House votes again to repeal health law

Republicans vote as bloc; Senate passage unlikely

WASHINGTON – For the 33rd time, House Republicans took legislative aim at the nation’s new health care law – this time in a largely symbolic vote to repeal it.

The two-day floor debate was orchestrated by GOP leaders in an effort to tap into the deep disagreements that remain two years after President Barack Obama’s signature domestic achievement became law.

Americans continue to give the Affordable Care Act mixed reviews, with conservative and some independent voters among the most opposed. After the Supreme Court upheld the law in a landmark decision this summer, Republican leaders promised another repeal vote. It’s a strategy that poses some risk as polls show Americans want to move on to other issues.

The House voted 244-185 Wednesday, with all Republicans present voting for repeal. Five Democrats joined the GOP.

The bill will languish in the Senate, where Democrats, who have the majority in that chamber, have complained that the vote is a waste of time given the sluggish economy and disappointing jobs outlook.

Obama sought this week to push the next issue – a tax increase if Congress fails to extend lower rates due to expire at year’s end. The president called on Congress to keep the George W. Bush-era tax cuts for income up to $250,000 – essentially proposing a tax increase on wealthier households, which Republicans oppose.

As hours of debate over the health care law came to an end, House Speaker John Boehner, R-Ohio, launched closing arguments.

“I think there’s a better way and that’s why we’re here today,” he said. “We’re giving our colleagues in the Senate another chance to heed the will of the American people. It’s an opportunity to do the right thing for our country.”

Republicans and their allies in the business community have attacked the health care law as an overreach by government that will raise health care costs and impose new taxes.

At its core, the health care law requires most Americans to have insurance or pay a fine, which the Supreme Court recently concluded was a tax.

Those who do not receive coverage through their employers could buy it on new state-based exchanges. Many will receive federal assistance to pay the premiums.

Businesses with more than 50 employees would be required to provide insurance to their workers, or pay a penalty, while smaller businesses would receive tax credits if they provided coverage. Most of the provisions in the law do not kick in until 2014.

Rep. Nancy Pelosi, D-Calif., the minority leader who as House speaker was an architect of the 2010 legislation, focused on parts of the law already in effect, including provisions that bar insurance companies from refusing coverage for children with pre-existing medical conditions, allow young adults to remain on their parents’ policies until age 26 and help seniors afford prescription drugs.

“Republicans must stop this effort to take away patient protections from Americans,” Pelosi said.

Range of opinions

 Americans give the Affordable Care Act mixed reviews. In a Washington Post/ABC News poll this month, 47 percent of those surveyed said they opposed the law, 47 percent said they supported it and 6 percent expressed no opinion.

 Among those who said they were opposed or had no opinion, 33 percent said they wanted it all repealed, 30 percent said they wanted parts repealed and 34 percent said they wanted to wait and see what happens without repeal.