President Donald Trump's proposed healthcare law is "Robin Hood in reverse", House Minority Leader Nancy Pelosi has said - claiming it is similar to the Republicans' bill for tax reform, which the House of Representatives is expected to tackle next.
And that was in a chamber Republicans control 238-193.
"I've already made clear that I don't support the House bill as now constructed because I continue to have concerns that this bill does not do enough to protect Ohio's Medicaid expansion population", said Republican Senator Rob Portman.
"Obamacare has failed. Less choice and higher premiums".
_Ends tax penalties Obama's law imposes on individuals who don't purchase health insurance and on larger employers who don't offer coverage to workers.
The Republicans are pushing the AHCA as their answer to former President Barack Obama's Affordable Care Act (ACA), dubbed "Obamacare". In a statement issued immediately after the House vote, McConnell called the vote "an important step" and congratulated House Speaker Paul Ryan on getting the bill through. Senators represent entire states, and many tend to reflect more pragmatic views than their House colleagues.
"We can have fair healthcare without trapping everyone in a government-run system dreamed up by central planners", house majority leader Kevin McCarthy said in the closing minutes of the debate.
While the state does not mandate that insurers cover all abortion, like in California or New York, Massachusetts indicates that "medically necessary" abortions should be covered, along with cases of rape or incest.
"Coming from a different world and only being a politician for a short period of time - how am I doing?" he asked a partisan crowd of supporters and officials gathered at the immaculately manicured Rose Garden on an unseasonably cool afternoon. Rob Portman, R-Ohio. He cited its Medicaid cuts, including for treating people with drug problems, and said he'd make sure that "those who are impacted by this epidemic can continue to receive treatment".More news: Cinco de Mayo in Trump era leaves Mexican-Americans torn
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Meadows said tax cuts should be offset by cuts to entitlement programs including Social Security and Medicare, which Trump has promised not to touch.
A spokesman for the House Energy and Commerce Committee said the legislative maneuver was privately cleared by the Senate budget committee.
Democrats counter that Obamacare, as it is known, helped 20 million Americans gain health coverage and saved thousands of lives by barring insurers from denying policies to people with pre-existing conditions. The defunding of Planned Parenthood.
The bill also restructures Medicaid payments to the states, reducing federal spending.
U.S. Representatives John Rutherford and Ron DeSantis both voted in favor of the bill.
On Wednesday, White House Press Secretary Sean Spicer said that there were "so many variables that are unknown" that it was "almost impossible" to accurately determine the impact of the new replacement bill.
But the House measure faces profound uncertainty in the Senate, where a handful of Republican senators immediately rejected it, signalling that they would start work on a new version of the bill virtually from scratch.
Instead, House members are on the hook for a bill so distasteful that a GOP Senate may not even pass it.
We're just see-sawing back and forth between partisan extremes as Republicans and Democrats take turns being in charge. "So we're going to get that done next". But in the Senate, congressional health benefits come under the purview of the Homeland Security and Governmental Affairs Committee.