The changes passed by a 220-211 vote. That bill now goes to the Senate for final approval, where it only requires a simple majority to pass.
The fast-track measure eliminates targeted provisions for specific states in the main health care bill. It softens a tax on high-value insurance plans opposed by organized labor.
It also contains an education provision that is a domestic priority of President Barack Obama. That measure increases college assistance for needy students and ends government reliance on private lenders for higher education loans.


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