"Eliminating the health care bill would cost us $1 trillion dollars," President Obama said. "It would add $1 trillion to the deficit. So when Paul Ryan says his priority is to make sure, he's just being America's accountant and trying to you know be responsible, this is the same guy that voted for two wars that were unpaid for, voted for the Bush tax cuts that were unpaid for, voted for the prescription drug bill that cost as much as my health care bill -- but wasn't paid for. So it's not on the level. And we've got to keep on you know, keep on shining a light on that."
The House now adjourns for a two-week recess, and many members say they're anticipating a vibrant debate on the looming debt crisis in their districts.
"It's important for our members to go home and talk about the crisis that we face, and the fact that the changes being proposed would not affect one senior citizen in America -- not one -- because Paul's made it perfectly clear that anyone who's 55 years and older will not be affected by any of these changes. But if you're 54 and younger, those Americans understand if we don't make changes, the programs won't be there," Boehner said. ""I think it's pretty clear that if we don't make changes to these big programs, that they won't exist. And the fact is, is that the responsible plan put forward in the Path to Prosperity will, in fact, reform these programs and make sure that they're around for the long term. And understand: The greatest danger that America faces today is doing nothing."
In a clever procedural move by Democrats, Republicans were forced into some somersaults when a more conservative budget than Ryan's was offered in a substitute amendment by Rep. Scott Garrett, R-N.J. Since only a simple majority is needed to pass a bill, most of the House Democrats voted "present" and thus brought down the magic number needed for passage. The trick almost helped the bill pass -- and would have embarrassed the GOP leadership in the process -- but after numerous Republicans switched their votes, the amendment failed 119-136, with 172 Democrats voting present.
The bill is not expected to pass in the Senate.
"The Republican plan to end Medicare and immediately raise prescription drug costs for seniors in order to pay for millionaire tax breaks will never pass the Senate," Senate Majority Leader Harry Reid, D-Nevada, said. "The fact that it passed the House shows just how far to the right the Tea Party has dragged the Republican Party."
ABC News' Jonathan Karl and Jake Tapper contributed to this report