The House of Representatives on Sunday passed a major package of changes to the health care reform bill.
The package passed in a 220-211 vote. All 178 Republicans opposed it, along with 33 Democrats.
The changes, which must be approved by the Senate, would increase the total cost of the bill in its first 10 years from $875 billion to $940 billion.
Among other things, the package would expand insurance subsidies for middle- and lower-income families.
It would also scale back the bill's taxes on high-end insurance plans.