted repeatedly by applause, the White House refused to permit coverage of the event. It occurred in the Oval Office in the presence of a small group of anti-abortion Democratic lawmakers who had extracted the commitment over the weekend. The president supports abortion rights.
The political maneuvering occurred as the FBI announced it was investigating threats received by about 10 Democratic lawmakers in recent days in apparent connection with the intensely controversial health care law.
"All threats and incidents directed against members of Congress are taken seriously and are being investigated," the bureau's Washington field office said in a statement.
At the same time, Senate Democrats drove toward final passage of a second health care bill, drafted to supplement the first by sweetening benefits for seniors with high prescription drug costs and for lower-to-middle income families who cannot afford the cost of insurance.
Lacking the votes to stop it, Senate Republican leader Mitch McConnell of Kentucky, vowed, "We'll continue to fight until this bill is repealed and replaced with commonsense ideas that solve our problems without dismantling the health care system we have and without burying the American dream under a mountain of debt."
That drew a swift rebuttal from Majority Leader Harry Reid, D-Nev., who said the legislation Obama signed on Tuesday was a "wonderful bill" that would help millions with inadequate coverage or none at all.
The follow-up bill before the Senate included a second triumph for the administration on domestic policy. It generally strips banks and other private insurers of their ability to originate loans to students, in favor of direct government lending.
The government's savings would raise the maximum amount needy students could receive in Pell Grants, and pump about $2.6 billion over a decade into historically black and Hispanic colleges. The changes would mean the loss of billions of dollars for student lending giant Sallie Mae as well as large financial institutions such as Citigroup, JPMorgan Chase and Bank of America.
The bill passed the House on Sunday and it appeared Reid had as many as 57 votes in hand for its approval, far more than needed. Among 59 Senate Democrats, only Sens. Blanche Lincoln of Arkansas and Ben Nelson of Nebraska announced in advance they would oppose it.
Far outnumbered, Senate Republicans sought votes on politically-charged proposals that, while potentially troublesome for Democrats, were doomed to defeat. The first, to roll back the bill's Medicare cuts, was jettisoned on a vote of 56-42; the second, to strip out special projects, by 54-43.
Sen. Tom Coburn, R-Okla., proposed an amendment barring federal expenditures for supplying Viagra and other erectile dysfunction drugs to sex offenders and cracking down on fraudulent health spending. Coburn said it would save $650 million a year, Sen. Max Baucus, D-Mont., called it "a crass political stunt," and Democrats turned it aside 57-42.
By 56-43, the Senate rejected an amendment by Sen. Charles Grassley, R-Iowa, to force Obama and others in the government to obtain insurance coverage through new purchasing exchanges the law will create in 2014, as members of Congress and some staff would. The White House said the move was unnecessary because the president would do so voluntarily, but it was unclear whether the day-old law permitted him to.
Taken together, the day's events amounted to mop-up actions by the White House and Senate Democrats, one day after Obama signed into law far-reaching changes in the nation's health care system that had eluded presidents and lawmakers for a century.
At its core, the new law would expand health care to 32 million who lack it while cracking down on the insurance industry and cutting federal deficits by an estimated $143 billion over a decade. Most of the bill's estimated $938 billion cost for coverage would pay for assistance to help families with annual incomes of up to $88,000 pay for insurance, although small businesses also would receive subsidies as in incentive to cover their employees.
The two bills combined call for nearly $1 trillion in higher taxes and Medicare cuts over 10 years, provisions that sparked strong opposition from congressional Republicans, all of whom voted against the bill's passage.
For the first time, millions of Americans would be required to purchase insurance, and face penalties if they refused.
That requirement was at the heart of much of the opposition to the legislation by Republicans, conservatives activists and others, and 13 attorneys generals have already filed suit to try to invalidate the law.
The Democrats' drive to enact sweeping health care changes had appeared doomed as recently as two months ago, when Obama took personal command of a revival effort, working in concert with House Speaker Nancy Pelosi, D-Calif., and Reid.
Passage wasn't assured until Sunday, a few hours before the final vote, when Obama agreed to issue an executive order specifying that he would not permit the use of federal funds to pay for abortions except in the cases of rape, incest or if the life of the mother was in danger.
The commitment, backed up by a draft of the order that circulated, was enough to secure the votes of Rep. Bart Stupak, D-Mich. and a few other holdouts.
As signed into law, the health care bill says individuals who receive federal subsidies to purchase insurance may purchase abortion coverage, but must do so by writing a separate check from personal funds. Obama's executive order commits the administration to issuing regulations making sure that personal and federal funds are kept separate.
Associated Press writers Ben Feller, Jim Kuhnhenn and Erica Werner contributed to this report.