Several vulnerable Republican lawmakers joined their party Thursday to pass the landmark plan to repeal and replace ObamaCare through the House, casting risky votes that complicate their chances forward in the 2018 midterms.

The measure passed with 217 yes votes, all Republican — only one vote more than the threshold Republicans needed for passage.

Twenty Republicans, including many facing their own tough races in 2018, voted against the bill in a move that could make it harder for Democrats to hang the bill on them if it proves unpopular. But a number of GOP lawmakers who also face competitive reelection races next year did cast a vote with their party, despite being top Democratic targets.

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