To provide for reconciliation instructions to the relevant committees for the purpose of repealing and replacing the Patient Protection and Affordable Care Act.

On Oct 19, 2017, the Senate voted 33–66 on “On the Amendment” (HCONRES 71). Result: Amendment Rejected. By party: Republicans 33–18, Democrats 0–46, Independents 0–2. It was a split vote: the parties took opposite sides, with some members crossing over. 18 members voted against their own party.

During the 115th Congress (2017–2018), Donald Trump was president, and Republicans held majorities in both the House and Senate.

Result: Amendment Rejected
Yes: 33
No: 66
Did not vote: 6
Date: Oct 19, 2017

By party

Republicans33 yes · 18 no · 4 didn’t vote
Democrats0 yes · 46 no · 2 didn’t vote
Independents0 yes · 2 no

Who broke with their party

Lisa Murkowski R-AK voted no
Luther Johnson Strange III R-AL voted no
Richard C. Shelby R-AL voted no
John Sidney Mccain III R-AZ voted no
David Alfred Perdue Jr. R-GA voted no
Johnny Isakson R-GA voted no
Charles Patrick (Pat) Roberts R-KS voted no
Jerry Moran R-KS voted no
Addison Mitchell (Mitch) Mcconnell R-KY voted no
Bill Cassidy R-LA voted no
Susan Margaret Collins R-ME voted no
Roy Blunt R-MO voted no
Patrick Joseph Toomey R-PA voted no
Lindsey O. Graham R-SC voted no
Lamar Alexander R-TN voted no
Robert (Bob) Corker R-TN voted no
John Cornyn R-TX voted no
Michael B. Enzi R-WY voted no

How each senator voted: Yes

How each senator voted: No

Did not vote

Gordon Douglas (Doug) Jones D-AL
Jefferson Beauregard (Jeff) Sessions III R-AL
Jon Llewellyn Kyl R-AZ
Tina Smith D-MN
Cindy Hyde-Smith R-MS
William Thad Cochran R-MS

Other votes

From Voteview roll call records.

Cite or embed this page

Capitol Receipts, “To provide for reconciliation instructions…: Senate Vote, Oct 19, 2017,” https://www.capitolreceipts.com/vote/115-S-238/to-provide-for-reconciliation-instructions-to-the-relevant-committees (accessed 2026-10-17).