The House plan includes a public option ; the more conservative Senate package would instead create nonprofit private plans overseen by the federal government . Democratic sources say Republicans could use Senate rules to slow final passage . Congressional leaders have to merge an $ 871 billion Senate bill and $ 1 trillion House bill . The two bills must be reconciled by the end of this week, which would allow for a vote on either measure before Congress adjourns in September. Financing , public option are key sticking points between House , Senate versions .
Democratic sources say Republicans could use Senate rules to slow final passage . Congressional leaders have to merge an $ 871 billion Senate bill and $ 1 trillion House bill . The two bills must be reconciled by the end of this week, which would allow for a vote on either measure before Congress adjourns in September. Financing , public option are key sticking points between House , Senate versions .