Congress has officially taken the first step toward repealing the Affordable Care Act after the House voted to approve a budget resolution that directs committees to start crafting legislation to repeal the law.

The House voted 227-198 Friday to approve the resolution a day after the Senate voted 51-48 to clear it. Nine conservative House Republicans voted against the measure: Justin Amash of Michigan, Charlie Dent of Pennsylvania, Brian Fitzpatrick of Pennsylvania, Walter Jones of North Carolina, John Katko of New York, Raul Labrador of Idaho, Tom MacArthur of New Jersey, Thomas Massie of Kentucky and Tom McClintock of California.