Talking Points Memo obtained a letter dated July 9, 2009 sent from the Blue Dog Coalition to the leaders of the Democratic Party in Congress, Speaker Nancy Pelosi (D-CA) and House Majority Leader Rep. Stenny Hoyer (D-MD). The letter, signed by 40 moderate Democrats hailing mainly from the South and the West, outlines the changes they demand before signing onto a health care reform bill.

These self-proclaimed “fiscally conservative Democrats” wrote the leader of the House and the leader of their party in Congress to express “strong reservations” about the “process and direction” of the current legislation up for debate surrounding health care reform. The Blue Dog Democrats believe that the legislation lacks deficit neutrality, delivery system reform, small business protection, rural health equity and bipartisanship.

The Coalition also reminded Speaker Pelosi and Leader Hoyer that their group already explained their requirements for a “yes” vote on any health care bill brought to the floor. They also echoed the sentiments of those calling for adequate time for both elected officials and the general public to examine and discuss any proposed legislation, including amendments or changes to the bill. ”Too short of a review period is unacceptable and only undermines Congress’ ability to pass responsible health care reform that works for all Americans,” the letter said.

The group indicated that despite assumed party loyalties, they would not simply vote lockstep with their colleagues on the Left. Without “significant progress” from current tri-committee health care legislation, the Blue Dog Coalition does not feel the reform measures would adequately meet their demands and as a result, they would not stand behind a bill that does not satisfy their requirements. ”We cannot support a final product that fails to do so,” they explained.