The threat of having passed Deem and Pass through committee, combined with the Stupak deal, was enough to push the final vote on the initial Senate bill (HR 3590). The vote tally was 219:212, a three vote margin over what Pelosi needed for passage. The passage of the reconciliation measure quickly followed, and will be rapidly sent to the Senate. Sen. Reid states that he has the 51 votes necessary for passage of the reconciliation, but as mentioned here last night, Republicans are gearing up for a procedural fight. Republicans are allowed to offer unlimited amendments, each of which must be debated for instance. Additionally, the earlier ruling by the Senate Parliamentarian requires President Obama to sign in to law HR 3590, before signing the reconciliation bill, should it pass the Senate. That means that if the reconciliation bill is stalled, HR 3590 goes forward unimpeded, which is likely to anger members on both the left and right, not least because of the Stupak deal.
Whether or not the threats of appeal are grounded in reality (the president has another two years to work on his sales pitch), one thing seems increasingly likely - the Democrats have ensured a bloodbath come November.