WASHINGTON (Reuters) - Democratic leaders in the U.S. House of Representatives scrambled on Friday to allay lingering concerns about a broad healthcare overhaul and said a landmark vote planned for Saturday could slip a day or more.
President Barack Obama and top administration officials called undecided Democrats to plead for support, and House leaders held talks with wavering members to nail down their backing.
Democrats were short of the 218 votes they need to pass the measure, but House Democratic leader Steny Hoyer said “we’re very close.” House members were warned the final vote could slip to Sunday or even later in the week.
Democrats cajoled dozens of party moderates concerned about abortion and immigration provisions in the bill, as well as its $1 trillion price tag and its possible effect on budget deficits.
“There are many people who are still looking to get a comfort level that this is the right thing to do,” Hoyer said. “We’re trying to answer any concerns they might have.”
The sweeping overhaul, Obama’s top domestic priority, would spark the biggest changes in the U.S. healthcare system since the creation of the Medicare health program for the elderly in 1965.
House Republicans are united in opposition to the measure, designed to rein in costs, expand coverage to millions of uninsured and bar insurance practices such as denying coverage to people with pre-existing conditions.
Republicans object to new taxes to pay for the changes and the potential impact on the budget, and say the government is meddling in private healthcare and insurance markets.
If the bill passes the House, the action would move to the Senate which is preparing its own version. Obama wants to sign a bill by year’s end, but Senate Democratic leader Harry Reid has indicated that deadline might slip.
Obama is expected to visit the Capitol on Saturday to rally Democrats to support the House bill, which was bolstered on Thursday with endorsements from powerful lobbying groups for doctors and older Americans.
Failure in the Democratic-controlled House would be a huge political blow to Obama. Democrats can afford to lose 40 of their 258 House members on the healthcare vote, but the ranks of potential defectors is even larger.
Democratic Representative Jason Altmire, who is still undecided, said he got calls from Obama, White House Chief of Staff Rahm Emanuel, Health Secretary Kathleen Sebelius and Education Secretary Arne Duncan, and had chats with House Speaker Nancy Pelosi and Hoyer.
“They have the whole town out lobbying right now,” he said. “There is definitely a sense of urgency that you can feel.”
Democratic Representative Frank Kratovil said he would vote against the bill because it does not do enough to curb growth in costs and he is concerned about its effect on small businesses.
He said he had not heard from Obama or Pelosi since his decision on Thursday to oppose the bill, but had been talking to plenty of other House members.
“At this time there is not much point in lobbying me,” he said. “I am a ‘no.'”
House Democrats plan to open debate on Saturday morning and Hoyer said he expected a final vote on Saturday night. But he warned Republicans might delay it, and he said the House would keep working through Sunday or later if needed.
“We’re going to complete this effort,” Hoyer said.
House liberals dropped plans to introduce an amendment backing a single-payer government-subsidized healthcare system. House Republicans will be given a vote on their alternative healthcare plan before debate on the Democratic bill.
The House bill would require individuals to buy insurance and all but the smallest employers to offer health coverage to workers. It would provide subsidies to help purchase insurance and eliminate the industry’s exemption from federal antitrust laws.
Congressional budget analysts say the bill would extend coverage to 36 million uninsured people living in the United States and would reduce the budget deficit by about $100 billion over 10 years.
About 40 Democratic moderates have threatened to vote against the measure unless language is strengthened to ensure no federal subsidies are used to pay for abortions.
In an effort to resolve the dispute, Democratic leaders said they would incorporate an amendment by Representative Brad Ellsworth, an opponent of abortion rights, into the rule setting the terms of the debate.
That amendment would guarantee access to insurance plans that agree to refrain from covering abortion. It has been attacked as unsatisfactory by other anti-abortion Democrats and groups like the National Right to Life Committee.
Editing by Vicki Allen and Todd Eastham