The bill would change Affordable Care Act spending and revenue provisions. One major commercial health insurance market change would replace the current income-based ACA public exchange plan premium tax credit with an age-based tax credit. Other provisions would replace the ACA reinsurance, risk corridors and risk-adjustment programs with a new state health insurance market support grant program.
All Democrats who voted opposed the bill. Republicans voted for the bill 217 to 20.
Republicans hold just 52 votes in the Senate. Vice President Mike Pence, a Republican, could vote to break a tie.
H.R. 1628 supporters persuaded about 92% of House Republicans to vote for the bill today.
A budget measure needs 51 votes to pass in the Senate. That means that, if all Senate Democrats and independents oppose H.R. 1628, supporters must get the support of 96% of Senate Republicans to pass the bill.