Please note this Senate action was a committee vote, so there still is more work to do to obtain alternatives to insurance companies offerings only.
The Single Payer insurance option failed to garner enough votes to pass in the Senate Tuesday, 9/28/09 Bloomberg News reports. Two Democrats with Max Baucus, the Senate Finance Committee Chairman, scuttled two amendments to establish an insurance "public option" plan as competition with the many private insurers we have now.
Further specific information is available by clicking on the link above to the Bloomberg site. Of special interest is an amendment impacting lawmakers, aides and all other federal employees regarding the source of their insurance, but that doesn't take effect until after 2013.