WASHINGTON — With House leaders struggling to reach agreement on healthcare legislation, aiming toward a possible vote this week, a new hurdle has emerged: abortion.
Some conservative Democrats are threatening to pull their support from the massive healthcare bill unless their concerns over potential federal funding of abortion procedures are met. They fear that the Obama administration will take advantage of an expanded government role in healthcare to increase the availability of abortions nationwide.
Republicans, meanwhile, are trying to use the divisive issue to build opposition to the bill.
The abortion issue has taken a back seat to a protracted dispute between Rep. Henry A. Waxman (D-Beverly Hills), chairman of the Energy and Commerce Committee, and moderate "Blue Dog" Democrats who worry about the bill's price tag and lack of cost controls. That conflict has delayed House Democrats from arriving at a final version of the bill and made it increasingly unlikely that the chamber will vote on the package this week.
On Monday, House Speaker Nancy Pelosi (D-San Francisco) signaled an openness to postponing the voting.
"I have said that I wanted a bill to pass before we left for the August recess," she said. "But I've also said that our members need the time . . . not only to get the bill written but to have plenty of time to review it. . . . So, we're on schedule either to do it now or to do it whenever."
The Senate last week pushed off floor action on a healthcare measure until September to give the finance committee more time to draft its version of the bill.
If the House leadership's dispute with the Blue Dogs is resolved, abortion looms as the next sticking point. Rep. Bart Stupak of Michigan and other Democrats opposed to abortion rights want to ensure that the bill includes language restricting taxpayer funds for the procedure.
The Hyde Amendment, passed in 1976, explicitly prevents the federal government from using tax dollars to fund abortion through Medicaid. But the reach of that law grows murkier if the government establishes its own competitive health insurance plan, or if it assists in creating a new market in which the public could sort through various private insurance plans. Both ideas could be included in the healthcare bill under consideration in Congress.
The Obama administration has tried to stay neutral on the matter.