Some conservative lawmakers say the solution to reducing the cost of health care is to limit the amount of money patients can win by suing their doctor for malpractice.
These tort-reforms are not included in the current legislation.
At a recent town hall meeting in Virginia, the former Democratic National Committee chairman Howard Dean said he knows why.
"Here's why tort reform is not in the bill," Dean, who is also a doctor, explained. "When you go to pass a really enormous bill like that, the more stuff you put in it the more enemies you make right?"
"And the reason that tort reform is not in the bill is because the people who wrote it did not want to take on the trial lawyers in addition to everyone else they were taking on. That is the plain and simple truth," he said.
President Obama said limiting lawsuit awards can be unfair to patients who've been wrongfully harmed. But he was booed by doctors for saying that at a recent American Medical Association meeting.