On Thursday, House Republicans successfully voted to unwind major parts of the Affordable Care Act. But they barely got it through their own chamber: After having to pull a version of this bill in March for lack of support from both conservative and moderate Republicans, it passed by a margin of four votes.
All 193 Democrats opposed the bill, alongside 20 Republicans — primarily moderates who thought the legislation rolls back health-care benefits too much.
[House Republicans narrowly pass controversial bill to revise Affordable Care Act]
To get this version passed, Republican leaders positioned the bill far to the right of the political spectrum to win the support of most of the conservative House Freedom Caucus members and keep some moderates on board. And, that strategy worked.
33
33
Fewer Tuesday Group members voted for the AHCA than supported its earlier, more moderate form.
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30
Many more House Freedom Caucus members voted for the AHCA than supported its earlier, more moderate form.
The old bill — which had a 17 percent approval rating and would have left 24 million more people uninsured, according to a Congressional Budget Office analysis — lost moderates concerned about coverage losses, as well as hard-line conservatives who thought it didn’t go far enough in rolling back the Affordable Care Act’s regulations.
[House passes GOP health-care bill, but a steeper climb awaits in the Senate]
Here are the 78 representatives in the conservative Freedom Caucus and moderate Tuesday Group sorted by their ideologies using a measure called DW-Nominate.
The first version of the bill wasn't supported
- Said they would vote yes
- Said they would vote no
More moderate
More conservative
The latest bill’s changes allow states to opt out of many of the ACA’s key provisions, such as its protection of people with preexisting conditions. And to regain moderates’ support it lost with that change, an additional $8 billion was allocated to helping sick people afford their premiums — a figure even the conservative American Enterprise Institute says is not nearly enough.
Changes won conservatives over
- Voted yes
- Voted no
More moderate
More conservative
Here’s how each representative voted on the bill. Those with a symbol next to their name switched their vote from what was expected last time. Members of the Freedom Caucus (FC) and Tuesday Group (TG) are also noted.
Republicans
Yes 217 |
No 20 |
Mark Amodei, Nev. | FC Andy Biggs, Ariz. |
TG Carlos Curbelo, Fla. | TG Mike Coffman, Colo. |
TG Jeff Denham, Calif. | TG Barbara Comstock, Va. |
David Young, Iowa | TG Ryan Costello, Pa. |
Ralph Abraham, La. | TG Charlie Dent, Pa. |
Robert B. Aderholt, Ala. | TG Daniel Donovan, N.Y. |
Rick Allen, Ga. | Brian Fitzpatrick, Pa. |
FC Justin Amash, Mich. | TG Jaime Herrera Beutler, Wash. |
Jodey Arrington, Tex. | Walter B. Jones, N.C. |
Brian Babin, Tex. | TG John Katko, N.Y. |
Don Bacon, Neb. | TG Leonard Lance, N.J. |
Jim Banks, Ind. | TG Frank A. LoBiondo, N.J. |
Lou Barletta, Pa. | Thomas Massie, Ky. |
Garland "Andy" Barr, Ky. | TG Patrick Meehan, Pa. |
FC Joe Barton, Tex. | TG Dave Reichert, Wash. |
Jack Bergman, Mich. | TG Ileana Ros-Lehtinen, Fla. |
Gus M. Bilirakis, Fla. | Christopher H. Smith, N.J. |
Mike Bishop, Mich. | TG David Joyce, Ohio |
Rob Bishop, Utah | TG Michael R. Turner, Ohio |
Diane Black, Tenn. | Will Hurd, Tex. |
Marsha Blackburn, Tenn. | |
FC Rod Blum, Iowa | |
TG Mike Bost, Ill. | |
Kevin Brady, Tex. | |
FC Dave Brat, Va. | |
FC Jim Bridenstine, Okla. | |
FC Mo Brooks, Ala. | |
TG Susan Brooks, Ind. | |
Vern Buchanan, Fla. | |
FC Ken Buck, Colo. | |
Larry Bucshon, Ind. | |
Ted Budd, N.C. | |
TG Michael C. Burgess, Tex. | |
Bradley Byrne, Ala. | |
Ken Calvert, Calif. | |
Earl L. "Buddy" Carter, Ga. | |
John Carter, Tex. | |
Steve Chabot, Ohio | |
Jason Chaffetz, Utah | |
Liz Cheney, Wyo. | |
Tom Cole, Okla. | |
TG Chris Collins, N.Y. | |
Douglas A. Collins, Ga. | |
James Comer, Ky. | |
K. Michael Conaway, Tex. | |
TG Paul Cook, Calif. | |
Kevin Cramer, N.D. | |
Eric A. "Rick" Crawford, Ark. | |
John Abney Culberson, Tex. | |
FC Warren Davidson, Ohio | |
TG Rodney Davis, Ill. | |
FC Ron DeSantis, Fla. | |
FC Scott DesJarlais, Tenn. | |
TG Mario Diaz-Balart, Fla. | |
TG Sean P. Duffy, Wis. | |
FC Jeff Duncan, S.C. | |
John J. Duncan Jr., Tenn. | |
Neal Dunn, Fla. | |
Tom Emmer, Minn. | |
Blake Farenthold, Tex. | |
John Faso, N.Y. | |
Drew Ferguson, Ga. | |
Charles J. "Chuck" Fleischmann, Tenn. | |
Bill Flores, Tex. | |
TG Jeff Fortenberry, Neb. | |
Virginia Foxx, N.C. | |
FC Trent Franks, Ariz. | |
TG Rodney Frelinghuysen, N.J. | |
Matt Gaetz, Fla. | |
Mike Gallagher, Wis. | |
FC Thomas Garrett, Va. | |
Bob Gibbs, Ohio | |
FC Louie Gohmert, Tex. | |
Bob Goodlatte, Va. | |
FC Paul A. Gosar, Ariz. | |
Trey Gowdy, S.C. | |
Kay Granger, Tex. | |
Garret Graves, La. | |
Sam Graves, Mo. | |
Tom Graves, Ga. | |
FC H. Morgan Griffith, Va. | |
Glenn Grothman, Wis. | |
Brett Guthrie, Ky. | |
Gregg Harper, Miss. | |
FC Andy Harris, Md. | |
Vicky Hartzler, Mo. | |
Jeb Hensarling, Tex. | |
FC Jody Hice, Ga. | |
Clay Higgins, La. | |
French Hill, Ark. | |
George Holding, N.C. | |
Trey Hollingsworth, Ind. | |
Richard Hudson, N.C. | |
Bill Huizenga, Mich. | |
Randy Hultgren, Ill. | |
Duncan D. Hunter, Calif. | |
Darrell Issa, Calif. | |
Evan Jenkins, W.Va. | |
TG Lynn Jenkins, Kan. | |
TG Bill Johnson, Ohio | |
Mike Johnson, La. | |
Sam Johnson, Tex. | |
FC Jim Jordan, Ohio | |
Mike Kelly, Pa. | |
Trent Kelly, Miss. | |
TG Peter T. King, N.Y. | |
Steve King, Iowa | |
TG Adam Kinzinger, Ill. | |
Steve Knight, Calif. | |
David Kustoff, Tenn. | |
FC Raúl R. Labrador, Idaho | |
Darin LaHood, Ill. | |
Doug LaMalfa, Calif. | |
Doug Lamborn, Colo. | |
Robert E. Latta, Ohio | |
Jason Lewis, Minn. | |
Billy Long, Mo. | |
Barry Loudermilk, Ga. | |
Mia Love, Utah | |
Frank D. Lucas, Okla. | |
Blaine Luetkemeyer, Mo. | |
TG Tom MacArthur, N.J. | |
Kenny Marchant, Tex. | |
Tom Marino, Pa. | |
Roger Marshall, Kan. | |
Brian Mast, Fla. | |
Kevin McCarthy, Calif. | |
Michael McCaul, Tex. | |
Tom McClintock, Calif. | |
Patrick T. McHenry, N.C. | |
TG David B. McKinley, W.Va. | |
TG Cathy McMorris Rodgers, Wash. | |
TG Martha McSally, Ariz. | |
FC Mark Meadows, N.C. | |
Luke Messer, Ind. | |
Paul Mitchell, Mich. | |
John Moolenaar, Mich. | |
FC Alex Mooney, W.Va. | |
Markwayne Mullin, Okla. | |
TG Tim Murphy, Pa. | |
Kristi L. Noem, S.D. | |
Devin Nunes, Calif. | |
Pete Olson, Tex. | |
Steven M. Palazzo, Miss. | |
FC Gary Palmer, Ala. | |
TG Erik Paulsen, Minn. | |
FC Stevan Pearce, N.M. | |
FC Scott Perry, Pa. | |
Robert Pittenger, N.C. | |
Ted Poe, Tex. | |
Bruce Poliquin, Maine | |
Ron Estes, Kan. | |
FC Bill Posey, Fla. | |
John Ratcliffe, Tex. | |
TG Tom Reed, N.Y. | |
TG James B. Renacci, Ohio | |
Tom Rice, S.C. | |
Martha Roby, Ala. | |
Phil Roe, Tenn. | |
Harold Rogers, Ky. | |
Mike D. Rogers, Ala. | |
Dana Rohrabacher, Calif. | |
Todd Rokita, Ind. | |
Francis Rooney, Fla. | |
TG Thomas J. Rooney, Fla. | |
Peter J. Roskam, Ill. | |
Dennis A. Ross, Fla. | |
Keith Rothfus, Pa. | |
David Rouzer, N.C. | |
Edward R. Royce, Calif. | |
Steve Russell, Okla. | |
John Rutherford, Fla. | |
Paul D. Ryan, Wis. | |
FC Mark Sanford, S.C. | |
Steve Scalise, La. | |
FC David Schweikert, Ariz. | |
Austin Scott, Ga. | |
F. James Jr. Sensenbrenner, Wis. | |
Pete Sessions, Tex. | |
John Shimkus, Ill. | |
Bill Shuster, Pa. | |
Mike Simpson, Idaho | |
Adrian Smith, Neb. | |
Jason T. Smith, Mo. | |
Lamar Smith, Tex. | |
Lloyd Smucker, Pa. | |
TG Elise Stefanik, N.Y. | |
Chris Stewart, Utah | |
TG Steve Stivers, Ohio | |
Scott W. Taylor, Va. | |
Claudia Tenney, N.Y. | |
TG Glenn Thompson, Pa. | |
Mac Thornberry, Tex. | |
TG Patrick J. Tiberi, Ohio | |
Scott R. Tipton, Colo. | |
Dave Trott, Mich. | |
TG Fred Upton, Mich. | |
TG David Valadao, Calif. | |
Ann Wagner, Mo. | |
Tim Walberg, Mich. | |
TG Greg Walden, Ore. | |
Mark Walker, N.C. | |
Jackie Walorski, Ind. | |
Mimi Walters, Calif. | |
FC Randy Weber, Tex. | |
Daniel Webster, Fla. | |
Brad Wenstrup, Ohio | |
Bruce Westerman, Ark. | |
Roger Williams, Tex. | |
Joe Wilson, S.C. | |
Rob Wittman, Va. | |
TG Steve Womack, Ark. | |
Rob Woodall, Ga. | |
Kevin Yoder, Kan. | |
FC Ted Yoho, Fla. | |
Don Young, Alaska | |
Lee Zeldin, N.Y. |
Democrats
Yes 0 |
No 193 |
Alma Adams, N.C. | |
Pete Aguilar, Calif. | |
Nanette Barragán, Calif. | |
Karen Bass, Calif. | |
Joyce Beatty, Ohio | |
Ami Bera, Calif. | |
Don Beyer, Va. | |
Sanford D. Bishop Jr., Ga. | |
Earl Blumenauer, Ore. | |
Lisa Blunt Rochester, Del. | |
Suzanne Bonamici, Ore. | |
Brendan Boyle, Pa. | |
Robert A. Brady, Pa. | |
Anthony G. Brown, Md. | |
Julia Brownley, Calif. | |
Cheri Bustos, Ill. | |
G.K. Butterfield, N.C. | |
Michael E. Capuano, Mass. | |
Salud Carbajal, Calif. | |
Tony Cárdenas, Calif. | |
André Carson, Ind. | |
Matthew Cartwright, Pa. | |
Kathy Castor, Fla. | |
Joaquin Castro, Tex. | |
Judy Chu, Calif. | |
David N. Cicilline, R.I. | |
Katherine M. Clark, Mass. | |
Yvette D. Clarke, N.Y. | |
William Lacy Clay, Mo. | |
Emanuel II Cleaver, Mo. | |
James E. Clyburn, S.C. | |
Steve Cohen, Tenn. | |
Gerald E. Connolly, Va. | |
John Conyers Jr., Mich. | |
Jim Cooper, Tenn. | |
J. Luis Correa, Calif. | |
Jim Costa, Calif. | |
Joe Courtney, Conn. | |
Charlie Crist, Fla. | |
Joseph Crowley, N.Y. | |
Henry Cuellar, Tex. | |
Elijah E. Cummings, Md. | |
Danny K. Davis, Ill. | |
Susan A. Davis, Calif. | |
Peter A. DeFazio, Ore. | |
Diana DeGette, Colo. | |
John Delaney, Md. | |
Rosa L. DeLauro, Conn. | |
Suzan DelBene, Wash. | |
Val Demings, Fla. | |
Mark DeSaulnier, Calif. | |
Theodore E. Deutch, Fla. | |
Debbie Dingell, Mich. | |
Lloyd Doggett, Tex. | |
Mike Doyle, Pa. | |
Keith Ellison, Minn. | |
Eliot L. Engel, N.Y. | |
Anna G. Eshoo, Calif. | |
Adriano Espaillat, N.Y. | |
Elizabeth Esty, Conn. | |
Dwight Evans, Pa. | |
Bill Foster, Ill. | |
Lois Frankel, Fla. | |
Marcia L. Fudge, Ohio | |
Tulsi Gabbard, Hawaii | |
Ruben Gallego, Ariz. | |
John Garamendi, Calif. | |
Vicente Gonzalez, Tex. | |
Josh Gottheimer, N.J. | |
Al Green, Tex. | |
Gene Green, Tex. | |
Raúl M. Grijalva, Ariz. | |
Luis V. Gutiérrez, Ill. | |
Colleen Hanabusa, Hawaii | |
Alcee L. Hastings, Fla. | |
Denny Heck, Wash. | |
Brian Higgins, N.Y. | |
Jim Himes, Conn. | |
Steny H. Hoyer, Md. | |
Jared Huffman, Calif. | |
Sheila Jackson Lee, Tex. | |
Pramila Jayapal, Wash. | |
Hakeem Jeffries, N.Y. | |
Eddie Bernice Johnson, Tex. | |
Hank Johnson, Ga. | |
Marcy Kaptur, Ohio | |
William R. Keating, Mass. | |
Robin L. Kelly, Ill. | |
Joe Kennedy, Mass. | |
Ro Khanna, Calif. | |
Ruben Kihuen, Nev. | |
Daniel Kildee, Mich. | |
Derek Kilmer, Wash. | |
Ron Kind, Wis. | |
Raja Krishnamoorthi, Ill. | |
Ann Kuster, N.H. | |
Jim Langevin, R.I. | |
Rick Larsen, Wash. | |
John B. Larson, Conn. | |
Brenda Lawrence, Mich. | |
Al Lawson, Fla. | |
Barbara Lee, Calif. | |
Sander M. Levin, Mich. | |
John Lewis, Ga. | |
Ted Lieu, Calif. | |
Daniel Lipinski, Ill. | |
David Loebsack, Iowa | |
Zoe Lofgren, Calif. | |
Alan Lowenthal, Calif. | |
Nita M. Lowey, N.Y. | |
Ben Ray Luján, N.M. | |
Michelle Lujan Grisham, N.M. | |
Stephen F. Lynch, Mass. | |
Carolyn B. Maloney, N.Y. | |
Sean Maloney, N.Y. | |
Doris Matsui, Calif. | |
Betty McCollum, Minn. | |
A. Donald McEachin, Va. | |
Jim McGovern, Mass. | |
Jerry McNerney, Calif. | |
Gregory W. Meeks, N.Y. | |
Grace Meng, N.Y. | |
Gwen Moore, Wis. | |
Seth Moulton, Mass. | |
Stephanie Murphy, Fla. | |
Jerrold Nadler, N.Y. | |
Grace F. Napolitano, Calif. | |
Richard E. Neal, Mass. | |
Rick Nolan, Minn. | |
Donald W. Norcross, N.J. | |
Tom O'Halleran, Ariz. | |
Beto O'Rourke, Tex. | |
Frank Pallone Jr., N.J. | |
Jimmy Panetta, Calif. | |
Bill Pascrell Jr., N.J. | |
Donald Payne Jr., N.J. | |
Nancy Pelosi, Calif. | |
Ed Perlmutter, Colo. | |
Scott Peters, Calif. | |
Collin C. Peterson, Minn. | |
Chellie Pingree, Maine | |
Mark Pocan, Wis. | |
Jared Polis, Colo. | |
David E. Price, N.C. | |
Mike Quigley, Ill. | |
Jamie B. Raskin, Md. | |
Kathleen Rice, N.Y. | |
Cedric L. Richmond, La. | |
Jacky Rosen, Nev. | |
Lucille Roybal-Allard, Calif. | |
Raul Ruiz, Calif. | |
C.A. Dutch Ruppersberger, Md. | |
Bobby L. Rush, Ill. | |
Tim Ryan, Ohio | |
Linda T. Sánchez, Calif. | |
John Sarbanes, Md. | |
Jan Schakowsky, Ill. | |
Adam B. Schiff, Calif. | |
Bradley Schneider, Ill. | |
Kurt Schrader, Ore. | |
David Scott, Ga. | |
Robert C. "Bobby" Scott, Va. | |
José E. Serrano, N.Y. | |
Terri A. Sewell, Ala. | |
Carol Shea-Porter, N.H. | |
Brad Sherman, Calif. | |
Kyrsten Sinema, Ariz. | |
Albio Sires, N.J. | |
Louise M. Slaughter, N.Y. | |
Adam Smith, Wash. | |
Darren Soto, Fla. | |
Jackie Speier, Calif. | |
Thomas Suozzi, N.Y. | |
Eric Swalwell, Calif. | |
Mark Takano, Calif. | |
Bennie Thompson, Miss. | |
Mike Thompson, Calif. | |
Dina Titus, Nev. | |
Paul Tonko, N.Y. | |
Norma J. Torres, Calif. | |
Niki Tsongas, Mass. | |
Juan Vargas, Calif. | |
Marc Veasey, Tex. | |
Filemon Vela, Tex. | |
Nydia M. Velázquez, N.Y. | |
Peter J. Visclosky, Ind. | |
Tim Walz, Minn. | |
Debbie Wasserman Schultz, Fla. | |
Maxine Waters, Calif. | |
Bonnie Watson Coleman, N.J. | |
Peter Welch, Vt. | |
Frederica S. Wilson, Fla. | |
John Yarmuth, Ky. |
Correction May 4, 2017: A previous version of this article stated that Mike Pompeo (R-Kan.) voted yes. In fact, Pompeo is now the CIA director, and the ‘yes’ vote was cast by his successor, Ron Estes.
Correction May 11, 2017: Rep. Lance (R-N.J.) was incorrectly stated as being silent on the March version of the AHCA. In fact, he had publicly announced his opposition.
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