217 – 213 was the vote that passed without motion to reconsider, but all 193 Democrats and 20 Republicans voted “Nay.”
Democrats made news by shouting “Hey Hey, Goodbye” on the Senate floor, and protesters staged public demonstrations against the move in the streets.
Trump said of the bill, “Make no mistake. This is a repeal and replace of Obamacare.”
The bill’s writing had several changes made in order to get passed, including that states can opt out of essential benefits, spending caps, hospital care, and pre-existing conditions requirements, on the condition that the state show it would improve the market to opt out.
The bill also cuts spending on Medicaid $880b over 10 years. This is where the figure of “24m more uninsured Americans” comes from, as reported by the CBO.