Skip to main content

The context you need, when you need it

When news breaks, you need to understand what actually matters — and what to do about it. At Vox, our mission to help you make sense of the world has never been more vital. But we can’t do it on our own.

We rely on readers like you to fund our journalism. Will you support our work and become a Vox Member today?

Join now

How to watch the AHCA House vote: what to expect from the vote to replace Obamacare

Paul Ryan
Paul Ryan
Alex Wong/Getty
Dylan Scott
Dylan Scott covers health for Vox, guiding readers through the emerging opportunities and challenges in improving our health. He has reported on health policy for more than 10 years, writing for Governing magazine, Talking Points Memo, and STAT before joining Vox in 2017.

House Republicans will finally vote on Thursday to pass their health care bill, the American Health Care Act.

Leadership announced the planned vote Wednesday evening. It is scheduled to happen Thursday from 1:15 to 1:45 p.m., and will be streaming live on HouseLive.gov.

Republicans have been laboring for months to deliver on their promise to repeal and replace Obamacare. Their previous bid failed in late March, once House leaders and the Trump White House realized they didn’t have enough to support to pass it.

After that embarrassment, House leaders have promised not to put the bill on the House floor unless they had the votes to pass it. While most public whip counts show a razor-thin margin, leadership is apparently confident they have the votes they need.

AHCA would significantly overhaul Obamacare, repealing some of its provisions and changing others, as my colleague Sarah Kliff explained in great detail.

The bill would cut spending for Medicaid, the insurance program for low-income Americans that is the biggest insurer in the United States, by $800 billion over 10 years. The Congressional Budget Office estimated that earlier versions of the AHCA would lead to as many as 24 million more Americans being uninsured.

The most recent revisions to the bill have not been analyzed by CBO, so lawmakers will be voting on a bill without fully knowing what it would do or cost.

House leaders, some key members from the far-right and centrist wings of the House Republican caucus, and Trump officials have been scrambling to find the votes they need after their March failure. A provision that lets states opt out of some of Obamacare’s protections for people with high medical costs, with some requirements, won over much of the right flank. On Wednesday, moderate lawmakers put forward a proposal to provide more money to help people affected by those waivers afford their coverage.

The bill would head to an uncertain future in the Senate, where many Republicans have expressed concerns about its policies.

More in Politics

The Logoff
Trump’s DOJ wants to undo January 6 convictionsTrump’s DOJ wants to undo January 6 convictions
The Logoff

How the Trump administration is still trying to rewrite January 6 history.

By Cameron Peters
Politics
Donald Trump messed with the wrong popeDonald Trump messed with the wrong pope
Politics

Trump fought with Pope Francis before. He’s finding Pope Leo XIV to be a tougher foil.

By Christian Paz
Podcasts
A cautionary tale about tax cutsA cautionary tale about tax cuts
Podcast
Podcasts

California cut property taxes in the 1970s. It didn’t go so well.

By Miles Bryan and Noel King
Podcasts
Obama’s top Iran negotiator on Trump’s screwupsObama’s top Iran negotiator on Trump’s screwups
Podcast
Podcasts

Wendy Sherman helped Obama reach a deal with Iran. Here’s what she thinks Trump is doing wrong.

By Kelli Wessinger and Noel King
Politics
The Supreme Court could legalize moonshine, and ruin everything elseThe Supreme Court could legalize moonshine, and ruin everything else
Politics

McNutt v. DOJ could allow the justices to seize tremendous power over the US economy.

By Ian Millhiser
The Logoff
The new Hormuz blockade, briefly explainedThe new Hormuz blockade, briefly explained
The Logoff

Trump tries Iran’s playbook.

By Cameron Peters