11:07 PM ET -- House health care bill gets votes needed for passage. 220 members of Congress -- including one Republican, Rep. Joseph Cao of Louisiana -- voted in favor of health care reform, advancing the legislation by the slimmist of margins. Forty-nine Democrats voted against the bill, along with 176 Republicans.Rep. Maxine Waters (D-Calif.) cast vote #218, solidifying passage. Speaker Pelosi was "near sobbing," HuffPost's Ryan Grim reports.