Rep. Charlie Dent (R-Pa.) voted against the Obamacare repeal bill on Thursday. | AP Photo The 20 Republicans who voted against the Obamacare repeal bill

House Republicans on Thursday narrowly passed legislation to repeal and replace Obamacare, the biggest step yet in a years-long effort to gut former President Barack Obama's health care law.

The American Health Care Act cleared the chamber, 217-213, and now moves to the Senate, where its fate is uncertain.


Here are the 20 House Republicans who opposed the bill:

• Andy Biggs (Ariz.)

• Mike Coffman (Colo.)

• Barbara Comstock (Va.)

• Ryan Costello (Pa.)

• Charlie Dent (Pa.)

• Dan Donovan (N.Y.)

• Brian Fitzpatrick (Pa.)

• Jaime Herrera Beutler (Wash.)

• Will Hurd (Texas)

• Walter Jones (N.C.)

• David Joyce (Ohio)

• John Katko (N.Y.)

• Leonard Lance (N.J.)

• Frank LoBiondo (N.J.)

• Thomas Massie (Ky.)

• Patrick Meehan (Pa.)

• Dave Reichert (Wash.)

• Ileana Ros-Lehtinen (Fla.)

• Chris Smith (N.J.)

• Michael Turner (Ohio)

