And now more major news: Jason Altmire has confirmed that he will vote no on the health care bill.

Congressman Jason Altmire will vote against the latest version of health care reform when the U.S. House of Representatives votes on the bill this weekend.

Altmire confirmed that he has decided to vote no in a telephone conversation with KDKA Political Editor Jon Delano.

This is a blow to efforts by Democrats to avoid the Stupak problem. They’re going to have to peel off members of the Stupak bloc. Joseph Cao also called himself a “firm no” to CNN moments ago, but I already had him as a lean No. He’ll only vote for the bill if passage is assured, so he’s not a factor in whip counts.

Altmire is the 209th confirmed no vote on the bill, with three others leaning that way. That’s 212, with only 205 confirmed or leaning yes.

The numbers…

Tuesday, 3/16/2010 Voted Retiring Stupak PVI No Leaning No Unknown Leaning Yes Yes
Aye Nay
Definite No (32):
1 Adler, John X R+1 1
2 Barrow, John X D+2 1
3 Boren, Dan X R+14 1
4 Boucher, Rick X R+11 1
5 Bright, Bobby X R+16 1
6 Chandler, Ben X R+9 1
7 Childers, Travis X R+14 1
8 Davis, Artur X D+18 1
9 Davis, Lincoln X R+14 1
10 Edwards, Chet X R+20 1
11 Herseth-Sandlin, Stephanie X R+9 1
12 Holden, Tim X R+6 1
13 Kissell, Larry X R+2 1
14 Kratovil, Frank X R+13 1
15 Marshall, Jim X R+10 1
16 McIntyre, Mike X R+3 1
17 McMahon, Michael X R+4 1
18 Melancon, Charlie X R R+12 1
19 Minnick, Walt X R+18 1
20 Peterson, Collin X R+6 1
21 Ross, Mike X R+7 1
22 Shuler, Heath X R+6 1
23 Skelton, Ike X R+14 1
24 Taylor, Gene X R+20 1
25 Arcuri, Mike X R+1 1
26 Costello, Jerry X S D+3 1
27 Donnelly, Joe X S R+4 1
28 Driehaus, Steve X S D+1 1
29 Lipinski, Dan X S D+11 1
30 Lynch, Stephen X D+8 1
31 Stupak, Bart X S R+3 1
32 Altmire, Jason X R+6 1
Potential No-Yes Flips (7):
1 Baird, Brian X R D+0 1
2 Kosmas, Suzanne X R+4 1
3 Matheson, Jim X R+15 1
4 Murphy, Scott X D+2 1
5 Nye, Glenn X R+6 1
6 Tanner, John X R R+6 1
7 Teague, Harry X R+6 1
Potential Yes-No Flips (18):
1 Bean, Melissa X R+1 1
2 Berry, Marion X S R+8 1
3 Cao, Joseph X S D+18 1
4 Carney, Chris X R+8 1
5 Cuellar, Henry X S D+0 1
6 Dahlkemper, Kathy X S R+3 1
7 Ellsworth, Brad X S R+9 1
8 Foster, Bill X R+1 1
9 Kanjorski, Paul X D+4 1
10 Kaptur, Marcy X S D+10 1
11 Michaud, Mike X D+5 1
12 Mitchell, Harry X R+5 1
13 Mollohan, Alan X R+9 1
14 Ortiz, Solomon X R+2 1
15 Owens, Bill X R+1 1
16 Pomeroy, Earl X R+10 1
17 Rahall, Nick X R+6 1
18 Space, Zack X R+7 1
Committed Votes
Democratic 197
Republican 177
TOTAL 209 3 14 8 197