It's being hailed as a historic moment for this country.
By just five votes, the U.S. House of Representatives voted to approve the bill to overhaul the healthcare system. The final vote 220 to 215.
The only Kentucky representative to vote yes, was Congressman John Yarmuth.
"I went to Washington with the primary motivation to provide affordable access to healthcare for every American. And there have been people working on this for 40 years or longer in the house," said Yarmuth.
But there's a long way to go before the reform is on President Obama's desk.
President Obama says now it falls on the United States Senate to take the baton and bring this effort to the finish line.
"The basic structure of the reform is similar to the bill in the senate, but they have a very different way of paying for it. So there are similarities, but there are still some important differences that we're going to have to reconcile," said Yarmuth.
Republicans Geoff Davis, Brett Guthrie, Hal Rogers and Ed Whitfield voted no, as did Democrat Ben Chandler.
In a statement, Chandler says, "I do not believe it is the best course of action for the people of Central Kentucky, specifically our working families, small businesses and seniors."
In Indiana, Blue Dog Democrat Baron Hill, voted in favor of the bill.
The question now is, will we see another big political push and town hall meetings?
"I think people are going to sit and wait for the most part, until they see what the senate does. And once the senate acts, it will be another huge issue. It will get a lot of attention," said Yarmuth.
President Obama was hoping healthcare would be a done deal by the end of the year.
Congressman Yarmuth says he believes this will now carry into late January, sometime before the state of the union address.
