National Health Care reform narrowly passes 220-215

Democrats were forced to make major concessions on insurance coverage for abortions to attract the final votes to secure passage, a wrenching compromise for the numerous abortion-rights advocates in their ranks.

Many of them hope to make changes to the amendment during negotiations with the Senate, which will now become the main battleground in the health care fight as Democrats there ready their own bill for what is likely to be extensive floor debate.

Democrats say the House measure - paid for through new fees and taxes, along with cuts in Medicare - would extend coverage to 36 million people now without insurance while creating a government health insurance program. It would end insurance company practices like not covering pre-existing conditions or dropping people when they become ill.

Republicans condemned the vote and said they would oppose the measure as it proceeds on its legislative route. "This government takeover has got a long way to go before it gets to the president's desk, and I'll continue to fight it tooth and nail at every turn," said Representative Kevin Brady, Republican of Texas. "Health care is too important to get it wrong."

On the House floor, Democrats exchanged high-fives and cheered wildly - and Republicans sat quietly - when the tally display showed the 218th and decisive vote, after the leadership spent countless hours in recent days wringing commitments out of House members.