Republican Obamacare replacement bill passes House
•GOP leaders had struggled for months to win enough support for the bill in their caucus
•The bill faces a potentially harder road to winning passage in the Senate
•An earlier version of the bill was expected to lead 24 million more people to become uninsured
Dan Mangan | Jacob Pramuk
The U.S. House of Representatives on Thursday cast enough votes to pass a Republican-sponsored bill that would repeal key parts of the Affordable Care Act, and replace them with new provisions.
The vote — certain to be touted as a big victory for President Donald Trump and House GOP leadership — now sends the controversial legislation to gut Obamacare over to the Senate for consideration.
But winning approval for the bill could be even more difficult in the Senate than it has been in the House, where Republican leaders struggled for nearly two months to wrangle up enough votes in their caucus to secure its passage.
"A lot of use have waited seven years to case this vote," said House Speaker Paul Ryan, R-Wisc., shortly before the voting began. "Many of us are here because we pledged to cast this vote: to repeal and replace Obamacare."
"This bill delivers the promises we have made to the American people," Ryan said.
House Majority Whip Steve Scalise, R-La., told MSNBC shortly before the vote began, "We were elected to do this."
The bill — which would dramatically the change the way the federal government funds purchases of individual health plans and Medicaid — is expected to dramatically increase the number of people without health insurance if enacted into law.
Effect on pre-existing conditions
Thursday's vote came a week after the bill was amended to include a provision that won support from conservative holdouts. That provision would, under certain conditions, undo Obamacare's ban on letting insurers charge people with pre-existing health conditions more for their insurance plans than healthy people.
Moderate Republicans initially blanched at that provision. But on Wednesday a number of them agreed to support the bill after the addition of another amendment that would increase funding designed to reduce the impact of the higher premiums on people with pre-existing conditions. Analysis questions how far that funding may go to cut costs for those Americans.
The bill, known as the American Health Care Act, would remove the Obamacare rule requiring most Americans to have health coverage of some kind.
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