With that provisional compromise now dead, the takeover deal will have to pass through the U.K. Competition Commission to win passage, a lengthy process with an uncertain outcome.

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While I am thrilled the budget assumes the passage of major health care reform this year, we still need to actually pass a health care reform bill for it to happen.

CNN: Commentary: I'm just a bill on Capitol Hill

Administration officials are confident the measure will pass the House, but say they are still short of the public commitments necessary to guarantee passage.

CNN: Key Democrat announces support for trade pact