San Francisco Mayor Ed Lee had harsh words for the Republican members of the House of Representatives who voted 217-213 on a bill to repeal and replace Obamacare with what they are calling the American Health Care Act.

It passed basically by party line, with only 20 Republicans joining Democrats to oppose the bill, which would "change Obamacare by allowing states to opt out of some protections for preexisting conditions (rape, postpartum depression, and cesarean sections among them) and remove the limits on age rating, and making major changes to Medicaid," DCist reports.

Perhaps prepared for the bill's passage, a sharp retort came from City Hall's room 200. Via written statement, Lee said:

It is very disappointing to see the House of Representatives approve a bill that strips coverage from millions people, punishes Americans with pre-existing conditions, attacks women's reproductive rights and creates an unequal, two-tiered healthcare system.

House Republicans jammed through a bill without a fiscal analysis, without public disclosure and without regard to how it will negatively impact American lives.

Since the Affordable Care Act was passed in 2010, more than five million California residents have benefitted from the coverage, including 133,000 people here in San Francisco, resulting in historically-low uninsured rates. Repealing the ACA turns back the clock on healthcare progress, and will hurt the health, security and economy of our city.

We urge the Senate to reject this misguided proposal. We need to maintain a healthcare system that offers affordable coverage of high quality for all our residents.

DCist: House Republicans Manage To Pass Healthcare Bill