The American Health Care Act passed through the House of Representatives this afternoon, in a major win for President Donald Trump and House Speaker Paul Ryan after a series of fits and starts on the Republican plan to overhaul the U.S. health care system, Business Insider reported. The legislation passed by a 217-213 margin, with 20 Republicans opposing the bill and all Democrats voting against it.

The process leading up to and during the vote was contentious. After the vote, Democratic members of the House began chanting, "Nah nah nah nah, nah nah nah nah, hey hey hey, goodbye," apparently suggesting to their Republican counterparts that their votes would cost them control of the chamber.

Generally speaking, younger, healthy people would likely see their premiums decline under the Obamacare replacement, while older and less healthy people would see them rise, Time reported. Young people can continue to remain on their parents' health insurance until age 26.

Yet people will no longer be forced to pay a penalty if they go without health insurance for more than a short stretch — the bill does away with Obamacare's "individual mandate," but includes other incentives for people to maintain their coverage. Several organizations weighed in with statements immediately after the vote. Five important provisions to know about the bill, as reported by Time, can be found here.

Katie Vlietstra, vice president of public affairs and government relations for the National Association for the Self-Employed, said although millions of American entrepreneurs and small-business owners currently have health care, "skyrocketing premiums and shrinking choices in the marketplace endanger future coverage."

"We must not repeal this crucial coverage without an acceptable replacement plan that ensures continual coverage for so many Americans and small businesses," she said in a statement. Vliestra said a robust health plan should include principles that preserve key safeguards, among them coverage of pre-existing conditions, coverage to age 26 under parents' policies, and lifetime coverage caps.

"At the same time, we need a health care system that incentivizes individuals to purchase health care coverage, not penalizing them for not. Whether it's tax credits or increased Health Savings Account limits, incentivizing health care fosters morale and inspires millions of the American public to support a health care plan that works for them," she said.

The National Education Association blasted the GOP plan that was approved as "deeply flawed."

""The American Health Care Act plays Robin Hood in reverse," said NEA President Lily Eskelsen García. "It fails to deliver better, cheaper health care for all Americans, instead giving massive tax cuts to the rich while causing 24 million people to lose coverage."

Garcia said the bill will slash funding to Medicaid, which serves millions of students including those with disabilities. "Bottom line, this bill is harmful and irresponsible. Families should not have to face the threat of bankruptcy due to unaffordable medical bills," she said.

Iowa Insurance Commissioner Doug Ommen has been in Washington, D.C., this week discussing the situation with Iowa's congressional delegation and members of the federal executive branch.

Chance McElhaney, communications director for the Iowa Insurance Division, said the Affordable Care Act has created a situation where insurers are leaving individual health markets across the country.

"This is causing significant angst among Iowa consumers that depend on the individual health market for their health coverage," McElhany said in a written statement.

"This is not an Iowa-specific problem," McElhaney said. "This is a federal problem that was created by the ACA and needs to be fixed by Congress. Time is of the essence to find a solution for Iowans, and we now look forward to action from the U.S. Senate to fix this federal problem."