The American Medical Association rebuffed dissident members and voted to stick with support for ongoing health reform efforts. The action at the group's semiannual meeting in Houston could be seen as a vote of confidence for AMA leaders who voiced support for the $1.2-trillion, 10-year bill the U.S. House passed. Several dissident doctor organizations within the AMA had urged the group to reverse its position and come out with a strong statement opposing Democrat-led reform efforts.