The Senate Finance Committee began markup of its health reform legislation on September 22, 2009. The panel has made its way through many of the more than 500 amendments proposed by Committee members, but more work remains to be done when the Committee resumes work on September 29, including debate on the controversial issue of whether or not to include a public health insurance option. Once the Finance Committee completes action, its provisions must be combined with the version adopted by the Senate Health, Education, Labor, and Pensions (HELP) Committee in July. On the House Side, in a highly unusual process, the Energy and Commerce Committee held a markup session on September 23 to adopt additional amendments to the health reform bill, H.R. 3200, the panel already approved in July. Members of the House leadership are now working to meld the Energy and Commerce provisions will the health reform proposals adopted by the House Ways and Means and Education and Labor Committees to enable a unified measure to be brought to the House floor for a vote. The timing of such a vote has not yet been announced.