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Donald Trump pulled the bill just second before the vote
House Speaker Paul Ryan sensationally cancelled the vote for a second time today after it was made clear the President had not secure the required 215 votes.
Amid a chaotic scramble, Mr Ryan met with Donald Trump at the White House to discuss the numbers.
But the bill was pulled from the House floor after hours of debate and just minutes before the vote was due to take place – despite Mr Trump issuing an ultimatum over the vote on Friday.
President Donald Trump was unable to secure the minimum 215 votes
Paul Ryan said it was a disappointing day
The US House of Representatives has now adjourned, and it is unclear when members will return.
Although Trump told the Washington Post: "We just pulled it."
Mr Trump has revealed the bill is not going to come up again in the near future – but may revisit it sometime later this year.
However House energy and commerce chairman Walden said the bill would not come up again, adding: “This bill is done.”
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House speaker Paul Ryan said the bill would not be debated in the near future
Without the bill's passage in Congress, former President Barack Obama's signature domestic policy achievement would remain in place despite seven years of Republican promises to dismantle it.
Repealing and replacing the 2010 Affordable Care Act – known as Obamacare – was a top campaign promise by Trump in the 2016 presidential election.
And now he is facing fierce abuse online, as social media users repeat his campaign pledges from last year.
In one retweeted post from last year, Mr Trump said: "We will immediately repeal and replace ObamaCare – and nobody can do that like me. We will save $'s and have much better healthcare!"
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US President Donald J. Trump gets in the driver's seat of an 18-wheeler while meeting with truck drivers and trucking CEOs on the South Portico prior to their meeting to discuss health care at the White House in Washington, DC
At a press conference this evening following the announcement, Mr Ryan said: "I will not sugarcoat this. This is a disappointing day for us.
“We came really close today but we came up short.”
He claimed that Republicans “didn’t get the consensus today”, so he and the President believed it was “the wise thing to do not to proceed with the vote.”
The Affordable Care Act was one of Obama's proudest achievements
The cancellation has been met with huge applause from Democrats.
Following the vote, House Democratic leader Nancy Pelosi said: "Today is a victory for the American people."