The health care reform debate has truly hit home with many Americans concerned about its costs and how it will affect the future.

But residents aren't the only ones with strong opinions; Representative Denny Rehberg voted against the health care bill and said he was disappointed it passed.

After the vote on Saturday night, Rehberg said once again House Democrats put their party ahead of the country. Rehberg said, "Instead of immediate and targeted reform to fix the national health care crisis, Americans will get 118 new federal bureaucracies and a solution that doesn't even go into effect until 2013."

He posted on his Twitter account shortly later: "Pelosi government run health care bill passed. 220-215. I voted no."

The House bill garnered 219 Democrat votes and one from Republican Joseph Cao of Louisiana. Opposing votes included 176 Republicans and 39 Democrats.

The legislation would require most Americans to carry insurance and provide federal subsidies to those who otherwise could not afford it. Large companies would have to offer coverage to their employees. Both consumers and companies would be slapped with penalties if they defied the government's mandates.

Insurance industry practices such as denying coverage on the basis of pre-existing medical conditions would be banned, and insurers would no longer be able to charge higher premiums on the basis of gender or medical history. In a further slap, the industry would lose its exemption from federal antitrust restrictions on price gouging, bid rigging and market allocation.

- CBS News contributed to this report