Good evening. Im kate snow in for brian tonight. It is almost hard to overstate the mess washington finds itself in tonight and the disbelief Many Americans are expressing on this holiday. As Congress Fails to agree on taxes and Government Spending measures that have a direct impact on every single american. This new years day started right after the ball dropped with a lot of hopeful language. The senate voted after 2 00 a. M. On a bipartisan deal that the president praised. But now an impasse. Well begin our coverage tonight on capitol hill with more from nbcs kelly odonnell. Reporter good evening. Congress is in overnight. After missing the midnight deadline, they are trying to work Something Else out. Their own terms here in Congress Running out on thursday. Even though the white house and senate made a deal, it is tough to get it through the house. At a blearyeyed 2 00 in the morning, senators actually did what many constituents loudly demand both parties compromised to pass a fiscal cliff package. The ayes are 89, the nays are 8. Reporter then came daylight. And gop lawmakers hit a complaint from their own House Republicans who expected to see some spending cuts. Theres no spending cuts. Were adding 4 billion a day to the debt. I thought we were in a deficit crisis. I thought our families were being put at risk by this massive debt. What does this do about that . Reporter reducing the federal deficit was supposed to be at the heart of any deal, with serious spending cuts. In a gesture, the senate did cancel congressional pay raises but put off bigger action with a twomonth delay of automatic government cuts to the military and federal program. The package would actually add more debt, when you count critical needs like extending Unemployment Benefits for one year, without making cuts to pay for them. House Democratic Leaders say they will work on cuts later but preventing income tax hikes is needed now. I think weve made gigantic progress. Reporter while middle class families keep their current tax rates, brace yourself for other taxes. Rates go up for couples making above 450,000. Paychecks for all workers get smaller. The payroll Social Security tax goes back up 2 , costing about 1,000 a year for an average worker. Personal deductions would be limited for incomes above 250,000. Taxes on savings, investments and family inheritances go up. But good news for middle class families. A permanent fix to protect them from paying the alternative min minimum tax. For many watching this unfold, more disappointment. I feel its quite disturbing that our elected officials cannot come together to make decisions in the best judgment of the people. The fact that congress cant do anything is a laughingstock anyway. Nobody has any faith in them to begin with. Reporter what happens next . House republicans are huddled trying to figure out if they would have the votes if they made changes to add spending cuts. They will take a vote tonight on the measure the way the white house and the senate wrote it. More to come. As always. Kelly odonnell on capitol hill. Our chief White House Correspondent and political director chuck todd joins us now. Chuck, there are some voices out there saying, good for the House Republicans, theyre standing on their principles. But a lot of voices are also saying, how much longer is this going to take . Reporter it may be a new year but old habits are dying hard with this congress. Were in the last throes of the typical theatrics that have been the norm in washington over the last couple of years. Theres going to be a few more shenanigans before the night is over. But theyre probably going to end up voting on this bill. If they dont approve it, do realize, if they dont approve it, the senate is not going to take up any bill. And that means this entire fiscal cliff miss will not be solved at all. Theyll have to start all over with the new congress which gets sworn in in two days. And it could take weeks and everybodys taxes go up. It doesnt not just 250,000. Everybodys taxes go up. So it could be a real mess. But i think were in the last throes of sort of the washington shenanigans. And youre standing on the white house lawn. How is the white house dealing with todays developments . Reporter they have been nothing but bystanders today. I think at the beginning of the day, we caught pictures of a van being loaded up with luggage and golf clubs, presumably maybe the president s. I think theres been an expectation that this would get done some time today and maybe the president could rejoin his family back in hawaii. But right now, he is a spectator to all of this as he waits to see whether he has any legislation to sign in the next day or two. Chuck todd at the white house tonight, thanks so much. The health scare for secretary of state Hillary Clinton who is still hospitalized on this new years day with a blood clot behind her right ear. Andrea mitchell joins us with the latest. Reporter Hillary Clinton continues treatment with blood thinners to dissolve that potentially dangerous blood clot which was discovered during a followup test after she suffered a concussion several weeks ago. Her husband, former president bill clinton, her daughter and other family members are believed to be with her at the hospital. Doctors report that Hillary Clinton remains engaged with the family team and with the medical team and is in good spirits. She hasnt shown any evidence of neurological damage and did not suffer a stroke. But the secretary of state does have to remain in the hospital until doctors can regulate the anti coacoagulant anticoagulants. Any foreign travel is on hold and will likely delay her testifying to congress about benghazi as she had promised before her illness. Andrea mitchell in washington tonight, thank you so much. Secretary clintons Health Problems started last month when she fainted after being dehydrated from a stomach virus. She suffered a concussion in that fall leading to the blood clot shes dealing with now, all of which is bringing attention to the dangers of head injuries. We asked Robert Bazell to take a look at how blood clots are treated and injuries. Reporter the type of blood clot that struck mrs. Clinton is potentially dangerous but it is not a typical complication of a concussion. Patients who have a concussion, very rarely have this type of injury. This would be similar to the clot that she had. Reporter its more common that a concussion would cause bleeding inside the brain. But doctors say a brain scan looking for that problem would find a clot. Mrs. Clintons clotd formed in a vein on the surface of the brain. It could grow larger causing blood to back up into the brain. That could cause a stroke. Doctors prevent that with blood thinners which slowly dissolve the clot. Once the clot was discovered, doctors say mrs. Clinton would have gotten an iv drip with a strong blood thinner, replaced a few days later with a less powerful thinner in pill form. The entire time, doctors would be watching her closely, usually in the icu. Youre observing the patient to make sure that theyre stable. You want to make sure that theyre not developing new symptoms. Reporter concussions have gotten attention lately as sports injuries among children. Mrs. Clintons case is a reminder that they can happen to anyone. Whether the danger is a rare blood clot near the brain or bleeding inside the brain, anyone who suffers a concussion should seek immediate medical care in the days or even weeks afterward if they have any of these symptoms a bad headache, weak or numb limbs, vomiting and nausea or slurred speech. Experts say the best news for mrs. Clinton is that she reportedly has no neurological damage, the best indication that the clot was caught in time to give her on excellent chance for a full recovery. Robert bazell, nbc news, new york. Lets turn now to the reason most of you had this tuesday off. It is new years day, of course, ushered in last night around the world including a few blocks from here in new yorks times square. Even with temperatures near freezing, about 1 Million People were estimated to be on hand seeing the ball drop, saying goodbye to 2012 and welcoming in 2013. Sanitation workers picked up an estimated 50 tons of trash. And there are all kinds of new laws across the country. In maryland, samesex marriage there is legal as of today. And couples rang in 2013 with wedding bells. Voters approved that gay marriage measure back in november. That was one of hundreds of new laws that went into effect as the new year began, from new restrictions on the use of social media to an increase in the minimum wage. Nbcs justice correspondent, pete williams, has more. Reporter beginning today in california and illinois, its against the law for an employer to ask anyone applying for a job to reveal user names or passwords for social media sites like facebook. Johnny says it happened to him at a job interview. Its rude and not respectful. Someone has privacy. You expect them to respect that. Reporter though job placement experts advise leaving embarrassing photos off social media sites, an employer doesnt have the right to rummage through an applicants past. Its like saying, i want the keys to your house to look around. Reporter as of today in washington state, nearly every home, apartment, dormitory and hotel room must have a Carbon Monoxide detector. The law was prompted in part by eight deaths during a severe storm six years ago that knocked out power. A lot of our people that live in this area felt they had no alternative but to bring something into their home to either heat or cook with. Reporter in florida, the law means its now legal for drivers to warn of a speed trap ahead. The minimum wage starting today goes up in ten states where its more than the federal rate of 7. 75 an hour. Washington has the highest of those states. And say farewell to the 75 watt lightbulb. As of today, it will no longer be made and will vanish when existing stocks are gone. Pete williams, nbc news, washington. When nightly news continues in just a moment, this can be the most dangerous day of the year, out on the road. And now theres a new way to stop trouble before it starts. And later, making a difference by giving kids the training and the tools to succeed. [ male announcer ] coughequence™ 8. Waking the baby. [ coughs ] [ baby crying ] [ male announcer ] robitussin® liquid formula soothes your throat on contact and the active ingredient relieves your cough. Robitussin®. Dont suffer the coughequences™. You know how painful heartburn can be. For fast, long lasting relief, use doctor recommended gaviscon®. Only gaviscon® forms a protective barrier that helps block stomach acid from splashing up relieving the pain quickly. Try fast, long lasting gaviscon®. Everyone in the nicu, all the nurses wanted to watch him when he was there 118 days. Everything that you thought was important to you changes in light of having a child that needs you every moment. I wouldnt trade him for the world. Who matters most to you says the most about you. Massmutual is owned by our policyholders so they matter most to us. If youre caring for a child with special needs, our innovative special care Program Offers strategies that can help. New years eve is notorious for drunk driving accidents and that risk extends right into new years day. Fully half of all Car Accidents that happen on the first day of the year involve l cho. But theres a new way to head off the danger. Heres nbcs diana alviar. Reporter it took the jaws of life to save this police officer. My daughter was taken from me at a beautiful point in her life. Reporter but ginger walker did not. That was 2001. The young mother was driving a friend home when a vehicle crossed the median and hit her car headon. Ginger died instantly. Her young son, shea, left behind to be raised by his grandparents. Theres nothing i can do to change the circumstances. But i want to save another parent from having to bury their child. Reporter the ntsb believes this device may make a difference. I passed. So that means the car would start . Right. Reporter its called an ignition interlock that keeps impaired drivers from starting their vehicles. If theyve been drinking more alcohol than allowed by court most likely youll get a fail. Reporter and then what . And then the car wont start. Reporter already required in 17 states, the ntsb now recommends all states require ignition interlocks for firsttime offenders. If we can save ten lives, 100 lives, we will recommend what we think needs to be done to address impaired driving. Reporter the ntsb studied more than 100 wrongway crashes over a fiveyear period. 60 of these accidents involved alcohol and many drivers had prior convictions for drunk driving. Not everyone supports the recommendation. The American Beverage Institute points out that drunk driving fatalities are at historically low levels. Thats little assurance for gingers mother. The experience took away a beautiful daughter, a beautiful mother, a beautiful sister. Reporter a needless event, she says, that should never happen to anyone else. Diana alviar, nbc news, los angeles. Up next on this new years day, even more reasons to love a parade. Watch out for myself. With so much noise about health care. I tuned it all out. With unitedhealthcare, i get information that matters. My individual health profile. Not random statistics. They even reward me for addressing my health risks. 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They didnt take a dime. How much in fees does your bank take to watch your money . If your bank takes more money than a stranger, you need an ally. Ally bank. Your money needs an ally. I think they see somebody. That was the moving scene during this mornings rose parade in pasadena. A u. S. Army sergeant surprised his wife and his 4yearold, eric, with a happy reunion. A recipient of the purple heart and bronze star, he served in iraq and is currently serving in afghanistan. That wasnt the only first at the parade. The department of defense entered its firstever float, a replica of washingtons Korean War Memorial to mark the 60th anniversary of the end of what is often called the forgotten war. And a couple from chesapeake, virginia, got married atop an elaborate set up called the love float. This new years day has special historical significance as well. It is the 150th anniversary of the signing of the emancipation proclamation when president abe lam lincoln abolished slavery with the stroke of a pen. Today, a postage stamp was issued as a result. Our report tonight from nbcs ron mott. Reporter 2 00 today in amhurst, massachusetts, and else where, marking the 150th celebration of the emancipation proclamation. Were at a better time in history. Reporter at 2 00 p. M. On january 1st, 1863, president Abraham Lincoln is said to excuse himself from the east room. He headed to his office upstairs, now the lincoln bedroom, and signed the emancipation proclamation. This morning, lincoln had shaken thousands of hands. So when he went to sign the emancipation proclamation, his own hand was numb and shaking. He put the pen down. He said, if ever my soul were in an act, it is in this act. But if i sign with a shaking hand, posterity will say he hesitated. So he waited and waited. Reporter while his historic signature on the frail document has faded a bit over time, his bold decree still wields power. Though declaring rebel states free in writing, in reality, the emancipation proclamation did not. But announcing the admittance of black soldiers into forces colored soldiers. Just think of it. Reporter the dynamics of the ongoing and bloody civil war were transformed. They were enormously brave, enormously important and very helpful to the union cause. And it changed the morale in many parts of the north by feeling that this whole extra infusion of energy had come into the union cause. Reporter a cause that changed a nation. Ron mott, nbc news, new york. When we come back, a doctor who makes a house call for an entire community, changing kids lives and making a difference. Well do almost anything. Out for drinks, eats. I have very well fitting dentures. I like to eat a lot of fruits. Love them all. 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In fact, in a recent survey, 95 of people who tried it agreed that it relieved their headache fast. Visit fastreliefchallenge. Com today for a special trial offer. Get coricidin hbp. The number one pharmacist recommended cold brand designed for people with high blood pressure. And the only one i use to relieve my cold symptoms without raising my blood pressure. Coricidin hbp. Time now for our making a difference report. For kids growing up in economically troubled neighborhoods, the future can look pretty bleak, with few opportunities to train for secure, goodpaying jobs. But thanks to the efforts of a very caring doctor, some california students are training more medical careers a, an inspiring effort thats really making a difference. Heres nbcs dr. Nancy snyderman. Reporter angela, a teenage mom, is defying the odds, raising her daughter alone, working two jobs, finishing high school. And attending a unique Afterschool Program in oakland and hayward, california, called faces for the future, that exposes students from highrisk communities to careers in health care. You cant go wrong when youre studying medicine. Reporter the first in his family to go to college, he earned a medical degree and chose to practice in oakland from one in four kids drops out of school and violent street crime is more than four times greater than the national average, shoes strung over power lines he says signals a crack house is nearby. During the twoyear program, the teens shadow medical professionals and put in 600 hours of volunteer time, gaining handson experience and selfconfidence. I have seen too many young people suffer. If they can articulate that five years down the line, i want to be a therapist, i want to be a doctor, i want to be a nurse, thats the best. Reporter since faces began 13 years ago, 500 teens have completed the course, including Felicity Harris rnlg. Im in a Masters Program now and still working. Reporter all graduated from high school, many have gone on to college. My dream is to work in a hospital. Reporter what would you say to a girl like you with what you know about life now . I would tell her that its going to get better, keep going to school and life will get better. Reporter with help from a caring mentor, sharing his prescription for success. There you go reporter dr. Nancy snyderman, nbc news, hayward, california. And that is our broadcast for this new years day. Thank you for being with us. Im kate snow in for brian williams. We hope to see you right back here tomorrow evening. Good night