The Senate has defeated the so-called "repeal and delay" amendment which would roll back Obamacare without a replacement in place is defeated in the Senate.
The vote was 45-55, with seven Republicans opposing the measure.
The Senate's marathon debate to dismantle Obamacare has entered Day Two, with Republican senators continuing painstaking deliberations to reach an ultimate agreement on health care reform.
The first order of business Wednesday afternoon was the full repeal amendment that Congress passed in 2015 and was vetoed by former President Barack Obama.
That proposal would significantly gut the Affordable Care Act by repealing its unpopular individual and employer mandates, ending Medicaid expansion and rolling back a slew of the law's taxes. The repeal would not go into effect for two years -- a "transition period" during which Republicans would draft a replacement plan.
The Congressional Budget Office estimates the proposal would result 32 million more uninsured over the next decade. Three-quarters of the nation would live in areas with no insurers participating in the individual market by 2026, CBO said, leaving many without an option if they do not have employer-provided or government health insurance, such as Medicare or Medicaid.
Back in 2015, the passage of that bill was largely viewed as a political messaging exercise: GOP lawmakers were keenly aware that Obama would not sign it into law.
But now, with Republican President Donald Trump in the White House and ready to sign a bill, the stakes are real -- as are the realities of voting to repeal the current health care law without a replacement in place.
Seven Republicans opposed the measure, which was easily defeated. The failure crystalizes the new reality for Republicans: more than seven years after the enactment of Obamacare, there is growing recognition within the GOP that a straight repeal of the law is not viable.
Senators were initially scheduled to vote on the proposal around mid-day, but that plan was unexpectedly delayed until later in the afternoon. According to a Democratic aide, the holdup was over language in the amendment about Planned Parenthood, and whether it passed the so-called "Byrd Rule," which determines what language is permissible under the budget reconciliation process.
Senate Majority Whip John Cornyn described the snafu to reporters as a "kerfuffle" and said that there was a need to make "arguments to the parliamentarian."
The goal for Majority Leader Mitch McConnell at the moment is to find a way to get 50 Republicans to back a final bill -- whatever it looks like.
As with the full repeal without immediate replacement vote, the GOP leadership is getting a sense of where their members are on various proposals, as well as testing out revised language with the parliamentarian on things like the Planned Parenthood defunding provision.
If McConnell can get 50 votes, he can bring the repeal and replace bill to conference with the House. That was why the emergence of the "skinny repeal" option Tuesday is noteworthy -- a scaled back version of repeal that would knock out the Obamacare mandates and some of the taxes. In no way would Republicans want something like to that to become law in isolation. But it may become an option just to get something across the finish line, for now. Then they would attempt to hammer out a more comprehensive repeal and replace proposal in the conference with the House.