US Congress sends bill to gut Obamacare, to certain veto

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House GOP Puts Bill To Defund Obamacare On Obama's Desk

WASHINGTON (Reuters) -- The U.S. Congress on Wednesday approved legislation dismantling President Barack Obama's signature health care plan, putting on his desk an election-year measure that faces a certain veto.

Republicans have been vowing to gut the Affordable Care Act, also known as "Obamacare," since 2010, when the then Democratic-majority Congress passed the landmark program designed to provide health care for millions of uninsured Americans - over the united opposition of Republicans.

The House has voted to dismantle Obamacare dozens of times, but Republicans were unable to get a repeal measure through the Senate until late last year, when they used a procedural maneuver denying Democrats' ability to block the legislation.

SEE ALSO: The 'biggest threat yet' to Obamacare could soon be carried out by Democrats

The Republican-run House of Representatives finalized passage on Wednesday on a 240-181 vote, sending the bill to the White House. Republican leaders are expected to try to override Obama's promised veto, but they lack the two-thirds majority needed to do so.

The bill would also take funds away from Planned Parenthood, another target of Republicans after undercover videos showed officials of the women's healthcare provider discussing the sale of fetus parts for research.

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US Congress sends bill to gut Obamacare, to certain veto
MIAMI, FL - DECEMBER 15: A person walks into the UniVista Insurance company office where people are signing up for health care plans under the Affordable Care Act, also known as Obamacare, on December 15, 2015 in Miami, Florida. Today, is the deadline to sign up for a plan under the Affordable Care Act for people that want to be insured on January 1, 2016. (Photo by Joe Raedle/Getty Images)
House Health subcommittee member Rep. Diane Black, R-Tenn., questions Dr. Mandy Cohen, chief of staff, Centers for Medicare and Medicaid Services, during a hearing on the state of Obamacare's CO-OP Program, on Capitol Hill in Washington, Tuesday, Nov. 3, 2015. The argument at the hearing was the Obama administration's most direct response to a wave of seven co-ops closing in Oct., 2015. (AP Photo/Cliff Owen)
US President Barack Obama speaks about healthcare reforms and the Affordable Care Act, known as Obamacare, during the Catholic Hospital Association Conference in Washington, DC, June 9, 2015. AFP PHOTO / SAUL LOEB (Photo credit should read SAUL LOEB/AFP/Getty Images)
President Barack Obama speaks during Catholic Hospital Association Conference in Washington on Tuesday, June 9, 2015. Obama defended the health care overhaul just days ahead of an anticipated decision by the Supreme Court that could eliminate health care for millions of people. (AP Photo/Jose Luis Magana)
WASHINGTON, DC - MARCH 04: Supporters of the Affordable Care Act gather in front of the U.S Supreme Court during a rally March 4, 2015 in Washington, DC. The Supreme Court was scheduled to hear oral arguments in the case of King v. Burwell that could determine the fate of health care subsidies for as many as eight million people. (Photo by Alex Wong/Getty Images)
Protestors hold placards challenging 'Obamacare' outside of the US Supreme Court on March 4, 2015 in Washington, DC. The US Supreme Court faces a momentous case Wednesday on the sweeping health insurance reform law that President Barack Obama wants to leave as part of his legacy. The question before the court is whether the seven million people or more who subscribed via the government's website can obtain tax subsidies that make the coverage affordable. A ruling is expected in June. AFP PHOTO/MANDEL NGAN (Photo credit should read MANDEL NGAN/AFP/Getty Images)
WASHINGTON, DC - MARCH 04: Supporters of the Affordable Care Act gather in front of the U.S Supreme Court during a rally March 4, 2015 in Washington, DC. The Supreme Court was scheduled to hear oral arguments in the case of King v. Burwell that could determine the fate of health care subsidies for as many as eight million people. (Photo by Alex Wong/Getty Images)
Speaker of the House John Boehner, R-Ohio, returns to his office after the House voted to repeal the Patient Protection and Affordable Care Act, at the Capitol in Washington, Tuesday, Feb. 3, 2015. The Republican-controlled House voted along party lines to repeal the health care law that stands as President Barack Obama's signature domestic achievement, but this time the bill carried instructions for several committees to replace "Obamacare" with new policies. The legislation now goes to the Senate, where it is unlikely to pass, and even if it does, Obama has threatened a veto. (AP Photo/J. Scott Applewhite)
A graph and details on health care costs and the Affordable Care Act are seen in President Barack Obama's new $4 trillion budget plan that was sent to Congress today, on Capitol Hill in Washington, early Monday, Feb. 02, 2015. The fiscal blueprint, for the budget year that begins Oct. 1, seeks to raise taxes on wealthier Americans and corporations and use the extra income to lift the fortunes of families who have felt squeezed during tough economic times. Republicans, who now hold the power in Congress, are accusing the president of seeking to revert to tax-and-spend policies that will harm the economy while failing to do anything about soaring spending on government benefit programs. (AP Photo/J. Scott Applewhite)
House Rules Committee Chairman Pete Sessions, R-Texas, opens a meeting of the House Rules Committee as the panel prepares a bill to repeal the Patient Protection and Affordable Care Act, often called Obamacare, that is scheduled to go to the floor this week, at the Capitol in Washington, Monday, Feb. 02, 2015. (AP Photo/J. Scott Applewhite)
Rep. Michael C. Burgess, R-Texas, left, joined by Rep. Frank Pallone Jr., D-N.J., right, testifies as the House Rules Committee prepares a bill to repeal the Patient Protection and Affordable Care Act, often called Obamacare, that is scheduled to go to the floor this week, at the Capitol in Washington, Monday, Feb. 2, 2015. Burgess, a medical doctor, is a member of the House Subcommittee on Health which has jurisdiction in matters of health insurance. Pallone is the top Democrat on the Health Subcommittee. (AP Photo/J. Scott Applewhite)
FILE - In this file photo taken with a fisheye lens April 6, 2013, Arkansas legislators meet in the House chamber at the Arkansas state Capitol in Little Rock, Ark. Arkansas Gov. A wave of newly elected Republican lawmakers who ran on vows to fight so-called Obamacare, including the state’s “private option” Medicaid expansion, has raised doubts about the future of a leading model for conservative states to gradually adapt to the federal health care law. (AP Photo/Danny Johnston, File)
Rep. Steve Stivers, R-Ohio, a member of the House Rules Committee, makes a point as the panel prepares a bill to repeal the Patient Protection and Affordable Care Act, often called Obamacare, that is scheduled to go to the floor this week, at the Capitol in Washington, Monday, Feb. 2, 2015. (AP Photo/J. Scott Applewhite)
President Barack Obama gestures as he speaks to the Catholic Hospital Association Conference at the Washington Marriott Wardman Park in Washington, Tuesday, June 9, 2015. Obama declared that his 5-year-old health care law is firmly established as the "reality" of health care in America, even as he awaits a Supreme Court ruling that could undermine it. (AP Photo/Carolyn Kaster)
US President Barack Obama speaks about healthcare reforms and the Affordable Care Act, known as Obamacare, during the Catholic Hospital Association Conference in Washington, DC, June 9, 2015. AFP PHOTO / SAUL LOEB (Photo credit should read SAUL LOEB/AFP/Getty Images)
WASHINGTON, DC - MARCH 04: Five-year-old James Cook of Cleveland, Ohio, participates in a rally to support the Affordable Care Act in front of the U.S Supreme Court March 4, 2015 in Washington, DC. The Supreme Court was scheduled to hear oral arguments in the case of King v. Burwell that could determine the fate of health care subsidies for as many as eight million people. (Photo by Alex Wong/Getty Images)
FILE - In this March 25, 2015, file photo, Margot Riphagen, of New Orleans, wears a birth control pills costume as she protests in front of the Supreme Court in Washington, as the court heard oral arguments in the challenges of President Barack Obama's health care law requirement that businesses provide their female employees with health insurance that includes access to contraceptives. Some insurance plans offered on the health marketplaces violate the law’s requirements for women’s health, according to a new report from a women’s legal advocacy group. The National Women’s Law Center analyzed plans in 15 states over two years and found some excluded dependents from maternity coverage, prohibited coverage of breast pumps or failed to cover all federally approved birth control methods. (AP Photo/Charles Dharapak, File)
WASHINGTON, DC - MARCH 04: Supporters of the Affordable Care Act gather in front of the U.S Supreme Court during a rally March 4, 2015 in Washington, DC. The Supreme Court was scheduled to hear oral arguments in the case of King v. Burwell that could determine the fate of health care subsidies for as many as eight million people. (Photo by Alex Wong/Getty Images)
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Democrats scoffed at the Obamacare repeal, with Representative Chris van Hollen saying Obama would veto it in a "nanosecond." But Republicans insisted passing the bill was important to keep a promise to their political base.

SEE ALSO: Ted Cruz blasts Washington Post cartoon of daughters as monkeys

"We are confronting the president with the hard, honest truth. Obamacare doesn't work," House Speaker Paul Ryan said. Republicans intend to propose a replacement, but for it to become law, "ultimately, this is going to require a Republican president," Ryan said.

Some plans sold via Obamacare insurance exchanges have been struggling with weak enrollment, higher-than-expected medical costs and increased premiums.

But Democrats say the law has insured more Americans and is helping slow the growth in health care spending. The government estimated over 9.1 million people were enrolled for health care through the program at the end of 2015.

Any repeal of Obamacare would phase out an expansion of Medicaid healthcare benefits for the poor and eliminate health insurance subsidies for millions of Americans.

But it would save money. The Congressional Budget Office said the legislation would reduce the deficit by $516 billion over 10 years.

SEE ALSO: Budget bill limits new food advice, edited humans, GM salmon

Republicans were unapologetic about proposing to shrink Medicaid, saying it needs reform. "Under Obamacare, millions of Americans have been added to a Medicaid system that is already failing to provide its beneficiaries with adequate access to physicians and treatments," said Representative Tom Price.

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