Speaker of the House Nancy Pelosi (D-CA) presides over the vote for the Build Back Better Act at the U.S. Capitol on November 19, 2021 in Washington, DC. Anna Moneymaker | Getty Images WASHINGTON – The House of Representatives on Friday passed the largest expansion of the social safety net in decades, a $1.75 trillion bill that funds universal pre-K, Medicare expansion, renewable energy credits, affordable housing, a year of expanded Child Tax Credits and major Obamacare subsidies. The final vote was 220-213, and only one Democrat, Jared Golden of Maine, voted against the bill. Now that it has cleared the House, President Joe Biden's Build Back Better Act goes to the Senate, where it is likely to be revised in the coming weeks. Senate Majority Leader Chuck Schumer said he aims to have the chamber pass the bill before Christmas. The House will need to vote on it again if the bill is altered. If the measure is signed into law, the bill will profoundly change how many Americans live, especially families with children, the elderly and low income Americans. What's in the current version of the bill: Universal preschool for all 3- and 4-year olds. In addition to helping millions of children prepare better for school, the benefit would enable parents of young children to return to the work force earlier. Capping childcare costs at 7% of income for parents earning up to 250% of a state's median income. 4 weeks of federal paid parental, sick or caregiver leave. A year of expanded Child Tax Credits. During the past year, these credits have raised households with more than 3 million children out of poverty, and cut overall child poverty in America by 25%. Extended pandemic-era Affordable Care Act subsidies. So far this year, these subsidies have increased ACA enrollment by more than 2 million. New hearing benefits for Medicare beneficiaries, including coverage for a new hearing aid every five years. A $35 per-month limit on the cost of insulin under Medicare, and a cap on out-of-pocket prescription drug costs at $2,000 per year. $500 billion to combat climate change, largely through clean energy tax credits. This represents the largest ever federal investment in clean energy. Raising the State and Local Tax deduction limit from $10,000 to $80,000. The bill represents a major victory for House Speaker Nancy Pelosi, D-Calif., who pulled together a divided caucus with conflicting interests and united it behind a sprawling, 2,000-plus-page bill, passing it with a thin majority. "This bill will speak for itself to millions and millions and millions and millions of Americans whose lives will be made more secure and richer in terms of their quality of life, whose educational opportunities will be greater, and whose job opportunities will be greatly enhanced," Majority Leader Steny Hoyer, Md., said Friday at a press conference after the vote. The long road to a vote Pelosi and Democratic leaders had initially hoped to pass this bill on Nov. 5, the same day the chamber voted to pass a $1 trillion bipartisan infrastructure bill. But Democratic moderates insisted upon seeing a Congressional Budget Office analysis of the bill's impacts before they voted on it. That analysis wasn't released until Thursday. Hou . . . read the full article here.