washington vice president mike pence take rare step break tie u.s. senate thursday cast decide vote roll back protections reproductive health fund use congressional review act allow lawmakers repeal recently mint regulations senators kill rule intend keep federal grant flow clinics provide contraception service state want block fund rule enact final weeks former president barack obama administration give lawmakers open nullify review law recent years state texas keep healthcare providers receive grant part country longstanding fight abortion second time thursday pence use role chamber president end deadlock call capitol early carry resolution procedural vote say rule usurp state right republicans argue local lawmakers decide healthcare money distribute main concern federal money use provide abortions although grant specifically bar fund procedures republicans include president donald trump generally oppose abortion regulation unnecessary restriction state know residents need best say republican senate majority leader mitch mcconnell democrats say resolution attack women health contend rollback make hard low-income rural women obtain screen cancer diseases well contraception resolutions kill recent obama-era regulations sail republican-controlled congress need win simple majorities chamber go president sign congressional review law use successfully year family-planning resolution mark 13th time deploy effectively since begin february well first time resolution come within hair breadth fail republicans listen us say senator patty murray washington senior democrat health committee listen women across country make clear restrict women access full range reproductive care unacceptable nonprofit plan parenthood provide abortions many health contraception service receive federal fund note recent collapse republican healthcare bill u.s. house representatives dawn laguens executive vice president plan parenthood federation america say thursday vote close people sick tire politicians make even hard access healthcare senate kill family-planning rule pence break tie