After that vote, the Senate can still vote on amendments to the bill that might not pass the House, or a simple repeal, but three Republican Senators have already said publicly they would not vote in favor of a simple repeal.
Trumpcare actually needed 60 votes to pass. But Trump couldn't even get the full 52 Republican Senators to do it. From The New York Times:
The Tuesday night tally needed to reach 60 votes to overcome a parliamentary objection. Instead, it fell 43-57. The fact that the comprehensive replacement plan came up well short of even 50 votes was an ominous sign for Republican leaders still seeking a formula to pass final health care legislation this week.
The vote will continue tomorrow with either amendments or a simple repeal.
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