The Democrats have decided against using “deem and pass” with the health care reform legislation and will have separate votes. Assuming we don’t run into a problem such as the Senate bill being passed by the House and then the Senate failing to pass the changes, the end result will be the same. They will vote for the changes to the Senate bill under reconciliation before voting for the Senate bill itself.
The main difference is that this will deny right wingers the use of another bogus talking point based upon the process. The Washington Post notes:
Though the maneuver has been commonly used in the House, including by Republicans to advance their own favored policies, the idea attracted widespread criticism, and prompted Republicans to accuse House Democrats of trying to avoid taking responsibility for the Senate package…
Van Hollen said Democrats still maintain that deeming the Senate bill passed would have been appropriate and perfectly legal. But, he said, “there was no reason to allow the misinformation campaign to continue. Despite the fact that Republicans used it, we wanted to make the process absolutely clear.”