Susan Collins

Senate narrowly votes to begin uncertain health care debate

Senate narrowly votes to begin uncertain health care debate

Reviving their touch-and-go effort to repeal the Affordable Care Act, Senate Republicans narrowly agreed Tuesday to begin debate on an undefined health care bill that could change how millions of Americans obtain insurance.

In a dramatic showdown that required Vice President Mike Pence to break a tie vote and that prompted Republican Sen. John McCain to return to Washington days after a cancer diagnosis, the Senate agreed to start an unusual and grueling process of drafting legislation — amendment by amendment — on the Senate floor.

The 51-50 vote to begin debate was a shot of momentum for Republicans, including President Donald J. Trump, whose years-old quest to dismantle...

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