The legislation, expected to come to a vote next week, would make changes that could eventually affect health care costs but are unlikely to immediately curb rising premiums.
The speaker has repeatedly lost his grip on the House floor thanks to a once rare parliamentary maneuver that G.O.P. members are increasingly using to force action on legislation.
The legislation codifies President Trump’s agenda but includes a few measures challenging his policies and insisting on more consultation with Congress.
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