Senators on Tuesday passed a $1.1 trillion healthcare bill that fixes the healthcare system’s broken rollout of Obamacare subsidies, which are the cornerstone of the ACA.
The bill passed the Senate by a vote of 52-48 with two Democrats voting no and two Republicans voting yes.
It is the largest bill in Congress’ history.
The measure also contains $846 billion in emergency spending, including $3.8 billion to stabilize and repair Medicare.
The Senate passed the measure by a unanimous vote of 51-48 in July, with the House voting against it in December.
The Senate’s repeal-and-replace bill would cut funding for Medicaid by $716 billion and for the Children’s Health Insurance Program by $350 billion.
The vote was hailed as a major victory for President Donald Trump, who had promised to repeal and replace the ACA in the first 100 days of his presidency.
But the legislation was delayed in the Senate after Democrats voted to delay the vote until the new year.
Senate Majority Leader Mitch McConnell, R-Ky., said the Senate’s decision was a “historic step toward the ultimate goal of passing a full repeal of the Affordable Care Act.”
But the House voted to repeal the ACA without any provisions to make it more effective.
Democrats, including Senate Minority Leader Chuck Schumer, D-N.Y., called the delay a “bipartisan betrayal” of voters.
“The Senate’s failure to act today sends a clear message that our leaders will not be satisfied with the current version of the American Health Care Act,” Schumer said in a statement.
“Our country needs the best health care system in the world.
But now, in this last hour, the American people are being told that this is not enough.
We will no longer be satisfied until we have the most effective healthcare system in our country.”
Republicans, meanwhile, were pleased with the outcome of the Senate vote, arguing that the House had no way to advance its own version of a bill without the approval of Democrats.
The House is expected to vote on a replacement bill in the coming weeks.