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WASHINGTON — Fifteen years later, House Speaker Nancy Pelosi is fulfilling one of her first campaign promises.

When she first took the speaker’s gavel in 2007, Pelosi promised six policy accomplishments, on national security, energy, education, and health care. She passed six bills within 100 hours of assuming power. The only promise that didn’t become law was allowing Medicare to negotiate for prescription drugs — until Friday, when the House passed a major health care, tax, and climate package by a vote of 220 to 207.

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