establish fair and transparent practices relating to the extension of credit under an open-end consumer credit plan and for other purposes," Coburn sponsored an amendment that would allow concealed carry of firearms in national parks. The Senate passed the amendment 67–29. Coburn placed a hold on final Senate consideration of a measure passed by the House in the wake of the Virginia Tech shootings to improve state performance in checking the federal watch list of gun buyers. However, after the Sandy Hook massacre in December 2012, Coburn (who had already announced he would not run for re-election) reversed himself and came out in support of universal background checks. Coburn partnered with Democratic members of the Senate such as Charles Schumer and Joe Manchin (to whose re-election campaign Coburn donated money) to determine what a universal background check measure should look like. However, these talks ultimately broke down, and in April 2013, Coburn was one of 46 senators to vote against the amendment in its final form, defeating its passage. Health care reform Coburn voted against the Patient Protection and Affordable Care Act in December 2009, and against the Health Care and Education Reconciliation Act of 2010. Coburn co-authored the Patients Choice Act of 2009 (S. 1099), a Republican plan for health care reform in the United States, which in part 1) Requires the U.S. Secretary of Health and Human Services (HHS) to convene an interagency coordinating committee to develop a national strategic plan for prevention. The act provided for health promotion and disease prevention activities consistent with such a plan. Secondly it set forth provisions governing the establishment and operation of state-based health care exchanges to facilitate the individual purchase of private health insurance and the creation of a market where private health plans compete for enrollees based on price and quality. Thirdly it intended to amend the Internal Revenue Code to allow a refundable tax credit for qualified health care insurance coverage. Fourth it sets forth programs to prevent Medicare fraud and abuse, including ending the use of social security numbers to identify Medicare beneficiaries. Fifth it sought to terminate the Agency for Healthcare Research and Quality. Presidential nominations to the Judicial and Executive branches of government During the administration of President George W. Bush, Coburn spoke out against the threat by some Democrats to filibuster nominations to judicial and Executive Branch positions. He took the position that no