US House on healthcare: Cartoon and bubble charts
11 July 2012 Last updated at 21:34 BST
The House of Representatives has voted for a 33rd time against the 2010 healthcare law, which the US Supreme Court ruled last month to be constitutional.
The move is unlikely to go anywhere since the Senate is controlled by Democrats, who labelled the vote an "empty political gesture".
As the debate unfolded representatives made their feelings clear in favour and in opposition to the law - some with increasingly intricate visual aids.
Representatives speaking, in order: Republican Representative Geoff Davis of Kentucky, Democratic Representative John Larson of Connecticut, Republican Representative Kevin Brady of Texas, and Democratic Representative Sandy Levin of Michigan.