WASHINGTON - DECEMBER 21: (L-R) Sen. Jim Bunning (R-KY), Sen. Richard Shelby (R-AL), and Sen. Pat Roberts (R-KS) get into an elevator after coming off the Senate floor after a procedural vote on health are reform on December 21, 2009 in Washington, DC. The Senate passed the first of three crucial procedural votes on health care by a 60 to 40 margin.