AUSTIN, Texas — The Senate passed a bill on Friday to replace the Affordable Care Act with a new plan that would take effect in 2020, replacing much of the law’s coverage and lowering deductibles.
The measure is a major step toward overhauling the U.C.L.A. system, which has long been seen as the most vulnerable in a nation that has seen rising rates of pre-existing conditions.
In the House, the bill, by Republican Rep. Mike Simpson of Oklahoma, passed with support from both Democrats and Republicans.
The measure passed by the House of Representatives, but not by the Senate, would have required 60 votes to overcome a filibuster.
President Donald Trump, who has said he wants to repeal the law and replace it with something that’s more affordable, had been expected to sign the measure.
Trump had signaled he would veto the bill and have his health secretary sign it.
It was a major defeat for Republicans in the Senate who had sought to get the bill to Trump’s desk.
Trump and other Republicans have complained that Democrats have not given them enough time to pass the measure and have threatened to hold up the government’s funding unless Democrats are allowed to act.
The Senate passed the bill with a vote of 52-48.
It also passed a measure that would have reduced the federal minimum wage to $10.10 an hour, but Democrats said the measure did not go far enough to address rising health care costs and were looking for more.
The bill would require states to cover more people with preexisting conditions and would also give insurers more flexibility to reduce out-of-pocket costs.
The legislation would give states flexibility to set their own Medicaid programs.
It would make it easier for states to set up private health insurance plans and would allow insurers to sell coverage on their own.
The U.K.’s biggest health insurer, Aetna, said the U,S.
health care market has become more expensive because of the changes.
The insurer said it’s not confident that the plan will provide the same level of health coverage and affordability to Americans in the U and U.k.
The plan would allow customers to stay on their current plans through 2020 and provide them with a choice of plans.
The White House said in a statement that the bill would ensure that every American has access to affordable health care, but added that “we must not allow our nation to go backwards.”
The administration also said the bill “continues to strengthen our nation’s health care system and the protections that have made it the envy of the world.”