The Republican-controlled House voted 244 to 185 Wednesday to fully repeal the health care reform law, a political move that underscores conservative anger at the Supreme Court decision to uphold President Obama's signature domestic legislative achievement.
No Republicans opposed the bill, and just five Democrats crossed the aisle to vote in favor. Democratic Reps. Mike McIntyre and Larry Kissell of North Carolina, locked in tough re-election fights, Dan Boren of Oklahoma, Mike Ross of Arkansas and Jim Matheson of Utah.
In the previous repeal vote, on Jan. 19, 2011, three Democrats -- Boren, McIntyre and Ross -- joined 242 House Republicans to completely undo the law. There have been other House votes to repeal or defund parts of the law, too, more than 30 in all.
"Plain and simple, the bill is a flawed effort that fails to address the critical issue of rising health costs," Matheson said in a statement.
Boren said he voted for repeal because the law "is too large and too costly" and "my constituents have urged me to support the repeal."
The Democratic-led Senate will almost certainly ignore this version of the full repeal bill - just as it did last year's. Taken at its most meaningful, then, this latest vote was not so much a do-over, as an emphatic messaging effort by Republicans to show the party's conservative base they remain committed to undoing the Affordable Care Act.
And, given the Court's ruling last month, Republican victories at the polls on Election Day may be their best shot at that.