Republican Speaker of the House Paul Ryan, center, walks to the House floor where representatives voted Friday to approve a budget resolution that is the first step in repealing the Affordable Care Act in Washington, D.C. Republican Speaker of the House Paul Ryan, center, walks to the House floor where representatives voted Friday to approve a budget resolution that is the first step in repealing the Affordable Care Act in Washington, D.C. Congress took its first step toward rolling back President Obama’s health care reform law Friday, with the House voting along party lines to pass key preliminary legislation.