have to move forward to the senate. >> reporter: absolutely. this is a huge step forward for democrats in advancing joe biden's economic agenda. at some point it didn't look like this was going to ham. they can only afford to lose three votes. in the end, a moderate voted against the bill, and democrats are ecstatic right now. they were chanting in the chamber, build back better. i saw congresswoman pramila jayapal walking through the hall hugging one of her aides. she had huge hand in these negotiations. so democrats are very happy right now. but as you mentioned, erica, this is just the first step. now it heads to the senate where it faces a far more uncertain path. and over there, democrats can't afford to lose any democrats in the vote. of course joe manchin, the centrist from west virginia, is a big question mark in all of this. he has issues with specific provisions in the bill that the house passed. they knew that over here. democrats added paid family leave, for example, knowing that joe manchin has a problem with it, so that could be stripped out. he has general concerns with inflation and the impacts that this could have on inplace. so democrats still have a lot of work to do. they're working with a very tight schedule. they're trying to wrap it up at least before the end of this year. they have a lot of other things on their plate as well, including funding a government and a debt ceiling deadline in mid-december. a long road ahead but a victory for democrats. >> so does the white house, does the biden administration have a plan to get it through the senate? do they have a compromise they're proposing to get the sanders and manchins of the world on board? >> reporter: i think you'll see congress negotiate that within themselves, of course the senate democrats. you saw president biden get involved at the tail end of the infrastructure negotiations. i'm not sure that's always where the white house wants the president to see he is right in the middle of that. but often it is the president who gets people on board at the end of the day. he is very close with senator manchin and often speaks and talks with him about his concerns about the size and scope of this bill. today president biden has called speaker pelosi according to jen psaki to congratulate her on the passage of this bill. this was a vote that the white house was expecting about 12 hours ago, but because of that speech by kevin mccarthy that lasted 8 1/2 hours overnight, it's a passage of this bill they are now getting from the house in broad daylight. so it does come as president biden is at walter reed getting that annual physical, we'll likely hear from him later today when he is expected to make remarks at the white house this afternoon. i think the white house will focus on they are thrilled that they've gotten this step achieved because as melanie was noting it didn't always look clear-cut and there were concerns at times when it came to the divisions within the president's own party. they weren't sure how they would end up. this is a big step forward, but those challenges remain ahead. they know there is a lot of negotiating to happen within the senate when it comes to getting this bill passed. a big question i think is around the time line here, because you've heard democratic leaders say they'd like to get this done by christmas. it doesn't seem completely a gir guaranteed, far from, that it will happen. we'll have to follow the negotiations and see where they go. it will be a celebratory day for president biden once he gets back from that physical. >> kaitlan collins, melanie zanona, appreciate it. also with us, a political commentator for republican congresswoman keirsten sanders and david chalian. david, as we pause in this moment, there is a lot of work ahead as we know. put it in perspective for us, how significant, how important is this moment for democrats right now and for joe biden? >> it's a pretty big deal. to put it in context of the week that was, remember, this week started with president biden signing into law that bipartisan infrastructure deal so the other piece of his big domestic agenda, and then the weekends with this months-long battle of democratic infighting, if you will, coming to an end in the house, at least. you were right to note that is going to go on with negotiations in the senate and will have to come back to the house, and whatever comes back to the house from the senate will have to be acceptable to the house. this moment didn't look assured at all at certain points. and i would say if you go back from may until just a couple weeks ago, the story of this bill that the country was getting was all about democrats arguing over numbers. now the house of representatives, the democratic house of representatives, has passed something and can go to their constituents and say, we passed a bill that has x yeshgs z, all these popular items for you, the constituents. that's big difference and caps off a pretty big week for the white house. >> keirsten powers, as david notes there, parts of this are popular -- universal pre-k, help for prescription drug prices, et cetera. folks don't seem to know these are the elements of this bill. is it possible that over time this helps democrats? i mean, they're way behind in the generic ballot in 2022 behind republicans, but the fact is there are some salable things in here. you know, can it help? >> reporter: absolutely. there are things in here that people overwhelmingly support and if they see the biden administration or see democrats delivering these things to them, i think that yes, absolutely that could help them. it obviously would have helped a lot if this had happened sooner. but, you know, you have basically right now really one person standing in the way, and that's joe manchin. and paid leave, which is one of the things he has an issue with, is something that is, first of all, very popular. it's also just very humane. it's something that almost 200 countries provide to people, countries that have far less money than we have. so, you know, it's hard to understand why he would hold this up over that, and then this inflation charge, which is this is a paid-for bill mostly, a very minor amount of money that would be added to the deficit, certainly peal ly pales in comp to so many other things, and you can't compare that to unpaid aid that was given out during covid. that's different. that's going to have an inflationary pressure. so it's just -- all this is in the hands of this one man, and it remains to be seen whether joe biden's going to be able to move him to where he needs to be and also that he's not going to make changes -- they won't make changes that then they'll send it back to the house and then the house is going to say no, we're not going to go for this. >> there are a lot of "ifs" at play. there are a lot of things moving on the table at this point. charlie, as you look at this, paid leave, part of the messaging has been about maternity leave. the reality is those discussions were not about just women who have had just had babies. this is family leave, if you need to care for someone who's ill in your family, really important as well, the fact we're learning, you know, talks that are continuing in the senate, that senator gillibrand is leading the talks, she is meeting with republicans, specifically a lot of female republican senators, that could be another area for bipartisanship potentially if it is stripped out. >> yeah. imagine that. >> well, sure. look, certainly individual components of this including paid family leave are probably popular, but i don't think we should delude ourselves for one second. they were not voting on this bill in a vacuum. after $6 trillion of covid spending, most of which was necessary, inflationary pressure, shortages, an afghanistan fee casio, mayhem at the borders, i think this is very tone deaf what they're doing. i do not think this is going to be a very popular piece of legislation. they just expanded the salt deduction to $80,000, breaking their pledge. they weren't going to give a tax break to anybody over $400,000. they just did. it is merciful they're not having a rose garden celebration, unlike the republican who is did that a few years ago on health care, which was fool irk. i think there are a lot of problems here. this is going to the senate. i would be shocked if it were passed by christmas in some form. it will be significantly scaled down, and i think the democrats are really misreading it on this one. even though broad parts of this are certainly popular, they're looking at -- voters are looking at other issues driving problems, and, again, on top of $6 trillion in covid spending, i think people want to pump the brakes. they're looking for some restraint right now. >> it's apples to oranges, though. you can't compare the covid relief, which was not paid for. it was just money going out. there's a supply and demand issue that was created. it's a much longer conversation versus a bill that is mostly paid for. so, you know, and i don't see how -- >> there are a lot of gimmicks here based on what has been added to the deficit in the past. we have inflation right now and we don't have this bill. this is not the cause of inflation. please and the by. we have sound just now from the progressive caucus chair pramila jayapal responding to the vote. let's have a listen. >> are you concerned that senator manchin or sinema might strip down the bill in the senate? >> look, most of this bill is -- that's what we spent the last six weeks making sure we were holding out for to get the negotiations started, to make sure we had the framework agreed to, the text agreed to, to then get the vote on the rule, and then today to get an almost unanimous vote from democrats, a very strong vote, to send over to the senate. so there are one or two things that are not agreed to yet that aren't preconference, but the best thing -- >> stand by. speaker pelosi speaking now. >> good morning, everyone, and a good morning it is. today we had the honor of participating in passing legislation for the people to build back better. as i always say, with women, for the children. this occasion would not have been possible without the vision of our great president, president biden. he has said that the infrastructure bill was very, very important and we agree. but it was not the sum total of his vision for how we do build. and building back better meant building back with many more people participating with environmental justice, with home health care -- the list goes on and on. one thing i'm particularly excited about is family medical leave, and that is a fight that we are -- have always been engaged in for a long time. steny and i, we were here when family medical leave passed unfunded, and now we have it funded. so for these and other reasons, as mr. hoyer said at the beginning of his remarks, we'll be telling our children and grandchildren that we were here this day. you're reminding me of the speech when you were saying that and what mr. clyburn talked about, the three legs of the tool, the rescue package, the bif, and now this bill for the infrastructure of our future and of course our distinguished chair of the ways and means committee who held it down for the longest time, but including last night, and our responsibility to act. so for us, it's about -- not just about legislation, it's about values and the values that this legislation represents for the people. with that, i'm pleased to yield to the distinguished majority, mr. hoyer. >> thank you very much. first of all, congratulations, madam speaker. this is an historic piece of legislation. you were its leader with, as you say, the vision of the president of the united states. this bill will speak for itself to millions and millions and millions and millions of americans whose lives will be made more secure, more richer in terms of quality of life, whose educational opportunities will be greater, and whose job opportunities will be greatly enhanced. and america's competitiveness in the world will be heightened for the 21st century. as the president said, this is a transformation piece of legislation. it's big win for the people. for the average working men and women of america, for those who struggle every day and hope that somebody is on their side, somebody is listening to their pain and their struggle and their challenge. this bill is an answer. this bill will make a difference in their lives. that's why this bill is so historic, not for next year or the year after, but for decades to come. it will make america a better land, a land of greater opportunity, a land of the free, a land of the brave. i now yield to my distinguished colleague from south carolina, who counted the votes precisely, precisely. thank you, jim clyburn, from south carolina. >> thank you very much, mr. leader, madam speaker, and this great leadership team. let me thank all of you for a great job well done. last night, when i spoke on this bill, i called it the third leg of a three-legged stool, needed to balance not just the stool but balance people's lives. what are we doing for the people that we serve? what are we doing for their families? what are we doing for the communities that we live in? so when you looked at the rescue act and the infrastructure bill and this one, i think you can see that we have now proposed comprehensive approaches from the federal government to rescue these lives, save these communities, and do what is needed to be done for the future. i also talked last night about the fact that covid-19 exposed some significant faults in our system that needed to be addressed, faults in our health care system that need to be addressed. how do you get telehealth and telemedicine to the rural communities all over the state? that's what the infrastructure bill is all about, a health care system in 12 states that did not expand medicaid. we decided that the people living in those states are part of this great nation as well, and we addressed their plight with this legislation. i always talk about this being a great country. but the fact that we have not allowed this greatness to be accessible and affordable for all of our citizens, these three pieces of legislation accomplish that in a big way. with that, i'd like to yield to our sister speaker. >> thank you, mr. clyburn. what an incredible morning. what an incredible vote. what an incredible time for the american people to be seen and heard. as we head into thanksgiving, i am so grateful for the leadership that is standing here with me, especially mr. clyburn, steny hoyer, and of course our historic and iconic speaker. her vision with president biden, a focusing and building on conversations with the american people, putting children and women first to make sure that we breathe life into those ideals that we talked about, liberty and justice for all. with this bill, we are saying to the american family, we see you, we understand those issues around your kitchen table, and we are going to send help to you. whether it's through expanded child care, universal pre-k, that we have haven't been able to pass since the nixon administration, saying that we are going to build a million new affordable housing units, we are going to be the custodians of this planet, and while we clean the water and air, we are also going to create millions of good jobs. this is the promise of the build back better agenda, and with this momentous step, we say to the american people, we are meeting your historic challenge with historic progress. i am so grateful to this caucus and to president biden for making this possible. >> thank you very much. let me just say that -- you've heard me say it again and again, all of this would not be possible without the great work of our committee, members of the committee, and staffs of the committee and our distinguished chairs. three of them are with us in terms of the substance of the legislation. but the person who facilitated this for us again and again is the chairman of the rules committee, mr. mcgovern. thank you, mr. mcgovern, for bringing us to the floor again and again and yesterday in record time. however, good thing that that happened. and then i'm honored to be here also with our leadership. this is legislation that creates millions of good-paying job, gives tax cuts to the middle class, gives lower cost, especially child care and health care costs for middle class, and is paid for 100%. again, we're very excited about what it does for the children, for the families. if you're a mom, a dad, a family caregiver, this bill is for you. if you care about the planet and how we pass it on to our children, this bill is for you, whether it's right now the health and well-being, whether it's good-paying job for the family and green technology, good union jobs, the security of our country by preventing and hoping to mitigate for conflicts that come from conflict over resources and habitat, it's a national security issue, and of course an issue to pass the plan on in good shape to future generations. with that, i'm honored to be here with them and members of our leadership. mr. aguilar, distinguished chair mr. jeffreys, thank you, mr. aguilar. how many hours for you in the chair? too many. and then distinguished chair, mr. maloney, and here we are. so i know our distinguished chairs will want to take all of your difficult policy questions, but why don't we begin. yes, ma'am. >> madam speaker, i want to ask y you, a momentous moment for the democratic party, you had to deal last night with minority leader kevin mccarthy's 8 1/2-hour speech. what do you feel like the tone and tenor of the house of representatives is at this moment? and what can be done to try to bridge some of those gaps in trust? >> let me say i don't specifically agree with your first sentence a great day for the democratic party. maybe it is, but it's great day for our country, and that's why we are so thrilled about it. it's for the people. it should be bipartisan. it should be bipartisan. the fact that they would rather give tax cuts to the richest people at 83% of the benefits going to the top 1% without any pay-for is a stark difference between what we do in this legislation. and i didn't pay attention to the speech. i don't listen to most of the speeches on the other side because they're not fraught with meaning or fact, so i don't have my computer get bothered with that. but the fact is l they could improve their behavior. they don't have to threat on the kill members of congress or threaten the life of the president of the united states. so you say what can we do to bring people together? we can encourage everyone to honor the rule 23 of the house, which is that you must bring credit to the house of representatives. but with that i'm going to yield to my colleagues for any questions -- answers they may have on the subject of your question. >> i never thought quoting daniel webster would have received such a reaction from the republican leader last night. that seemed to be the theme he came back to. but if i can emphasize, paid family leave, middle class tax cuts, the child credit, aca premium credits, lower health care costs, negotiated drug prices and expand a c a. with that signing, the president's signature on the infrastructure bill, this is quite a week for the american family. >> madam speaker -- >> how do you respond to republicans today that say democrats lied to the american public when they said this plan costs zero dollars when the cbo says it at least adds $160 billion to the debt? >> let's just not present what the republicans say as fact that you're predicating a question on. i mean, understand what's happening around here, okay? >> so they hung their haltds on the issue of the irs. we believe, according to the irs commissioner, a republican appointed by the former president, who said, by the way, there could be up to a trillion dollars that's hanging out there. he said that. we didn't say it. we subscribed to the $400 billion mark, which not only that commissioner but the former commissioner subscribed to as well in investment in software, for better modeling at the irs, an investment in allowing auditors to upgrade their own skills. your chances of being audited over the eitc are now greater than your chances of being audited if you're paid in dividends and capital gains. the last point, and this is really important, if you are a working american, because of withholding taxes, we have north of 95% compliance in america. we should be proud of that. that means that people who get paid week to week with wages, they pay their share. the problem is in the upper echelons of the american economy now. republican irs commissioners and democratic irs commissioners all agree on that principle. >> in the legislation, they charge for the investment in training the irs and hiring more people. but they don't weigh in the upside of what you goat from that in terms of a brief collection of taxes. and also it's a deterrent because people will know there are people look tagtd tax returns with their high-priced lawyers. as the chairman said clearly, you're more likely to be investigated with the earned income tax credit. these are low-income people in our country, don't have high-priced lawyers and they get more audit than the wealthiest. next question. >> madam speaker, this is a huge vote but it won't be the last vote. are you confident you can keep the momentum going to get the final version of this bill to the president's desk? >> yes, but i'm going to yield to some of my colleagues on that and i'll close with that as well, because this is -- it is 90-some percent of the bill was written together, house, senate, and white house. there were some differences at the end and we'll deal with those as we go forward. what will happen is the -- we have different committee system in the house than they do in the senate, so this bill will now be reshaped to their committees. and at that point, we'll see where we need to, shall we say, reconcile our differences. but at the end of the day, we will have a great bill. mr. pallone? >> yeah. i mean, look, the fact of the matter is that over the last few months, and particularly in the last few weeks, we have been working with the senators not only manchin and sinema but also with the chairs of the committees in the senate. so, you know, i'll use two examples. one is on the drug pricing, right. i mean, we've been basically drilling down and getting sinema's input, getting schumer's input, and so i do believe that the drug pricing provision that you see is it. i mean, i don't know. i guess there could be some changes, but i don't think they're significant. and the fact that we have negotiated pricings and we have savings as the cbo showed means that that is provision that saves money and at the same time does a lot in terms of affordability for seniors and others. the same would be true for methane, right. nancy and i and the group went to glasgow for the climate conference, and they were touting international action on methane. so we have this very important provision with regard to methane emissions that was worked on. with the senators and was also worked on with house members over the last few weeks. so i believe, you know, just using those two as an example, that this is pretty much it. i mean, there may be some additional changes, but in terms of paying for it, you know, and in terms of the actual sub stan tich authorizing language, i think we're pretty solid at this point and there's no reason why this will pretty much come back from the senate with minor changes. nothing major, in my opinion. >> thank you. educational and labor parts we have pretty much agreed with our counterparents in the senate -- child care, which will allow parents to go to work if you're in a low to moderate income situation. you really can't afford child care, so you can't afford to go to work. pre-k, which is so valuable for future education, universal, the job training. the fact is that we don't have enough skilled workforce out there to do the work that's already there. the president signed a major infrastructure bill. so if we expect that work to get done, we'll have to have an upgraded workforce, major investments in workforce development, and higher education. and we worked with the agriculture committee as the speaker has indicated, they don't elsasily line up. school lunches, the agriculture committee, and we've agreed to significantly increase access to school meals. there's a lot of the meal pretty much agreed to on the labor side. >> madam speaker? >> madam speaker? >> i wanted to ask, first of all, you used to hold the record for the longest floor speech. how do you feel about that being broken, and do you plan to try to take that back? >> no. i barely noticed. but that's not what we're here to talk about. this is about serious business here. >> i'll ask a serious question. i have a serious one. there will be changes, whether they're small or large, about a narrow majority. are you confident that the biggest hurdles on this bill are in your rear-view mirror? >> yes. let me just say, and i want to hear from some of our other colleagues, this bill is monumental. it's historic. it's e transformative. it's bigger than anything we've ever done. we had so agreement in the bill. by large we had the bill scrubs do we are technically, shall we say, eligible for the 51 vote in the senate. that was what that was about. and whatever comes out of the senate we'll be working together with them so that we have agreement when it comes back. i have absolutely no doubt. the biggest hurdle was to get the bill there. the biggest challenge was to meet the vision of president biden. does anybody have anything they want to say? i don't know if you want to talk about being the chair all night or whatever. one more question. yes, ma'am. >> this bill, many of your colleagues in democratic party, are counting on it to run on it given its context. as far as you're concerned, upon passing, will you talk about whether or not you'll run for re-election upon -- >> this is an important meeting about serious subjects. if anybody has a serious question, i'll be happy to take one more. i'm not here to talk about me. i'm here to talk about building back better for women, for the people, for the children. yes, ma'am. >> what about the provisions for immigration and paid family leave, dropping out in the senate bill. do you have plans to address -- >> we have made our statement today. we have stood the test of the parliamentarian's privilege scrub. we are celebrating that. we are sending it over to the senate and we are ready to debate for our bill and have a big success. my colleagues, anyone want to say anything about any of these things? >> i'll just say this. you know, there's nothing unusual about the house working its will and the senate working its. that's why we have conferences. and i think that just because we have done something -- let's take, for instance, the s.a.l.t. tax. there are several senators that said they've got a version that they feel good about. i have not seen that version. but we think we have a good deal. they think they can make it better. and let them go at it. and they may make it better. and we will accept better. so i don't think that's anything for us to be all that concerned about. we've done what we think we can do. the senate will do what they think we can do. and we'll come together on bev behalf of the american people and try to have a coordinated approach into the future. >> it's called the legislative process. and the house does not just write any bill that they think the senate will pass. we find our common ground, but we have our own, shall we say, personality about things. and then we will reck sim whatever changes are needed as we ever strive to build back better. but it's really caused the celebration for us now, and we're not getting bogged down in long speeches or people's careers or what happens if this doesn't happen. what we're talking about is what has happened, and it's a glorious, glorious, historic, transformative piece of legislation for the people, for women, for the children. thank you all very much. by the way, happy thanksgiving to all of you. as our distinguished assistant speaker has said, we have a lot to be thankful for this thanksgiving, and i want to express my gratitude for president joe biden. thank you all very much. >> have you heard from the president? >> what did he say? >> congratulations. congratulations. congratulations to the members. thank you. happy thanksgiving. >> speaker pelosi there reacting to the passage of this $1.9 trillion build back better bill. i want to bring in cnn political director david chalian. david, very clear there the messaging. nancy pelosi wanted very much to focus on this win. one of the things that stood out to me as there were understandable questions about what happens as it heads to the senate, but that 90% of this, we're told, was done in coordination between the house and senate and the white house to minimize changes moving forward. how effective -- do we have a sense of how effective that sort of prework is going to be? >> well, it was interesting, erica, because we heard pramila jayapal, the head of the progressive caucus, say something similar, north of 90% preconferenced. she represents the wing -- assuming the bill gets slightly more centrist or moves to the right a touch because of joe manchin in the senate, it's the progressives they get to watch again in the house when it comes back over. she was suggesting there's such broad agreement here. i think you are right, you're identifying what the take-away was from that press conference in addition to the celebration they want to have. what nancy pelosi wanted to do and was attempting to do was just project total confidence that no matter what comes back from the senate, and even though there's going to be a process over there, she is totally confident that house democrats will indeed get that then to the president's desk for his signature. >> do you buy that? never count nancy pelosi out. she was counted out many times over the course of the house negotiation here. >> i certainly buy that they think there's a lot of agreement here. we know. we covered it, guys, right? how much coordination between the senate and the house democrats was occurring over the last several months. but we have to see what happens in the senate now. joe manchin is not signed on to what just passed the house. that does not have 51 democratic votes yet. and so the senate is going to work here. you heard clyburn say they think they can make certain aspectings of it better. we'll take better. who defines what better means here? we have to see what happens in the senate to see if it upends any of this applecart that passed the house today. >> build back better better. david chalian, we'll be watching. still to come, lots of news. we are one step closer to all adults getting the green light for covid-19 booster shots. what the fda's authorization means for you and me coming up. and vice president kamala harris will be the first woman with presidential power today as president biden is understand anesthesia for a routine colonoscopy. stay with us. see blood when you brush or floss can be a sign of early gum damage. parodontax active gum repair kills plaque bacteria at the gum line to help keep the gum sealed tight. parodontax active gum repair toothpaste some people have joint pain, plus have high blood pressure. they may not be able to take just anything for pain. that's why doctors recommend tylenol®. it won't raise blood pressure the way that advil® aleve® or motrin® sometimes can. for trusted relief, trust tylenol®. as someone who resembles someone else, i appreciate that liberty mutual knows everyone's unique. that's why they customize your car insurance, so you only pay for what you need. 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>> singers: ♪ safelite repair, safelite replace. ♪ to support a strong immune system your body needs a routine. centrum helps your immune defenses every day, with vitamin c, d and zinc* season after season. ace your immune support with centrum. now with a new look! breaking this morning, president biden is at walter reed medical center undergoing his first routine annual physical exam while in office, just a day before his 79th birthday. >> as he undergoes his procedures, he transfers power temporarily to vice president kamala harris. this is the first woman in history with presidential power. john harwood is at the white house. dr. sanjay gupta back with us as well. so, john, this is, you know, fairly standard, but there is this historical note to it today because of who the vice president is in terms of this transfer of power today. >> reporter: i think it is significant, erica. obviously we've never had a woman vice president before, and therefore for this kind of a routine transfer of power, we've never had a woman exercise presidential power. don't know how much of it she'll actually exercise. she'll be working in her west wing office. but this is standard. ronald reagan had surgery in 1995, transferred power to george h.w. bush for a short time. george w. bush had a colonoscopy, transferred power to the vice president, dick cheney, for a short period of time. it's routine for presidents except that is for former president donald trump who feels so resistant to the idea of transferring power to mike pence that he underwent in 2019 a colonoscopy without anesthesia. i don't want to ever find out what that's like, but that tells you something about how strongly donald trump felt about holding those powers to himself. joe biden clearly has a different frame of mind and so we'll see that happen today. >> sanjay, it's the eve of biden's 79th birthday. these are of course routine medical exams for all sitting presidents. what do doctors lock out for in general but also his particular medical history? >> yeah. i mean, the biggest part of the procedure would probably be this colonoscopy as john was just describing, but, you know, he is going to be 79 years old. he does have a past medical history, which, you know, we know about, and i think it's going to target some of what the routine physical is going to focus on. we'd show you some of that, but he has a history of atrial fibrillation. his heart will be examed as part of this. he has a history of high cholesterol. i'm sure they will be checking that. the biggest part of his past history is probably his brain aneurysms he had back in the late '80s, had an operation to treat those. they subsequently have been checked with imaging up until 2014, no recurrence of those ane aneurysms. so it will be primarily things like that. as far as the colonoscopy goes, typically, you know, the procedure itself is, you know, usually under half an hour or so normal time, but there is sedation involved typically. and the sedation, you know, may be an hour or so total between the time someone is given the sedation and they sort of fully recover. so it's sort of that time period in particular we're talking about for the transfer of power. >> you wake up groggy. i had it last week for knee surgery. takes a little time. >> it does a little bit. also just want your take on this, sanjay. the fda has authorized covid booster shots for all adults. we still need the cdc to weigh, in although a number of states have moved forward on their own. how important do you think this is in terms of the fight of the pandemic to make every adult eligible for a booster in the country? >> well, you know, if you look at what is currently available, most adults are already eligible for boosters because it allows people 65 and older, it's other adults, as well, who have pre-existing conditions that put them at higher risk. when you look at all these conditions as we have and then look at the country, about 90% roughly of the country does have one of these qualifying conditions. so it's not going to add a lot more people overall eligible, but i think the communication is going to be a lot clearer because i think a lot of people have been masking. should i get it, should i not. hopefully after we hear from the cdc today that will be clear. two parts of the story i think are really important. what is going on with people who are vaccinated versus unvaccinated when it comes to getting sick and sick enough to end up in the hospital. the red line is the unvaccinated. the green line is the vaccinated. so it's very different in terms of likelihood of getting sick enough to end up in the hospital. but that goes until sort of the end of august. what happened over the last few months i think is what really the fda and the cdc are looking at. let me show you something that came out of israel. i think this was data they've been focused on. this is data that goes up to november 1st. again, i think the graph that you're seeing is going to tell a very important story. i don't know if we have that graph, but basically you look at the unvaccinated per 100,000, 53.8, that's people who dealt with severe covid. if you're vaccinated, it's much, much better, right, down to 9.6 per 100,000. if you've had the booster, you reduce that significantly again. so, you know, you look at this graph and it tells a couple stories. the problem is still the unvaccinated primarily in terms of severe illness, but you also see the impact of boosters on those who have already been vaccinated. it's important for people who have never been vaccinated to get vaccinated, but now some emerging data on the value of boosters for those who have already been vaccinated. >> and the clearer message that vaccinations save lives and hospitalizations. sanjay gupta and john harwood, thank you very much. back to our breaking news this hour. house democrats have just passed the key part of president biden's economic and social agenda. all but one democrat voted for sweeping $1.9 trillion bill that would do a whole bunch of things, expand the social safety net, address the climate crisis, increase health care access as well. >> joining us so discuss, congresswoman debbie dingle from michigan who serves in democratic lehman as senior whip. good to have you with us this morning. we heard from the speaker and the leadership there a short time ago talking about how excited they are about this day. we know that there are some hurdles ahead. give us a sense, we're hearing 90% of this bill ready to go, essentially, written together between the house, the senate, and the white house. how confident are you that it can get to the gnat and back to the house before christmas? >> i think that everybody's determined to make that happen. we even saw senator manchin this week say, hey, if we can get this done by christmas, i think the president will continue to work very closely with the two senators. when i flew with him to michigan this week, we talked about how many hours he had already spent this year, close to 100 hours with senator manchin. he's determined to get it across the finish line. all of us are. none of us thought we would have as strong a vote as we did today. we did. a lot of talking to each other, listening, negotiating, compromising. this is a bill that's going to help the american people and we have a little ways to go in order to get there and get it across the finish line. >> i'm curious about that r remaining 10% requiring agreement here. what do you believe you, house democrats, will have to give up to get this through the senate? what are you willing to give up? is it little pieces of a lot of things, or is it one -- you know, eliminating an entire piece of this? >> no, i do not. i think that the programs that are -- first of all, you know things that were added back in after some negotiation back and foertd, and a lot of people -- paid family leave will probably be discussed and negotiated. but most of the programs in there have been very finely tuned negotiated already. there is no -- take, for instance, we are going to lower the cost of prescription drugs for millions of people across this country. we're going to expand access to health care. those are going to stay. those have been negotiated. i'm very proud of the fact that bob casey and i have a bill on long-term care that will get almost a million seniors on waiting lists and people with disability for home community-based care. that's been negotiated. that can go no place other than where it is right now. so most of the programs in there will be as we know it and they'll be -- probably be some discussion on taxes, paid family leave. but i think the bill as we see it will be close to what we see across. >> in terms of paid family leave, we've heard there are ongoing discussions with senator jill gillibrand and counterparts in the senate, but there is a chance if it is stripped out it could end up on its own. do you think ultimately that will happen? and if so, could the paid family leave then be stronger in the end if it's bipartisan? >> i think we're going to have to have a lot of discussions about that. i am somebody of the joe biden school that likes when we come together and we're all working together on plans. the american people want paid family leave. we are the only industrialized nation in the world that does not have paid family leave. and quite frankly, it's -- not only does it place a burden on families, but companies are competing in a global marketplace with other companies that don't have to deal with that in an economic way. we need to get it done. how we get it done, i think everybody is so tired right now that we need to take a deep breath, be thankful for thanksgiving, and go back at it in december. but i do think in this session of congress we will get something done on paid family leave. >> as you know well, a lot of the parts of build back better are popular. but polling consistently shows people don't know what's in this or don't think it's a priority right now. they're more focused on inflation, for instance. how do you sell this? you have midterms coming up and you're way behind. >> first of all, i'm not going to lie about that. we do know we have to do a better job of telling people what's in this bill. they only know it as build back better or the word reconciliation and what is that? we are in the house going to do a thousand events in the next few weeks to tell the story and let people know what is in there and how it's going to impact their lives. as you begin to see the infrastructure bill, now signed, there are things that are going to address resiliency supply change when we start to address some of the issues that are causing this inflation right now. i believe in some areas, not all areas, you are going to start to see prices go down. as you saw this week, even target and walmart say their shelves are full. you're seeing some of the prices go down now. i hope that's a trend we'll see again over the next few months. >> congresswoman debbie dingdin thank for joining us. >> thank you. >> thanks for joining us on a rather quiet friday. >> i'm jim sciutto. "at this hour" with kate bolduan starts after a quick break. before we go, here's a look at what else to watch for today. ♪ my songs know what you did in the dark ♪ ♪ so light 'em up, up, up light 'em up, up, up ♪ ♪ light 'em up, up, up ♪ ♪ i'm on fire ♪ ♪ so light 'em up, up, up light 'em up, up, up ♪ ♪ light 'em up, up, up ♪ ♪ i'm on fire ♪ ♪ oh-oh-oh-oh-oh, oh-oh-oh-oohohh ♪ ♪ in the dark, dark ♪ new cheetos boneless wings. exclusively at applebee's. we're getting destroyed out there. we need a plan! right now, at t-mobile, customers on magenta max can get the new iphone 13 pro... and t-mobile will pay for it! upgrade to the iphone 13 pro... on us. new projects means new project managers. you need to hire. i need indeed. indeed you do. when you sponsor a job, you immediately get your shortlist of quality candidates, whose resumes on indeed match your job criteria. visit indeed.com/hire and get started today. advanced non-small cell lung cancer can change everything. but your first treatment could be a chemo-free combination of two immunotherapies that works differently. it could mean a chance to live longer. opdivo plus yervoy is for adults newly diagnosed with non-small cell lung cancer that has spread, tests positive for pd-l1, and does not have an abnormal egfr or alk gene. it's the only fda-approved combination of two immunotherapies. opdivo plus yervoy equals... a chance for more time together. more family time. more quiet time. opdivo and yervoy can cause your immune system to harm healthy parts of your body during and after treatment. these problems can be severe and lead to death. see your doctor right away if you have a cough; chest pain; shortness of breath; irregular heartbeat; diarrhea; constipation; severe stomach pain, nausea or vomiting; dizziness; fainting; eye problems; extreme tiredness; changes in appetite, thirst or urine; rash; itching; confusion; memory problems; muscle pain or weakness; joint pain; flushing; or fever. these are not all the possible side effects. problems can occur together and more often when opdivo is used with yervoy. tell your doctor about all medical conditions including immune or nervous system problems, if you've had or plan to have an organ or stem cell transplant, or received chest radiation. here's to a chance to live longer. ask your doctor about chemo-free opdivo plus yervoy. thank you to all those in our clinical trials. i'll also be needing some nail polish, a bottle of champagne, and a box of chocolates. 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