The Senate has voted overwhelmingly to kill President Donald Trump’s signature health care law, setting up a battle with Democrats that could drag on into 2018.
With the vote, Senate Republicans have secured enough votes to pass a repeal of the Affordable Care Act, the signature domestic achievement of President Barack Obama.
The Senate narrowly passed the bill with the support of 24 Republicans, four Democrats and two independents.
The measure will now head to the House, where it could face a battle over who would bear the brunt of the political fallout.
Republicans have indicated they will try to pass an alternative bill, which would repeal the ACA’s individual mandate and the requirement that people purchase insurance or face penalties.
The president had urged Congress to vote for his repeal bill, saying that “the American people are getting what they paid for” by repealing the law.
Democrats are calling for a government shutdown, and Trump said he might pull out of the Paris climate agreement, which he said was “not working.”
The vote on Thursday was the latest in a series of defeats for Trump, who has made repealing the Affordable Health Care Act a central theme of his presidency.
Senate Republicans, who have held their majority in the Senate for decades, have voted on at least one other repeal bill over the years, most recently in 2015.
They have also passed a handful of tax cuts, including a proposal to slash the corporate tax rate from 35 percent to 20 percent.
The bill to kill the ACA was approved by the House earlier this month, with support from all but three Republicans.
That vote was the first to pass the Senate since Trump took office, and he is set to sign it into law on Friday.
The vote comes amid a continuing series of setbacks for the president and his agenda.
Last month, he told the Republican National Convention that he would not sign the GOP’s ObamaCare repeal bill.
The White House later clarified that Trump had meant that he wouldn’t sign it and would instead sign a “care” bill.
Trump’s push to repeal the law came as Republicans in Congress are trying to pass their own bill that will provide relief to millions of Americans.
The Republican-led House is expected to vote next week on legislation that would repeal parts of the ACA, as well as the health care exchanges that the ACA helped to create.
That bill would also lower the standard deduction, cut taxes on individuals, and eliminate federal funding for Planned Parenthood.