The path for the health care bill to pass in the House was not easy. The debate today on the House floor was heated as Republicans assailed Democrats for moving ahead with the health care bill without any bipartisan support.
"My colleagues shame us," said Rep. Marsha Blackburn, R-Tenn. "Freedom dies a little bit today. Unfortunately some are celebrating."
Rowdy visitors in the House gallery disrupted the session several times. One protestor yelled "The people don't want this!" and was escorted out by security. Some Republican lawmakers were spotted on the Congressional balconies, cheering on the protestors.
On Capitol Hill and in the halls of Congress, protestors chanted "Kill the bill!" and confronted lawmakers. Some hurled racial and homophobic epithets, and one even spit on Rep. Emanuel Cleaver II, D-Mo.
Rep. Barney Frank, D-Mass., who is openly gay, encountered homophobic comments as he walked through a crowd of protestors Saturday in the halls of Congress.
Even as they move ahead with the health care legislation, Democrats are fully aware of the political ramifications of voting "Yes" for the bill that has furthered the divide not just between Republicans and Democrats, but among the Democratic caucus itself.
Rep. John Larson, D-Conn., the chairman of the House Democratic Caucus acknowledged on "This Week" that some members of the House could lose their seats as a result of their support for the legislation.
"Every time you have a mid-term election, you risk the chance of losing members," said Larson, the fourth-ranking Democrat in the House. "But it isn't about how many members are going to lose their seats. ... It's about this moment, it's about the truth, it's every reason why you were elected to come and serve in Congress.
ABC News' Jake Tapper, Dean Norland, Michael S. James, Rachel Martin and David Kerley contributed to this report.