A project of


114th Congress, Vote 58; House of Representatives #596

To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010, and for other purposes

Official Title: To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010, and for other purposes.

HR 596: The 56th Vote To Repeal Obamacare
Passed by the House February 2, 2015, 239-186 (8 abstaining).

Synopsis: This bill would repeal the Patient Protection and Affordable Care Act (ACA, or Obamacare), effective 180 days after the repeal bill is enacted. It also includes provisions to create a replacement for Obamacare, but it doesn’t specify any details about the replacement legislation beyond broad goals for what it would accomplish. Although it’s the 56th vote to repeal at least some portion of the ACA, it’s only the fourth vote to fully repeal the law.

The ACA was passed in March 2010, with the intention of making health insurance and healthcare more accessible and affordable. The Congressional Budget Office projects that from 2016 to 2025, the annual uninsured population in the US will still number about 30 million people, but that’s about 25 million fewer than there would have been if the ACA hadn’t been enacted.

The bulk of the law had been implemented by 2014. As of February 2015, more than 19 million people had enrolled in ACA-compliant individual plans (about 11.6 million in the state and federally run exchanges, plus about 8 million more who had enrolled directly in individual plans). And Medicaid/CHIP enrollment nearly 10 million people between September 2013 and October 2014.

Under the ACA, all new small group and individual plans &ndash including those sold outside the exchange &ndash must comply with a variety of consumer protection rules. Preventive care is covered at no charge to the enrollee, and there’s a cap on out-of-pocket charges. Essential health benefits must be covered with no annual or lifetime benefit maximums, and medical history is no longer used to set premiums or determine eligibility for coverage; pre-existing conditions are covered on all new plans.

Because the ACA includes premium and cost-sharing subsidies for low and middle-income enrollees in the exchanges, coverage is more affordable than it used to be for people with incomes under 400 percent of the poverty level.

When the House of Representatives voted to repeal Obamacare on February 3, Speaker Senate Minority leader John Boehner noted that it was a chance for the new freshmen to get their votes on the record in opposition to Obamacare.

Although the votes were split mainly along party lines, there were three House Republicans who voted against repealing the ACA: Robert Dold (Illinois), John Katko (New York), and Bruce Poliquin (Maine). All three have stated that while they don’t support the ACA, they did not believe that repealing it was the best course of action.

Why supporters pushed for this bill

  • Boehner noted that with a new group of incoming freshman Representatives, many of whom had campaigned on promises to repeal the ACA, it was imperative that they be given a chance to officially cast their votes against Obamacare; 41 of them did so.
  • ACA opponents believe that the law has increased health insurance premiums, restricted access to doctors through narrower provider networks, and limited personal freedom via the individual mandate. They also see the subsidies and Medicaid expansion as a form of wealth redistribution, which many of them oppose.
  • ACA opponents also believe that the law is a burden on employers and will result in fewer jobs and fewer hours for workers.

Why opponents tried to stop the bill

  • The Congressional Budget Office and the Joint Committee on Taxation estimated in 2012 that repealing the ACA would result in a $109 billion federal budget deficit over the decade spanning 2013 &ndash 2022. They continue to note that repealing the ACA would result in a budget deficit increase, but the CBO explained in 2014 that the financial ramifications of repealing the ACA become increasingly complex now that the majority of the law’s provisions have been implemented.
  • Without the ACA’s guaranteed issue provision, millions of Americans who purchase their own individual health insurance would once again be subject to medical underwriting, meaning that people with pre-existing conditions would find it difficult, expensive, or impossible to obtain coverage.
  • Without the ACA’s Medicaid expansion, premium subsidies, and cost-sharing subsidies, health insurance and healthcare would be unaffordable for millions of Americans. Nearly 10 million people are receiving premium subsidies through the exchanges as of February 2015, and about the same number are receiving free or very low-cost health insurance and healthcare as a result of Medicaid expansion.
  • Repealing the ACA without a solid bipartisan replacement plan would leave health insurance carriers, medical providers and consumers in limbo, particularly now that most of the ACA’s provisions have be implemented. This was a big part of the reason that three Republicans &ndash all of whom oppose the ACA &ndash did not vote to repeal the ACA via HR 596.
  • The bill faces a likely filibuster in the Senate, and certain veto if it reaches President Obama’s desk. Thus, many see it as a waste of taxpayer funds, especially given that it’s a fight that’s been playing on repeat for the last half-decade.
02/03/2015 Status: House passed

More: select a member to see his or her other key health care votes.

Yes (239)
R Robert Aderholt AL
R Mo Brooks AL
R Bradley Byrne AL
R Gary Palmer AL
R Martha Roby AL
R Mike Rogers AL
R Eric Crawford AR
R French Hill AR
R Bruce Westerman AR
R Steve Womack AR
R Trent Franks AZ
R Paul Gosar AZ
R Martha McSally AZ
R Matt Salmon AZ
R David Schweikert AZ
R Ken Calvert CA
R Paul Cook CA
R Jeff Denham CA
R Duncan Hunter CA
R Darrell Issa CA
R Steve Knight CA
R Doug LaMalfa CA
R Kevin McCarthy CA
R Tom McClintock CA
R Devin Nunes CA
R Dana Rohrabacher CA
R Edward Royce CA
R David Valadao CA
R Mimi Walters CA
R Ken Buck CO
R Mike Coffman CO
R Doug Lamborn CO
R Scott Tipton CO
R Gus Bilirakis FL
R Vern Buchanan FL
R Curtis Clawson FL
R Ander Crenshaw FL
R Carlos Curbelo FL
R Ron DeSantis FL
R Mario Diaz-Balart FL
R David Jolly FL
R John Mica FL
R Jeff Miller FL
R Richard Nugent FL
R Bill Posey FL
R Thomas Rooney FL
R Ileana Ros-Lehtinen FL
R Dennis Ross FL
R Daniel Webster FL
R Ted Yoho FL
R Rick Allen GA
R Buddy Carter GA
R Doug Collins GA
R Tom Graves GA
R Jody Hice GA
R Barry Loudermilk GA
R Tom Price GA
R Austin Scott GA
R Lynn Westmoreland GA
R Rob Woodall GA
R Rod Blum IA
R Steve King IA
R David Young IA
R Raúl Labrador ID
R Michael Simpson ID
R Mike Bost IL
R Rodney Davis IL
R Randy Hultgren IL
R Adam Kinzinger IL
R Peter Roskam IL
R Aaron Schock IL
R John Shimkus IL
R Susan Brooks IN
R Larry Bucshon IN
R Luke Messer IN
R Todd Rokita IN
R Marlin Stutzman IN
R Jackie Walorski IN
R Todd Young IN
R Tim Huelskamp KS
R Lynn Jenkins KS
R Mike Pompeo KS
R Kevin Yoder KS
R Garland Barr KY
R Brett Guthrie KY
R Thomas Massie KY
R Harold Rogers KY
R Ed Whitfield KY
R Ralph Abraham LA
R Charles Boustany LA
R John Fleming LA
R Garret Graves LA
R Steve Scalise LA
R Andy Harris MD
R Justin Amash MI
R Dan Benishek MI
R Mike Bishop MI
R Bill Huizenga MI
R Candice Miller MI
R John Moolenaar MI
R Dave Trott MI
R Fred Upton MI
R Tim Walberg MI
R Tom Emmer MN
R John Kline MN
R Erik Paulsen MN
R Sam Graves MO
R Vicky Hartzler MO
R Billy Long MO
R Blaine Luetkemeyer MO
R Jason Smith MO
R Ann Wagner MO
R Gregg Harper MS
R Steven Palazzo MS
R Ryan Zinke MT
R Renee Ellmers NC
R Virginia Foxx NC
R George Holding NC
R Richard Hudson NC
R Walter Jones NC
R Patrick McHenry NC
R Mark Meadows NC
R Robert Pittenger NC
R David Rouzer NC
R Mark Walker NC
R Kevin Cramer ND
R Jeff Fortenberry NE
R Adrian Smith NE
R Frank Guinta NH
R Rodney Frelinghuysen NJ
R Scott Garrett NJ
R Leonard Lance NJ
R Frank LoBiondo NJ
R Tom MacArthur NJ
R Christopher Smith NJ
R Stevan Pearce NM
R Mark Amodei NV
R Cresent Hardy NV
R Joseph Heck NV
R Chris Collins NY
R Christopher Gibson NY
R Richard Hanna NY
R Peter King NY
R Tom Reed NY
R Elise Stefanik NY
R Lee Zeldin NY
R Steve Chabot OH
R Bob Gibbs OH
R Bill Johnson OH
R Jim Jordan OH
R David Joyce OH
R Robert Latta OH
R James Renacci OH
R Steve Stivers OH
R Patrick Tiberi OH
R Michael Turner OH
R Brad Wenstrup OH
R Jim Bridenstine OK
R Tom Cole OK
R Frank Lucas OK
R Markwayne Mullin OK
R Steve Russell OK
R Greg Walden OR
R Lou Barletta PA
R Ryan Costello PA
R Charles Dent PA
R Michael Fitzpatrick PA
R Mike Kelly PA
R Tom Marino PA
R Patrick Meehan PA
R Tim Murphy PA
R Scott Perry PA
R Joseph Pitts PA
R Keith Rothfus PA
R Bill Shuster PA
R Glenn Thompson PA
R Jeff Duncan SC
R Trey Gowdy SC
R Mick Mulvaney SC
R Tom Rice SC
R Marshall Sanford SC
R Joe Wilson SC
R Kristi Noem SD
R Diane Black TN
R Marsha Blackburn TN
R Scott DesJarlais TN
R John Duncan TN
R Stephen Fincher TN
R Charles Fleischmann TN
R Brian Babin TX
R Joe Barton TX
R Kevin Brady TX
R Michael Burgess TX
R John Carter TX
R K. Conaway TX
R John Culberson TX
R Blake Farenthold TX
R Bill Flores TX
R Louie Gohmert TX
R Kay Granger TX
R Jeb Hensarling TX
R Will Hurd TX
R Sam Johnson TX
R Kenny Marchant TX
R Michael McCaul TX
R Randy Neugebauer TX
R Pete Olson TX
R Ted Poe TX
R John Ratcliffe TX
R Pete Sessions TX
R Lamar Smith TX
R Mac Thornberry TX
R Randy Weber TX
R Roger Williams TX
R Rob Bishop UT
R Jason Chaffetz UT
R Mia Love UT
R Chris Stewart UT
R David Brat VA
R Barbara Comstock VA
R J. Forbes VA
R Bob Goodlatte VA
R H. Griffith VA
R Robert Hurt VA
R Edward Rigell VA
R Robert Wittman VA
R J. Herrera Beutler WA
R C. McMorris Rodgers WA
R Dan Newhouse WA
R David Reichert WA
R Sean Duffy WI
R Glenn Grothman WI
R Reid Ribble WI
R Paul Ryan WI
R F. Sensenbrenner WI
R Evan Jenkins WV
R David McKinley WV
R Alex Mooney WV
R Cynthia Lummis WY
No (186)
Our pick
D Terri Sewell AL
D Ruben Gallego AZ
D Raúl Grijalva AZ
D Ann Kirkpatrick AZ
D Kyrsten Sinema AZ
D Pete Aguilar CA
D Karen Bass CA
D Xavier Becerra CA
D Ami Bera CA
D Julia Brownley CA
D Lois Capps CA
D Tony Cárdenas CA
D Jim Costa CA
D Susan Davis CA
D Mark DeSaulnier CA
D Anna Eshoo CA
D Sam Farr CA
D John Garamendi CA
D Janice Hahn CA
D Michael Honda CA
D Jared Huffman CA
D Ted Lieu CA
D Alan Lowenthal CA
D Doris Matsui CA
D Jerry McNerney CA
D Grace Napolitano CA
D Nancy Pelosi CA
D Scott Peters CA
D L. Roybal-Allard CA
D Raul Ruiz CA
D Linda Sánchez CA
D Loretta Sanchez CA
D Adam Schiff CA
D Brad Sherman CA
D Jackie Speier CA
D Eric Swalwell CA
D Mark Takano CA
D Mike Thompson CA
D Norma Torres CA
D Juan Vargas CA
D Maxine Waters CA
D Diana DeGette CO
D Ed Perlmutter CO
D Jared Polis CO
D Joe Courtney CT
D Rosa DeLauro CT
D Elizabeth Esty CT
D James Himes CT
D John Larson CT
D John Carney DE
D Corrine Brown FL
D Kathy Castor FL
D Theodore Deutch FL
D Lois Frankel FL
D Gwen Graham FL
D Alan Grayson FL
D Alcee Hastings FL
D Patrick Murphy FL
D D. Wasserman Schultz FL
D Frederica Wilson FL
D Sanford Bishop GA
D Henry Johnson GA
D John Lewis GA
D David Scott GA
D Tulsi Gabbard HI
D Mark Takai HI
D David Loebsack IA
D Cheri Bustos IL
D Danny Davis IL
R Bob Dold IL
D Bill Foster IL
D Robin Kelly IL
D Daniel Lipinski IL
D Mike Quigley IL
D Bobby Rush IL
D Janice Schakowsky IL
D André Carson IN
D Peter Visclosky IN
D John Yarmuth KY
D Cedric Richmond LA
D Michael Capuano MA
D Katherine Clark MA
D William Keating MA
D Joseph Kennedy MA
D Stephen Lynch MA
D James McGovern MA
D Seth Moulton MA
D Richard Neal MA
D Niki Tsongas MA
D Elijah Cummings MD
D John Delaney MD
D Donna Edwards MD
D Steny Hoyer MD
D C. Ruppersberger MD
D John Sarbanes MD
D Chris Van Hollen MD
D Chellie Pingree ME
R Bruce Poliquin ME
D John Conyers MI
D Debbie Dingell MI
D Daniel Kildee MI
D Brenda Lawrence MI
D Sander Levin MI
D Keith Ellison MN
D Betty McCollum MN
D Richard Nolan MN
D Collin Peterson MN
D Timothy Walz MN
D Wm. Clay MO
D Emanuel Cleaver MO
D Bennie Thompson MS
D Alma Adams NC
D George Butterfield NC
D David Price NC
D Brad Ashford NE
D Ann Kuster NH
D Donald Norcross NJ
D Frank Pallone NJ
D Bill Pascrell NJ
D Donald Payne NJ
D Albio Sires NJ
D B. Watson Coleman NJ
D Ben Luján NM
D M. Lujan Grisham NM
D Dina Titus NV
D Yvette Clarke NY
D Joseph Crowley NY
D Eliot Engel NY
D Brian Higgins NY
D Steve Israel NY
D Hakeem Jeffries NY
R John Katko NY
D Nita Lowey NY
D Carolyn Maloney NY
D Sean Maloney NY
D Gregory Meeks NY
D Grace Meng NY
D Jerrold Nadler NY
D Charles Rangel NY
D Kathleen Rice NY
D José Serrano NY
D Louise Slaughter NY
D Paul Tonko NY
D Nydia Velázquez NY
D Joyce Beatty OH
D Marcia Fudge OH
D Marcy Kaptur OH
D Tim Ryan OH
D Earl Blumenauer OR
D Suzanne Bonamici OR
D Peter DeFazio OR
D Kurt Schrader OR
D Brendan Boyle PA
D Robert Brady PA
D Matthew Cartwright PA
D Michael Doyle PA
D Chaka Fattah PA
D David Cicilline RI
D James Langevin RI
D James Clyburn SC
D Steve Cohen TN
D Jim Cooper TN
D Joaquin Castro TX
D Henry Cuellar TX
D Lloyd Doggett TX
D Al Green TX
D Gene Green TX
D Rubén Hinojosa TX
D Sheila Jackson Lee TX
D Eddie Johnson TX
D Beto O’Rourke TX
D Marc Veasey TX
D Filemon Vela TX
D Donald Beyer VA
D Gerald Connolly VA
D Robert Scott VA
D Peter Welch VT
D Suzan DelBene WA
D Denny Heck WA
D Derek Kilmer WA
D Rick Larsen WA
D Jim McDermott WA
D Adam Smith WA
D Ron Kind WI
D Gwen Moore WI
D Mark Pocan WI
Not Voting (8)
R Don Young AK
D Judy Chu CA
D Barbara Lee CA
D Zoe Lofgren CA
D Tammy Duckworth IL
D Luis Gutiérrez IL
R Alan Nunnelee MS
R David Roe TN