First, he said the House could simply approve the Senate bill, sending it straight to President Obama’s desk.

Then, Durbin said, the Senate could make changes to the bill by using the nuclear option, known formally as “reconciliation,” a tactic that would allow Democrats to adjust parts of health care reform with just a 51-vote majority.

“We could go to something called ‘reconciliation’, which is in the weeds procedurally, but would allow us to modify that health care bill by a different process that doesn’t require 60 votes, only a majority,” Durbin said. “So that is one possibility there.”