The Democrats are trying to force passage of the health care reform bill with a bit of legislative sleight of hand known as the "Slaughter Rule." Under the Constitution, all legislation must pass both houses of Congress. Former federal judge Michael McConnell, now the director of the Stanford Constitutional Law Center, explained in the Wall Street Journal, in a bit excerpted by the Heritage Foundation, how the Slaughter Rule bypasses the Constitutional requirement:
The Slaughter solution attempts to allow the House to pass the Senate bill, plus a bill amending it, with a single vote. The senators would then vote only on the amendatory bill. But this means that no single bill will have passed both houses in the same form. As the Supreme Court wrote in Clinton v. City of New York (1998), a bill containing the “exact text” must be approved by one house; the other house must approve “precisely the same text.”
These constitutional rules set forth in Article I are not mere exercises in formalism. They ensure the democratic accountability of our representatives. Under Section 7, no bill can become law unless it is put up for public vote by both houses of Congress, and under Section 5 “the Yeas and Nays of the Members of either House on any question . . . shall be entered on the Journal.” These requirements enable the people to evaluate whether their representatives are promoting their interests and the public good. Democratic leaders have not announced whether they will pursue the Slaughter solution. But the very purpose of it is to enable members of the House to vote for something without appearing to do so. The Constitution was drafted to prevent that.
With this background, here is Rep. Mike Pence excoriating the Democrats for their tactics:

Mister Wong
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Comments
"But despite Republican claims that such parliamentary gymnastics as reconciliation and self-executing rules are somehow in violation of House rules or rare, neither is the case, says congressional scholar Thomas Mann of the Brookings Institution.
"On the self-executing rule, Republicans in their last Congress that they controlled, the 109th, used it 36 times; the Democrats, in the next Congress they controlled, used it 49 times," Mann said."
"And in many cases, Mann says, they were on some pretty major bills. "The reauthorization of the Patriot Act, the Tax Relief Reconciliation Act, the Deficit Control Conference Report; all kinds of major measures have been approved through self-executing rules, which means the House votes indirectly rather than separately on these measures.""
It does seem disingenuous for those who've used the rule repeatedly in the past to act as though this were some radical departure from business as usual.
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