Congress has used the procedure to enact far-reaching omnibus budget bills, first in 1981. Since 1980, 17 of 23 reconciliation bills have been signed into law by Republican presidents (a Republican has been president for 20 of the last 29 years). Since 1980, reconciliation has been used nine times when Republicans controlled both the House and the Senate, six times when Democrats controlled both the House and the Senate, one time when the Democrats controlled the Senate and the Republicans the House, and seven times when the Republicans controlled the Senate and the Democrats controlled the House. Reconciliation has been used at least once nominally for a non-budgetary purpose (for example, see the College Cost Reduction and Access Act of 2007, when a Republican was president and the Democrats controlled Congress). The 1986 Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) contained some health care provisions.
The Byrd Rule (as described below) was adopted in 1985 and amended in 1990. Its main effect has been to prohibit the use of reconciliation for provisions that would increase the deficit beyond 10 years after the reconciliation measure.
Congress used reconciliation to enact President Bill Clinton’s 1993 (fiscal year 1994) budget. (See Pub.L. 103-66, 107 Stat. 312.) Clinton wanted to use reconciliation to pass his 1993 health care plan, but Senator Robert Byrd insisted that the health care plan was out of bounds for a process that is theoretically about budgets.