Arcuri says his opposition is based on three main concerns: That the bill is too sweeping and comprehensive; that Democrats plan to use reconciliation to amend it in various ways; and, substantively, that it calls for taxes on health benefits.
If he holds firm, that's another vote House Speaker Nancy Pelosi will have to switch from no to yes.
Arcuri is currently serving his second term in Congress. In 2008 he won re-election by 52-48 percent over Republican challenger Richard Hanna, which was actually a swing against him from his first election in 2006 which he won 54-46. President Barack Obama carried the district 50-48 in 2008. It had previously gone to President George W. Bush by 52-46 in 2004.