The House passed a bill to repeal and replace the Affordable Care Act by a four-vote margin May 4. The final vote was 217-213.
Assuming that all Democrats voted against the bill — which they did — the Republicans needed to avoid having 22 of its own House members defect to the "no" camp. In the finally tally, 20 Republicans voted against the measure.
This latest GOP repeal-and-replace bill was rushed through with such speed that the Congressional Budget Office did not have time to prepare an analysis of it before the vote.