After a series of complex parliamentary maneuvers the House approved a massive health care reform package on March 212010 with over $400 billion in revenue raisers and new taxes on employers and individuals. The House passed H.R. 3590 the Patient Protection and Affordable Care Act (the Patient Protection Act) approved by the Senate on December 242009 along with H.R. 4872 the Health Care and Education Tax Credits Reconciliation Act of 2010 (the House Reconciliation Act). The House Reconciliation Act served as a “sidecar” bill allowing the House to move its changes to the Patient Protection Act using the budget reconciliation rules. These rules allowed the Senate to pass the package with only 51 votes rather than a 60-vote super-majority.