The controversial health care bill passed the U.S. House of Representatives late Sunday by a vote of 219-212, with all Republicans voting against the measure. It will provide the biggest transformation of the U.S. health care system in decades.
After approving the bill, the House voted 220-211 for a companion bill that makes changes to the senate bill, a measure necessary to attract support in the House. Those changes now head to the Senate where action is expected this week.
"At a time when the pundits said it was no longer possible, we rose above the weight of our politics," President Barack Obama said after the vote. "We proved that this government ... still works for the people."
Minority Leader John Boehner, R-Ohio, condemned the legislation, and said Democrats are moving against the will of the public.
"Shame on this body. Shame on each and every one of you who substitutes your will and your desire above your fellow countrymen," he said. "By our actions today we disgrace their value."
The legislation will extend health coverage to 32 million Americans now without insurance, according to the Congressional Budget Office. It will mandate that almost every American carry health insurance - a provision that opponents are set to challenge in the courts. To help people get covered, the legislation expands Medicaid, the federal-state health program for the poor, and gives subsidies to families making as much as $88,000 a year.