Alabama's delegation voted unanimously against the health care legislation approved by the U.S. House.
Democratic Rep. Artur Davis, of Birmingham, said the bill would cost too much money and was for too much change.
The second Democrat in the delegation, Rep. Bobby Bright of Montgomery, never publicly considered voting for the bill.
Alabama's five Republicans joined the rest of the GOP members around the country in voting against the measure.
In Mississippi, Republican Rep. Gregg Harper of the third district opposed it from the beginning. District 4 Rep. Gene Taylor and Rep. Travis Childers, of District 1, both Democrats, voiced their opposition several days before the vote was taken. Democratic Rep. Bennie Thompson of the second district voted to approve the bill.
All of the 219 affirmative votes came from Democrats. The 212 who voted against the measure were 34 Democrats and 178 Republicans.