House Republicans just voted to repeal and replace Obamacare

May 5, 2017

This article originally appeared in TIME.

Getty Images/Chip Somodevilla

This article originally appeared in TIME.

House Republicans voted on Thursday to repeal Obamacare, making good on a seven-year campaign promise that could reshape health care in the United States and dramatically reduce the number of Americans with health insurance.

If the Republican bill passes in the Senate, it will reorganize insurance markets and affect coverage for many millions of Americans.

“Seven years of Obamacare is enough,” House Speaker Paul Ryan wrote on Twitter Thursday morning.

The vote comes nearly six weeks after House Republicans had to pull an earlier version due to disagreements between moderates and conservatives in their caucus. The bill has since been amended twice, though the broad outlines remain the same.

The bill weakens protections for people with pre-existing medical conditions. It rolls back the expansion of Medicaid and cuts taxes on the wealthy. It also significantly reduces federal assistance to lower-income Americans paying for health insurance. It also significantly reduces federal assistance to lower-income Americans paying for health insurance, and it defunds Planned Parenthood.

In addition, it repeals the Obamacare “individual mandate,” the rule requiring people to buy insurance.

“This bill brings choice and competition back into the health care marketplace and puts health care decisions back in the hands of patients and doctors,” Rep. Diane Black said on the floor of the House. “It’s been a winding road to get to this point, but we’re here today to fulfill the promise we made to the American people.”

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