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US House passes Obama health bill
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The Democratic-controlled US House of Representatives has passed historic health care legislation to provide medical coverage to millions more Americans.
Most Americans would be required to carry insurance and large employers would be obliged to cover their employees.
The passage clears the way for a Senate debate expected to begin in several days.
In a victory for President Barack Obama, the legislation will place tough new restrictions on the insurance industry, and the 220-215 vote saw nearly unanimous opposition from the Republicans.
Speaker Nancy Pelosi likened the legislation to the passage of the government's Social Security pension programme in 1935 and Medicare health insurance for the elderly 30 years later.
"It provides coverage for 96% of Americans. It offers everyone, regardless of health or income, the peace of mind that comes from knowing they will have access to affordable health care when they need it," said John Dingell, an 83-year-old Democratic Representative who has introduced national health insurance in every Congress since succeeding his father in 1955.
In the run-up to a final vote, conservatives from the two political parties joined forces to impose tough new restrictions on abortion coverage in insurance policies to be sold to many individuals and small groups. They prevailed on a roll call of 240-194.
Ironically, that only solidified support for the legislation, clearing the way for conservative Democrats to vote for it. The legislation would require most Americans to carry insurance and provide federal subsidies to those who otherwise could not afford it.
Large companies would have to offer coverage to their employees. Both consumers and companies would be slapped with penalties if they defied the government's mandates.
Insurance industry practices such as denying coverage on the basis of pre-existing medical conditions would be banned, and insurers would no longer be able to charge higher premiums on the basis of gender or medical history.
