Without a super-majority in the senate, democrats used a legislative device known as budget reconciliation in 2010 to pass the affordable care act.
Budget reconciliation is a special legislative process used in the United States Congress to expedite the passing of certain laws in the Senate.
This procedure allows bills to be passed in the Senate by a simple majority of 51 votes, thereby overriding the filibuster rules which has been a favored tactic to stop the passage of bills.
Budget reconciliation has been used frequently in recent times, including the passage of the Affordable Care Act, as there has been increased polarization and filibustering in the Senate.
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