AHCA Passes House: The American Health Care Act (AHCA) was passed by the U.S. House of Representatives on May 4, 2017. The AHCA will move to the Senate for a vote and possible amendments. The AHCA needed 216 votes to pass in the House. It passed on a party-line vote, with 217 Republicans and no Democrats voting in favor of the legislation. It needs a simple majority vote in the Senate to pass. Impact on ACA Provisions The AHCA would reduce the penalties imposed under the Affordable Care Act’s (ACA) individual and employer mandate provisions to zero beginning in 2016, effectively repealing both mandates.