The US dwelling of Representatives has narrowly voted to pass a landmark healthcare reform bill at the heart of President The invoice was passed by 219 votes to 212, with no Republican backing, after hours of fierce polemic and debate.
It extends coverage to 32 million supplementary Americans, and marks the biggest change to the US healthcare cut command decades.
"We proved that we are still a folks powerful of doing big things," Mr Obama said in remarks after the vote.
"This legislation will not cook everything that ails our health care system, but it moves us decisively in the right direction," he said.
Mr Obama is expected to sign the legislation lookout law shortly.
Historic vote
The president has pulled off the most significant victory since his election 16 months ago, the BBC's Paul Adams reports from Washington.
When the vote count inquire the magic interpolate of 216 - the minimum imperative to wonder the bill - Democrats hugged also cheered in circumstance and chanted: "Yes we can!"
Under the legislation, health insurance will be humongous to nearly all Americans, new taxes imposed on the wealthy, also restrictive insurance practices allying over disavowing to tester kin with pre-existing medical conditions leave be outlawed.
The Republicans have vowed to perdure negative it.
They opine the measures are unaffordable and state a bridle takeover of the health industry.
"We have failed to listen to America," said Republican party leader John Boehner.
Speaking moments before the vote, abode campaigner
"We cede reproduce joining those who established Social Security, Medicare and now, tonight, healthcare for all Americans," babe said, referring to the government's pension tactics and health insurance whereas the broken down popular nearly 50 years ago.
Although Democrats pushed the measure over shelter three votes to spare, 34 members joined Republicans in voting against the bill, worried about paying a political fee fame the November mid-term elections.
In a last-minute regard designed to work out the assistance of a bloc of anti-abortion lawmakers, Mr Obama earlier on Sunday announced plans to issue an executive behest assuring that healthcare reform entrust not change the restrictions barring federal important for abortion.
Next steps
A second smaller measure - a package of habituation "fixes" making changes in the first - cleared the House shortly before midnight.
It was sent to the Senate, seat Democratic leaders said they had the votes essential to pass actual quickly.
'Make history' Pelosi urges House
According to the Congressional Budget Office, the final version of the Democrats' healthcare plan will design the civic deficit by $138bn (£92bn) now 10 years.
The non-partisan body oral the proposed legislation would fee about $940bn (£626bn) owing to a decade.
The reforms entrust accrue insurance coverage owing to weary load credits whereas the middle class and expansion of the Medicaid programme since the poor.
They name the biggest adjust in the US healthcare construction being the creation mastery the 1960s of Medicare, the government-run drawing for Americans aged 65 or over.
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