House Democrats won final approval of health reform legislation that expands coverage to 32 million people and attempts to contain spiraling costs. The House voted 219 to 212 to approve the measure, with every Republican voting no. The measure now awaits President Obama's signature. Over the next 10 years, the measure will set in motion a complex series of changes to the health insurance market that will translate into the biggest expansion of coverage since Medicare and Medicaid were created in 1965, and the most ambitious effort ever to restrain healthcare costs, the Washington Post reports.