The Senate voted on Tuesday to begin debate on repealing the Affordable Care Act. Republican leaders have not yet said which version of their legislation they will be debating.
Sign up for our Morning Briefing for ongoing coverage of health care and other major news.
The Senate voted to proceed to debate on the Republican health care bill. Here’s what’s next »
| Majority needed to pass | Yes | No |
|---|---|---|
| Republicans | 51 | 2 |
| Democrats | 0 | 48 |
| Total | 51 | 50 |
Senators will now begin a period of debate, lasting up to 20 hours, on various amendments to the House version of the bill, which passed in May. After debate, they will begin a “vote-a-rama” — a period of successive votes on the offered amendments. Mitch McConnell, the majority leader, could introduce a substitute amendment that would replace all of the others.
Finally, the legislation would move to a final vote. If it passes, the same version will have to be approved by the House before being sent to the president to sign.
How Republicans Voted
Below are all Republican senators arranged from least conservative on the top left to most conservative on the bottom right.
N
Collins, Me.
N
Murkowski, Alaska
Y
Capito, W.Va.
Y
Cochran, Miss.
Y
Alexander, Tenn.
Y
Hoeven, N.D.
Y
Grassley, Iowa
Y
Portman, Ohio
Y
Wicker, Miss.
Y
McCain, Ariz.
Y
Hatch, Utah
Y
Rounds, S.D.
Y
Corker, Tenn.
Y
Boozman, Ark.
Y
Isakson, Ga.
Y
McConnell, Ky.
Y
Graham, S.C.
Y
Thune, S.D.
Y
Moran, Kan.
Y
Roberts, Kan.
Y
Blunt, Mo.
Y
Shelby, Ala.
Y
Tillis, N.C.
Y
Cassidy, La.
Y
Burr, N.C.
Y
Gardner, Colo.
Y
Sullivan, Alaska
Y
Heller, Nev.
Y
Fischer, Neb.
Y
Young, Ind.
Y
Cornyn, Tex.
Y
Crapo, Idaho
Y
Ernst, Iowa
Y
Barrasso, Wyo.
Y
Daines, Mont.
Y
Enzi, Wyo.
Y
Inhofe, Okla.
Y
Lankford, Okla.
Y
Rubio, Fla.
Y
Johnson, Wis.
Y
Cotton, Ark.
Y
Toomey, Pa.
Y
Risch, Idaho
Y
Perdue, Ga.
Y
Scott, S.C.
Y
Strange, Ala.
Y
Kennedy, La.
Y
Sasse, Neb.
Y
Flake, Ariz.
Y
Paul, Ky.
Y
Cruz, Tex.
Y
Lee, Utah
Some Senate Republicans previously opposed or had major concerns with at least one of the draft versions of the bill.
| 41 supported | Yes | No |
|---|---|---|
| Total | 41 | 0 |
| Lamar Alexander Alexander Tenn. |
Y
|
N
|
| John Barrasso Barrasso Wyo. |
Y
|
N
|
| Roy Blunt Blunt Mo. |
Y
|
N
|
| John Boozman Boozman Ark. |
Y
|
N
|
| Richard M. Burr Burr N.C. |
Y
|
N
|
| Thad Cochran Cochran Miss. |
Y
|
N
|
| Bob Corker Corker Tenn. |
Y
|
N
|
| John Cornyn Cornyn Tex. |
Y
|
N
|
| Tom Cotton Cotton Ark. |
Y
|
N
|
| Michael D. Crapo Crapo Idaho |
Y
|
N
|
| Steve Daines Daines Mont. |
Y
|
N
|
| Michael B. Enzi Enzi Wyo. |
Y
|
N
|
| Joni Ernst Ernst Iowa |
Y
|
N
|
| Deb Fischer Fischer Neb. |
Y
|
N
|
| Jeff Flake Flake Ariz. |
Y
|
N
|
| Cory Gardner Gardner Colo. |
Y
|
N
|
| Lindsey Graham Graham S.C. |
Y
|
N
|
| Charles E. Grassley Grassley Iowa |
Y
|
N
|
| Orrin G. Hatch Hatch Utah |
Y
|
N
|
| James M. Inhofe Inhofe Okla. |
Y
|
N
|
| Johnny Isakson Isakson Ga. |
Y
|
N
|
| John Kennedy Kennedy La. |
Y
|
N
|
| James Lankford Lankford Okla. |
Y
|
N
|
| John McCain McCain Ariz. |
Y
|
N
|
| Mitch McConnell McConnell Ky. |
Y
|
N
|
| Vice President Mike Pence Pence |
Y
|
N
|
| David Perdue Perdue Ga. |
Y
|
N
|
| Jim Risch Risch Idaho |
Y
|
N
|
| Pat Roberts Roberts Kan. |
Y
|
N
|
| Mike Rounds Rounds S.D. |
Y
|
N
|
| Marco Rubio Rubio Fla. |
Y
|
N
|
| Ben Sasse Sasse Neb. |
Y
|
N
|
| Tim Scott Scott S.C. |
Y
|
N
|
| Richard C. Shelby Shelby Ala. |
Y
|
N
|
| Luther Strange Strange Ala. |
Y
|
N
|
| Dan Sullivan Sullivan Alaska |
Y
|
N
|
| John Thune Thune S.D. |
Y
|
N
|
| Thom Tillis Tillis N.C. |
Y
|
N
|
| Patrick J. Toomey Toomey Pa. |
Y
|
N
|
| Roger Wicker Wicker Miss. |
Y
|
N
|
| Todd Young Young Ind. |
Y
|
N
|
| 12 had concerns | Yes | No |
|---|---|---|
| Total | 10 | 2 |
| Susan Collins Collins Me. |
Y
|
N
|
| Lisa Murkowski Murkowski Alaska |
Y
|
N
|
| Shelley Moore Capito Capito W.Va. |
Y
|
N
|
| Bill Cassidy Cassidy La. |
Y
|
N
|
| Ted Cruz Cruz Tex. |
Y
|
N
|
| Dean Heller Heller Nev. |
Y
|
N
|
| John Hoeven Hoeven N.D. |
Y
|
N
|
| Ron Johnson Johnson Wis. |
Y
|
N
|
| Mike Lee Lee Utah |
Y
|
N
|
| Jerry Moran Moran Kan. |
Y
|
N
|
| Rand Paul Paul Ky. |
Y
|
N
|
| Rob Portman Portman Ohio |
Y
|
N
|
Votes by Party
All 48 Democrats were expected to vote no, so at least 50 Republicans were needed for the vote to pass. Vice President Mike Pence voted to break the tie.
| 53 Republicans | Yes | No |
|---|---|---|
| Total | 51 | 2 |
| Susan Collins Collins Me. |
Y
|
N
|
| Lisa Murkowski Murkowski Alaska |
Y
|
N
|
| Lamar Alexander Alexander Tenn. |
Y
|
N
|
| John Barrasso Barrasso Wyo. |
Y
|
N
|
| Roy Blunt Blunt Mo. |
Y
|
N
|
| John Boozman Boozman Ark. |
Y
|
N
|
| Richard M. Burr Burr N.C. |
Y
|
N
|
| Shelley Moore Capito Capito W.Va. |
Y
|
N
|
| Bill Cassidy Cassidy La. |
Y
|
N
|
| Thad Cochran Cochran Miss. |
Y
|
N
|
| Bob Corker Corker Tenn. |
Y
|
N
|
| John Cornyn Cornyn Tex. |
Y
|
N
|
| Tom Cotton Cotton Ark. |
Y
|
N
|
| Michael D. Crapo Crapo Idaho |
Y
|
N
|
| Ted Cruz Cruz Tex. |
Y
|
N
|
| Steve Daines Daines Mont. |
Y
|
N
|
| Michael B. Enzi Enzi Wyo. |
Y
|
N
|
| Joni Ernst Ernst Iowa |
Y
|
N
|
| Deb Fischer Fischer Neb. |
Y
|
N
|
| Jeff Flake Flake Ariz. |
Y
|
N
|
| Cory Gardner Gardner Colo. |
Y
|
N
|
| Lindsey Graham Graham S.C. |
Y
|
N
|
| Charles E. Grassley Grassley Iowa |
Y
|
N
|
| Orrin G. Hatch Hatch Utah |
Y
|
N
|
| Dean Heller Heller Nev. |
Y
|
N
|
| John Hoeven Hoeven N.D. |
Y
|
N
|
| James M. Inhofe Inhofe Okla. |
Y
|
N
|
| Johnny Isakson Isakson Ga. |
Y
|
N
|
| Ron Johnson Johnson Wis. |
Y
|
N
|
| John Kennedy Kennedy La. |
Y
|
N
|
| James Lankford Lankford Okla. |
Y
|
N
|
| Mike Lee Lee Utah |
Y
|
N
|
| John McCain McCain Ariz. |
Y
|
N
|
| Mitch McConnell McConnell Ky. |
Y
|
N
|
| Jerry Moran Moran Kan. |
Y
|
N
|
| Rand Paul Paul Ky. |
Y
|
N
|
| Vice President Mike Pence Pence |
Y
|
N
|
| David Perdue Perdue Ga. |
Y
|
N
|
| Rob Portman Portman Ohio |
Y
|
N
|
| Jim Risch Risch Idaho |
Y
|
N
|
| Pat Roberts Roberts Kan. |
Y
|
N
|
| Mike Rounds Rounds S.D. |
Y
|
N
|
| Marco Rubio Rubio Fla. |
Y
|
N
|
| Ben Sasse Sasse Neb. |
Y
|
N
|
| Tim Scott Scott S.C. |
Y
|
N
|
| Richard C. Shelby Shelby Ala. |
Y
|
N
|
| Luther Strange Strange Ala. |
Y
|
N
|
| Dan Sullivan Sullivan Alaska |
Y
|
N
|
| John Thune Thune S.D. |
Y
|
N
|
| Thom Tillis Tillis N.C. |
Y
|
N
|
| Patrick J. Toomey Toomey Pa. |
Y
|
N
|
| Roger Wicker Wicker Miss. |
Y
|
N
|
| Todd Young Young Ind. |
Y
|
N
|
| 48 Democrats | Yes | No |
|---|---|---|
| Total | 0 | 48 |
| Tammy Baldwin Baldwin Wis. |
Y
|
N
|
| Michael Bennet Bennet Colo. |
Y
|
N
|
| Richard Blumenthal Blumenthal Conn. |
Y
|
N
|
| Cory Booker Booker N.J. |
Y
|
N
|
| Sherrod Brown Brown Ohio |
Y
|
N
|
| Maria Cantwell Cantwell Wash. |
Y
|
N
|
| Benjamin L. Cardin Cardin Md. |
Y
|
N
|
| Thomas R. Carper Carper Del. |
Y
|
N
|
| Bob Casey Casey Pa. |
Y
|
N
|
| Chris Coons Coons Del. |
Y
|
N
|
| Catherine Cortez Masto Cortez Masto Nev. |
Y
|
N
|
| Joe Donnelly Donnelly Ind. |
Y
|
N
|
| Tammy Duckworth Duckworth Ill. |
Y
|
N
|
| Richard J. Durbin Durbin Ill. |
Y
|
N
|
| Dianne Feinstein Feinstein Calif. |
Y
|
N
|
| Al Franken Franken Minn. |
Y
|
N
|
| Kirsten Gillibrand Gillibrand N.Y. |
Y
|
N
|
| Kamala Harris Harris Calif. |
Y
|
N
|
| Maggie Hassan Hassan N.H. |
Y
|
N
|
| Martin Heinrich Heinrich N.M. |
Y
|
N
|
| Heidi Heitkamp Heitkamp N.D. |
Y
|
N
|
| Mazie K. Hirono Hirono Hawaii |
Y
|
N
|
| Tim Kaine Kaine Va. |
Y
|
N
|
| Angus King King Me. |
Y
|
N
|
| Amy Klobuchar Klobuchar Minn. |
Y
|
N
|
| Patrick J. Leahy Leahy Vt. |
Y
|
N
|
| Joe Manchin III Manchin III W.Va. |
Y
|
N
|
| Edward J. Markey Markey Mass. |
Y
|
N
|
| Claire McCaskill McCaskill Mo. |
Y
|
N
|
| Robert Menendez Menendez N.J. |
Y
|
N
|
| Jeff Merkley Merkley Ore. |
Y
|
N
|
| Christopher S. Murphy Murphy Conn. |
Y
|
N
|
| Patty Murray Murray Wash. |
Y
|
N
|
| Bill Nelson Nelson Fla. |
Y
|
N
|
| Gary Peters Peters Mich. |
Y
|
N
|
| Jack Reed Reed R.I. |
Y
|
N
|
| Bernie Sanders Sanders Vt. |
Y
|
N
|
| Brian Schatz Schatz Hawaii |
Y
|
N
|
| Chuck Schumer Schumer N.Y. |
Y
|
N
|
| Jeanne Shaheen Shaheen N.H. |
Y
|
N
|
| Debbie Stabenow Stabenow Mich. |
Y
|
N
|
| Jon Tester Tester Mont. |
Y
|
N
|
| Tom Udall Udall N.M. |
Y
|
N
|
| Chris Van Hollen Van Hollen Md. |
Y
|
N
|
| Mark Warner Warner Va. |
Y
|
N
|
| Elizabeth Warren Warren Mass. |
Y
|
N
|
| Sheldon Whitehouse Whitehouse R.I. |
Y
|
N
|
| Ron Wyden Wyden Ore. |
Y
|
N
|