House passes health care bill November 8, 2009 at 12:10 AM HST - Updated June 21 at 5:16 AM WASHINGTON, D.C. (HawaiiNewsNow) - In a victory for President Barack Obama, the Democratic-controlled House narrowly passed landmark health care legislation tonight. The vote was 220 to 215 to expand coverage to tens of millions who lack it and place tough new restrictions on the insurance industry. A triumphant Speaker Nancy Pelosi likened the legislation to the passage of Social Security in 1935 and Medicare 30 years later. Before the final vote, conservatives from both parties joined forces to impose tough new restrictions on abortion coverage in insurance policies. The legislation would require most Americans to carry insurance and provide federal subsidies to those who otherwise could not afford it.