The revised American Health Care Act passed on a 217-213 vote.

“We’re going to get this finished,” President Trump declared in a celebratory Rose Garden event, surrounded by Republican congressional allies shortly after the vote.

He vowed premiums and deductibles will be “coming down” and the Affordable Care Act is “essentially dead.”

The passage marks Republicans’ biggest step toward replacing the Obama administration’s signature domestic policy law. The bill heads next to the Senate, where it faces an uncertain fate.

All Democrats voted against the bill on the House floor Thursday afternoon, warning it would jeopardize coverage; 20 Republicans voted no. Implying the GOP would lose seats in 2018, Democrats sang, “Na Na Hey Hey Kiss Him Goodbye” toward the end of the voting.

“Welcome to the beginning of the end of ObamaCare,” Vice President Pence said in the Rose Garden.