Not the bill I hoped for, but still it's a good enough bill for the working poor that it probably won't get a single Republican vote, lest they lose support from the landed elite. Nelson Supports Health Bill After Tough Bargaining - ABC News A holdout no more, Sen. Ben Nelson agreed Saturday to provide the 60th and deciding vote for Senate passage of sweeping health care legislation, capping a year of struggle and a final burst of deadline bargaining. Nelson, D-Neb., said he made his decision after winning fresh concessions to limit the availability of abortions in insurance sold in newly created exchanges, as well as tens of million in federal Medicaid funds for his home state. "I know this is hard for some of my colleagues to accept and I appreciate their right to disagree. But I would not have voted for this bill without these provisions," he said at a news conference in the Capitol. He also noted he had successfully fended off attempts to provide for a government-run insurance option to compete with private insurers.