The House passed the $1.9 trillion health care bill on Thursday, the largest ever Senate vote to pass legislation through the chamber.
The Senate, however, has to go back to the House for another vote before President Donald Trump signs it into law.
The Senate bill would cover nearly all of the population and provide $1 trillion for Medicaid over the next 10 years.
The bill would also cut taxes for businesses, raise the retirement age to 65, and eliminate some taxes.
The plan would also cover about 60 million Americans, including millions of people with pre-existing conditions.
Trump and House Speaker Paul Ryan (R-Wis.) celebrated the passage of the bill in the House chamber, where Trump and Ryan spoke together.
Trump also told the cheering crowd that Republicans “have got the votes, and the votes are there.”
Trump was joined by Speaker Ryan, Senate Majority Leader Mitch McConnell (R.
KY.), and Senate Finance Chairman Orrin Hatch (R.-Utah).
The president told the crowd that he has been “working very hard” to pass the legislation, but has to work with Democrats.
“We have got to make sure we get the votes,” Trump said.
“It is going to be a long road but it is going, it is a very long road.”
Trump has made health care a priority since he took office in January.
He has vowed to replace the Affordable Care Act with a “better” system and to get it passed by the end of his term in 2021.
The House and Senate bills have different ideas on how to pay for it.
The House bill would cut federal spending by $100 billion over 10 years and repeal the individual mandate, a tax that imposes a fine on individuals who do not purchase health insurance.
The legislation would also cap the amount of federal spending at $1,000 per household per year, a measure that would not be paid for by a single tax increase.
The GOP plan, called the Better Care Reconciliation Act, would increase spending on the ACA, but also cut $400 billion from Medicare and Medicaid, which both rely heavily on private insurers to provide coverage.
The bill also would allow states to opt out of the expansion of Medicaid and would require insurance companies to cover preexisting conditions and allow them to charge higher premiums.
The CBO estimates that the Republican plan would reduce premiums for those with pre