Rep. Andre Carson, D-Ind., said that as he left the Cannon House Office Building with Rep. John Lewis, D-Ga., a leader of the 1960s civil rights movement, some among the crowd chanted "the N-word, the N-word, 15 times." Both Carson and Lewis are black.

"It was like going into the time machine with John Lewis," Carson said.

Kristie Greco, spokeswoman for Democratic Whip Jim Clyburn, D-S.C., said a protester spit on Rep. Emanuel Cleaver, D-Mo., who is black.

Clyburn, who led fellow black students in integrating South Carolina's public facilities a half century ago, called the behavior "absolutely shocking."

"I heard people saying things today that I have not heard since March 15, 1960, when I was marching to try to get off the back of the bus," Clyburn told reporters.

President Obama was soundly booed as he was chaffeured to the Capitol to speak one last time to the House before it votes tomorrow on the Senate version of the health reform bill.

Democratic leaders and Obama focused last-minute lobbying efforts on two groups of Democrats: 37 who voted against an earlier bill in the House and 40 who voted for it only after first making sure it would include strict abortion limits that now have been modified.

The pressure remained intense even for those who had decided. Rep. Stephen Lynch, D-Mass., who switched from yes to no, received a scathing letter from labor unions in his state.

Lawmakers said House leaders settled one major issue complicating passage of the bill, concern from lawmakers in states with low health care costs that Medicare payments for hospitals and doctors are too paltry.

It was unclear how the leaders would resolve the dispute over abortion, or if they could avoid it.

Rep. Bart Stupak, D-Mich., who succeeded last November in inserting strict anti-abortion language into the House bill, had hoped to do so again. Pelosi met Saturday with three undecided lawmakers who are part of Stupak's group and hoped to peel them off. She succeeded with at least one, Rep. Chris Carney, D-Pa.

The House has abandoned the "deem and pass rule, option", choosing  instead on a straight up and down vote. 

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