WASHINGTON - NOVEMBER 03: A small business owner wears a button advocating health care reform at a news conference on health care legislation and its impact on small businesses on November 3, 2009 in Washington, DC. Senators Tom Harkin (D-IA), chair of the Senate Health, Education, Labor and Pension Committee, and Mary Landrieu (D-LA) were joined by nearly one hundred small business owners from around the country.