The House passed a bill on Thursday to extend the Affordable Care Act enhanced subsidies for three years by a vote of 230-196 with 17 Republicans voting with Democrats and defying GOP leaders. Ahead of the vote ,

The outcome served as a rare rebuke of leadership and a display of how Democrats could exploit narrow House margins.

The House on Thursday approved the renewal of the expired ObamaCare subsidies, delivering a blow to Republican leadership and underlining conference divides. Seventeen Republicans joined 213 Democrats in support of the three-year extension after the Affordable Care Act tax credits lapsed at the end of last year.

A bill to extend Affordable Care Act subsidies for three years passed the U.S. House of Representatives on Thursday. The bill passed by a vote of 230-196, with 17 Republicans crossing the aisle to vote alongside Democrats.

The bill now heads to the Senate where it is likely dead on arrival — but it creates an opportunity for bipartisan negotiators to propose some other kind of health care package.

U.S. Rep. Monica De La Cruz was the lone Texas Republican to get behind the measure, which now moves to the Senate.

Seventeen House Republicans joined the chamber's Democrats on Thursday in voting to revive enhanced Affordable Care Act subsidies for three years. Why it matters: The dramatic 230-196 vote marked a rare rebuke by some Republicans of their own leadership,