Texas Rep. Randy Neugebauer admits he shouted "baby killer" during floor debate

Neugebauer insists that he was not referring directly to a fellow congressman but to an agreement made in the 11th hour.

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Later, talking to MSNBC, Stupak said he accepted Neugebauer's apology but questioned the Texas Republican's claim that it was not personal. "I certainly took it as a personal attack on me," Stupak said. If not, "maybe Randy needs to apologize to the House of Representatives."

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The outburst was reminiscent of last September when another GOP conservative, Rep. Joe Wilson of South Carolina, yelled out "you lie" when Obama was addressing Congress on the health care issue. He also issued an apology.

Unlike that incident, Wilson was quickly identified by reporters covering the speech. This time, it was not immediately known who did the shouting and it was nearly a day before Neugebauer came forward.

In Wilson's case, the House on a mainly party line vote passed a resolution of disapproval formally criticizing him for violating basic rules of decorum and civility.

House Majority Leader Steny Hoyer, D-Md., asked Monday about Neugebauer, noted that he had apologized.

"He shouldn't have done it. ... I don't think further action is needed," Hoyer said.

Neugebauer's "baby killer" shout came at the end of a day of passionate and often vitriolic speeches on both sides of the health care issue. There were also tea party movement protests against the health care bill in which some demonstrators used racial slurs against black members of Congress and reportedly spit at one black lawmaker.

Related: Health Care Bill 101

Part 1: Who must buy insurance?

Part 2: Who gets subsidized insurance?

Part 3: What's a health 'exchange'?

Part 4: How long will reform take?

Part 5: Who will pay for reform?

Part 6: What will it mean for business?

Part 7: What does it mean for kids and families?

Part 8: What does it mean for seniors?