WASHINGTON  – After months of struggle, House Democrats rolled out sweeping legislation Thursday to extend health care coverage to millions who lack it and create a new option of government-run insurance. A vote is likely next week on the plan largely tailored to President Barack Obama’s liking.

Speaking on the steps of the Capitol, Speaker Nancy Pelosi said Congress was at a “historic moment” with lawmakers “on the cusp of delivering on the promise of making affordable, quality health insurance available to every American.”

Officials said the measure, once fully phased-in over several years, would extend coverage to 96 percent of Americans. Its principal mechanism for universal coverage is creation of a new government-regulated insurance “exchange” where private companies would sell policies in competition with the government. Federal subsidies would be available to millions of lower-income individuals and families to help them afford the policies, and to small businesses as an incentive to offer coverage to their workers.

Large firms would be required to cover workers, and most individuals would be required to carry insurance.

The ceremony marked a pivotal moment in the Democrats’ yearlong attempt to answer Obama’s call for legislation to remake the nation’s health care system by extending insurance, ending industry practices such as denying coverage on the basis of pre-existing medical conditions, and slowing the growth of medical spending nationwide.

Across the Capitol, Senate Democrats, too, are hoping to pass legislation by year’s end. Legislation outlined by Majority Leader Harry Reid earlier this week would include an option for a government-run plan, although states could drop out if they wished, a provision not in the House measure.

Obama issued a statement saying House Democrats had reached a “critical milestone” on the road toward a health care overhaul, and singled out the proposed government insurance option. He also said the bill “clearly meets two of the fundamental criteria I have set out: It is fully paid for and will reduce the deficit in the long term.”

Republican reaction was swift and critical.

Rep. Tom Price, R-Ga., head of the Republican Study Committee, issued a statement saying Democrats had produced a “government takeover that will limit choice, competition and innovation in health care while increasing costs and decreasing quality.” He said the measure would kill jobs, raise taxes and inflict cuts on a program of private Medicare that provides benefits to millions of seniors.

GOP leaders long ago decided to oppose the approach requested by Obama and taken by Democrats, and health care is expected to figure in next year’s congressional election campaigns. Democrats issued a statement saying their 1,990-page measure “lowers costs for every patient” and would not add to federal deficits. They put the cost of coverage at under $900 billion over 10 years, a total that excludes several items designed to improve benefits for Medicare and Medicaid recipients and providers, as well as public health programs and more.

With Republicans expected to oppose the measure unanimously, Pelosi and her lieutenants worked for weeks to resolve differences within the Democratic rank and file.

The toughest of them covered the terms under which the government insurance option would function. Liberals generally wanted the government to dictate the rates to be paid to doctors, hospitals and other health care providers, with the fee levels linked to Medicare.

Moderates, fearing the impact on their local hospitals, held out for negotiated rates between the government and private insurers – and won.

Not all liberals were ready to sign on. “My inclination is not to support it,” said Rep. Raul Grijalva, D-Ariz., a co-chair of the Congressional Progressive Caucus, but that represented a softening of his opposition.

Grijalva acknowledged there was an argument for progressives to vote “yes.” “The logic is to keep the ball rolling,” Grijalva said Thursday.

Democrats control 256 seats in the House, are overwhelmingly favored to win one special election next week and are competitive for another. As a result, they can afford more than 30 defections on the legislation and still prevail.

House Democrats’ campaign arm wasted no time in using the bill release as a fundraising opportunity. The Democratic Congressional Campaign Committee e-mailed supporters asking them to help raise $50,000 by Thursday night “so we have the resources to fight back against Republican attacks and prove that grassroots Democrats are standing strong behind health insurance reform with a strong public option.”

The legislation would be financed by a combination of cuts in planned Medicare spending and an income tax surcharge of 5.4 percent on individuals making at least $500,000 annually and couples making at least $1 million. The bill would require nearly everyone by 2013 to sign up for health coverage either through their employer, a government program or the new exchange.

In the meantime, a temporary government program would help people turned down by private insurers because of medical problems, lawmakers said. After that, insurers no longer could refuse to provide coverage to the sick, nor could they charge more because of poor health of the insured.

The plan also calls for a significant expansion of Medicaid, the federal-state health program for low-income people. And it would impose a requirement on employers to offer insurance to their workers or face penalties.

Pelosi, D-Calif., and the leadership have yet to work out disputes over abortion services and health care for immigrants, issues that must be settled before the bill can come to a vote. Pelosi has also said the bill would strip the health insurance industry of a long-standing exemption from antitrust laws covering market allocation, price fixing and bid rigging. Democratic officials said the bill also would give the Federal Trade Commission authority to look into the health insurance industry at its own initiative. The officials spoke Wednesday on condition of anonymity, saying they were not authorized to pre-empt a formal announcement.

While precise figures were not immediately available, it appeared the legislation would target the drug industry for more than the $80 billion that pharmaceutical firms agreed to contribute toward health care in a deal earlier this year with the White House and key senators. But the industry managed to come away with a provision worth billions: 12 years of market protection for high-tech drugs to combat cancer, Parkinson’s and other deadly diseases.

Medical device makers also took a hit, with a 2.5 percent excise tax on sales of their products that is reported to cost the industry $20 billion over the next decade. A $40 billion fee on those businesses was included in a Senate Finance Committee-approved version of the legislation, but Reid is considering cutting it by as much as half.

WASHINGTON  – House Speaker Nancy Pelosi says she sees no need for a House resolution in praise of Michael Jackson.

Pelosi, D-Calif., says Jackson was a great performer, but she thinks the resolution is unnecessary.

She said at a news conference Thursday that lawmakers could honor Jackson in speeches in the House. But she said a resolution would open up Jackson’s life to “contrary views that are not necessary at this time.”

Rep. Sheila Jackson Lee, a Texas Democrat, has proposed the resolution in Jackson’s honor.

Such a resolution is a nonbinding but symbolic expression from lawmakers.

WASHINGTON  – House Republicans are demanding that a bipartisan panel investigate House Speaker Nancy Pelosi’s claims that the CIA misled her in 2002 about whether waterboarding had been used against a terrorist suspect.

Senior Republican aides said the GOP would introduce a resolution on Thursday calling for the probe. Under House rules, Pelosi would have two days to arrange for a vote on the measure. Democrats are expected to oppose it, branding the move as partisan.

Pelosi told reporters this month that she had not been told that waterboarding had been used, even though it had been.

The head of the CIA has defended his agency. House Republican Leader John Boehner of Ohio has said Pelosi is being dishonest.

WASHINGTON  – Under strong attack from Republicans, House Speaker Nancy Pelosi accused the CIA and Bush administration of misleading her about waterboarding detainees in the war on terror and sharply rebutted claims she was complicit in its use.

“To the contrary … we were told explicitly that waterboarding was not being used,” she told reporters, referring to a formal CIA briefing she received in the fall of 2002.

Pelosi said she subsequently learned that other lawmakers were told several months later by the CIA about the use of waterboarding.

“I wasn’t briefed, I was informed that somebody else had been briefed about it,” she said.

The House’s top Democrat made her comments at a news conference where she was peppered with questions about her knowledge of a technique she and others have called torture. Republicans have insisted in recent weeks that she and other Democrats knew waterboarding was in use, but made no attempt to protest.

Pelosi renewed her call for a so-called truth commission to investigate the events in the Bush administration that led to the use of waterboarding and other harsh interrogation techniques. While President Barack Obama has banned waterboarding, calling it torture, he has been notably cool toward an independent inquiry that might distract attention from his domestic agenda.

Senate Majority Leader Harry Reid, D-Nev., also has expressed opposition, as have congressional Republicans.

Pelosi was particularly harsh in describing the CIA.

“They mislead us all the time,” she said. And when a reporter asked whether the agency lied, she did not disagree.

She also suggested that the current Republican criticism marked an attempt to divert attention from the Bush administration’s actions.

“They misrepresented every step of the way, and they don’t want that focus on them, so they try to turn the focus on us,” she said.

Pelosi contended that Democrats did what they could to stop the use of waterboarding. The senior Democrat on the Intelligence Committee, who received the 2003 briefing on the practice, sent the CIA a formal letter of protest, she said.

But Pelosi defended her own lack of action on the issue, saying her focus at the time was on wresting congressional control from Republicans so her party could change course.

“No letter could change the policy. It was clear we had to change the leadership in Congress and in the White House. That was my job – the Congress part,” Pelosi said.

WASHINGTON — The National Conference of State Legislatures is hosting more than 60 state legislative leaders this week in the Nation’s Capital for a meeting on leadership in challenging times. House Speaker Nancy Pelosi will speak to the legislative leaders about the importance of a strong state-federal partnership.

Immediately after Pelosi’s address, NCSL president and Speaker of the North Carolina House of Representatives Joe Hackney will brief members of the media about the meeting and discuss possible partnerships between state legislatures and Congress.

NCSL is the bipartisan organization that serves the legislators and staffs of the states, commonwealths and territories. It provides research, technical assistance and opportunities for policymakers to exchange ideas on the most pressing state issues and is an effective and respected advocate for the interests of the states in the American federal system.

WASHINGTON – Even if the Senate passes a bill to ban Congress’ automatic pay raises, House Speaker Nancy Pelosi is not promising to bring up a similar bill in the House.

Asked if the current economic climate is a good time for lawmakers to vote on their pay raises, Pelosi said the House routinely debates and votes on that subject. Last year, they did not do so.

The Senate voted this week to skip their automatic pay raise next year because of the recession. The House had voted earlier to do so. Senate Majority Leader Harry Reid says he is committed to passing a bill to ban automatic hikes.

Blogger John 2000 talks about Speaker Pelosi and her earnings.

DENVER (AP) – Democrats opened their national convention on Monday, seeking peace in the family as they pursue victory in the fall for Barack Obama and his historic quest for the White House.

An appearance by the ailing, aging Sen. Edward M. Kennedy of Massachusetts and a primetime speech by Obama’s wife, Michelle, headlined the convention’s first night.

In excerpts released in advance, the would-be first lady said she and her husband were raised with solid American values: “that you work hard for what you want in life, that your word is your bond and you do what you say you’re going to do, that you treat people with dignity and respect, even if you don’t know them, and even if you don’t agree with them.”

The convention’s opening gavel fell with Obama and Hillary Rodham Clinton still struggling to work out the choreography for the formal roll call of the states that will make him – a 47-year-old senator bidding to become the first black president – the party nominee.

“There is no doubt in anyone’s mind that this is Barack Obama’s convention,” the former first lady told reporters. And yet, she said, some of her delegates “feel an obligation to the people who sent them here” and would vote for her.

As the delegates took their seats in the Pepsi Center, Obama campaigned in Iowa, the first in a string of swing states he is visiting en route to Colorado. He arranged to watch his wife’s speech on television later from Kansas City, then speak briefly to the convention via a huge TV screen.

Public opinion polls made the race with Republican John McCain a close one, unexpectedly so given a widespread desire for change in an era of economic uncertainty, continuing conflict in Iraq and poor approval ratings for GOP President Bush.

Obama delivers his acceptance speech on Thursday at a football stadium, before a crowd likely to total 75,000 or more. Then he and Sen. Joseph Biden of Delaware, his vice presidential running mate, depart for the fall campaign.

If the opening night’s convention program had a feel-good quality, not so the intensifying campaign outside the hall.

Obama shipped a new commercial that used humor to depict McCain as an extension of the Bush administration, the latest in a series of negative advertisements by both sides.

“Really can’t explain the price of gas, or what has happened to the middle class,” the announcer sings to the tune of Sam Cooke’s “Wonderful World.” With McCain and Bush appearing together on the screen, the announcer says, “Do we really want four more years of the same old tune?”

While the White House is the biggest prize of the election year, prominent Democrats expressed optimism in Associated Press interviews about major gains in the fall in races for the House and Senate.

Rep. Chris Van Hollen, D-Md., said 70 or more House seats are competitive, the majority of them currently in Republican hands.

Sen. Chuck Schumer, D-N.Y., said fashioning a 60-seat, filibuster-proof Senate majority was a stretch. But he added that Democrats lead for five seats currently in Republican hands, and several others are competitive.

Howard Dean, the party chairman, rapped the opening gavel precisely on schedule at 3 p.m. Mountain Time – before only a smattering of delegates.

“We are ready to compete in all 50 states in November,” he said, even though Obama has already written off large portions of the South and Mountain West.

Schumer and Van Hollen said only a small fraction of Clinton’s delegates remained unreconciled to Obama’s triumph in the bruising primaries of the winter and spring.

Perhaps so, but they were vocal about it, and officials said one of the issues under discussion was whether to permit a noisy floor demonstration by Clinton’s supporters when the former first lady’s name is placed in nomination on Wednesday night.

Kathleen Kennedy Townsend, the eldest child of the late Robert F. Kennedy and a former lieutenant governor of Maryland, said the animosity that some Clinton delegates feel toward Obama is worsening. “There’s a moment that you want to enjoy your bitterness,” she said, although she emphasized that she is supporting Obama.

Another Maryland delegate, Mary Boergers said she didn’t care what Clinton’s wishes were about whom to support on a roll call.

“To try to suppress the celebration that we all want to have about her achievements is what would tear this party apart,” she said.

Boergers, a lifelong Democrat, added she is unsure whether she will vote for Obama in November.

Obama told reporters that his former rival and her husband, former President Bill Clinton, “couldn’t have been more clear” in their support for his candidacy.

But the sniping was impossible to miss.

“I’m getting a lot of calls and e-mails, especially from women, who are quite upset that she was not vetted (for vice president) even though senator Obama said she was on the short list,” said Lanny Davis, a longtime Clinton loyalist.

All the talk about disunity was grating on some.

“To stay wallowing in all of this is not productive,” said House Speaker Nancy Pelosi of California.

“So we can talk about this forever, or we can talk about how we’re going to take our message to the American people, to women all across America, to see the distinctions” between Obama and McCain.

Obama’s campaign set that as one of the principal goals of the convention week.

“Obama’s major challenge at this convention is to focus on the middle class, to show empathy because he had to climb his way up,” to demonstrate he has plans to remedy their concerns and the ability to get things done in Washington, Schumer said.

But first came the tribute to Kennedy, now 76 and battling brain cancer. After flying to Denver, he was expected to be in the hall for the video tribute, although Democrats insisted they did not know if he would speak.

Even so, his presence “gives everyone a big lift,” Schumer said of the last surviving brother of the late President John F. Kennedy and a party icon across more than four decades in the Senate.

Kennedy’s decision to endorse Obama in the early days of the primary campaign was a turning point, not only because it was a ceremonial passing of the torch but also because of his ability to serve as a political reference of sorts for Hispanics, union workers and others.

Obama’s wife, accompanied by their two children, made a midmorning visit to the convention hall to familiarize herself with the podium.

The campaign said her speech would present a personal view of her husband, and “talk about their life together, and building a family grounded in faith and values.”