The U.S. Senate achieved approval of a key procedural vote to move forward with an effort to repeal the Affordable Care Act, the health care law also known as Obamacare.

The move was blasted by Gov. Andrew Cuomo, who has railed against the Republican effort in Congress to overhaul the health care measure.

“Republicans in Congress are shamefully putting politics before the health of millions of Americans,” Cuomo said.

“The proposals that Congressional Republicans have put forward will devastate our health care system and have a disastrous impact on New York. They will cut billions in funding for Medicaid, cripple our health care providers, and roll back the progress we have made to expand access to quality and affordable health care for millions of New Yorkers. I call on our Congressional delegation to continue to stand up for the people they represent and protect our health care. Lives may very well depend on it.”

For now, a provision that has drawn much of Cuomo’s ire, an amendment that would shift Medicaid spending from county governments to the state, has fallen out of the bill.