Most Republicans criticized the measure's $1 trillion price tag, new taxes on the wealthy and what they said was excessive government interference in the private health sector.
'Thanks to the hard work of the House, we are just two steps away from achieving health insurance reform in America. Now the United States Senate must follow suit and pass its version of the legislation. I am absolutely confident it will,' Mr Obama said in a statement after the vote.
The overhaul would spark the biggest changes in the $2.5 trillion US healthcare system since the creation of the Medicare government health program for the elderly in 1965.
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