US Senate sends $1.1 trillion spending bill to President Donald Trump

But Trump himself has undermined that message by complaining over Twitter about the need for Democratic votes on the bill and suggesting that a "good 'shutdown"' might be in order.

"How can you do this to the American people, how can you do this to the people you represent?" asked Rep. Jim McGovern, D-Mass.

The House vote on Thursday took place before the CBO released a new cost and impact analysis of the revised bill.

Those states would be required under the law to create some other way to ensure that people with expensive illnesses are able to get health care, and the law provides up to $138 billion over 10 years for such programs, typically called high-risk pools.

In addition, because the subsidies offered in the Republican plan don't vary with local insurance prices the way subsidies do in Obamacare, residents of high-cost, rural areas would also suffer.

The bill that passed the U.S. House on Thursday would allow health insurance companies to impose lifetime and annual caps on benefits for those who get coverage through a large-employer plan.

The passage of this legislative abomination underscores the depths of Republicans' indifference to the 24 million Americans who will lose their coverage and the 14 million Americans who will be kicked off of Medicaid.

John Katko said he voted Thursday against his party's bill to begin repealing and replacing Obamacare because it would place new burdens on NY while failing to address healthcare costs. "The bill makes it easier for insurance companies to deny basic coverage like maternity care, mental health and addiction services, and prescription drugs, as well as threatens the employer sponsored insurance system".

President Trump speaks at the White House after Obamacare replacement passes the House on May 4, 2017. "Many of you are here because you pledged to cast this vote".

Passage was a product of heavy lobbying by the White House and Republican leaders, plus late revisions that nailed down the final supporters needed.

"House Republicans are going to tattoo this moral monstrosity to their foreheads, and the American people will hold them accountable", House Minority Leader Nancy Pelosi, D-Calif., said Wednesday.

In March, protesters in New Orleans rallied for better health care as Congress prepared to vote on devastating cuts to the Affordable Care Act.

I'd say that I'm sick over this, but, that would probably be considered a preexisting condition.

More than 50 years after Canada moved toward universal health coverage, and 70 years after it happened in England and France, the U.S. Congress took a baby step in the other direction Thursday, advancing a bill that would eliminate health care for millions. The potential defections of Upton and Long over the previous 48 hours had emerged as a possible death knell for the bill, and with it seven years' worth of GOP campaign promises to repeal and replace Democrat Barack Obama's Affordable Care Act.

The speaker continued to up the volume in his voice, urging the House Republicans to push through the bill. Some Democratic groups are already producing television advertisements accusing Republicans of taking away protections for individuals with pre-existing conditions. They were supported by Democrats, who say the GOP reneged on a deal to fund a block grant program for schools in exchange for earlier votes on the gas tax bill.

"This is a fraud this bill and we're gonna fight it with all we have", said Sen. Taylor, who's in his first term, said the same people who pitched Obamacare with promises that everyone with a plan they liked could keep it were now "attempting to scare our neighbors, saying pre-existing conditions are not covered".

"Importantly, the American Health Care Act continues to protect people with pre-existing conditions from price gouging, and they can not be denied coverage".

About 750,000 people have gained insurance coverage in the state because of Obamacare, according to the state Office of the Insurance Commissioner.