US health insurers gave over $86.2million to the Chamber of Commerce last year for the purpose of opposing the health-care overhaul.
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- The U.S. Labor Department releases a long-awaited rule, the so-called persuader rule that was first proposed in 2011. The regulation requires companies to disclose when they seek advice about countering union campaigns. The final rule will apply to contracts beginning on July 1, 2016. Several business groups, such as the National Retail Federation, the Associated Builders and Contractors, the U.S. Chamber of Commerce and the National Association of Manufacturers, object because the rule limits employers' free speech rights to counter union organizing, it could interfere with attorney-client privilege, etc. Court challenges are expected.
- United States District Court for the Eastern District of Virginia Judge Henry E. Hudson rules against Barack Obama's health care reform requirement to purchase health insurance.
- The United States Senate passes a health-care bill expected to extend insurance coverage to 30 million additional Americans, in a party-line vote, 60-39.
- The United States Senate votes to allow a debate on the healthcare reform bill. The debate is to begin on November 30, 2009.