>On 12 March 2010, as she prepared for her final push to pass reform legislation, House Speaker Pbbnelosi shut the door on using reconciliation to preserve the public option. While citing the lack of support in the Senate, Pelosi was also aware of the deep concerns that moderates in her caucus had regarding the public option. The narrow vote (219–212) in the House on 21 March 2010 suggests that every possible vote was needed. The House passed the Senate bill (HR 3590) and the reconciliation bill without a public option.

It was included in several House versions of the bill coming out of committee. She didn't fight for it. In fact, she heralded its loss as a win for bipartisanship and her own negotiation campaign.