Reps. Jim Costa (D-Fresno) and Dennis Cardoza (D-Merced) were both seen as possible holdouts in supporting the bill, HR 3962, heading into the vote Saturday. But both voted in favor of the legislation, highlighting its benefits for the San Joaquin Valley, including more physicians for the region.

In a statement, Costa said he succesfully negotiated funding for a UC Merced medical school.

"I am voting for HR 3962 because the choice of doing nothing was not an option. During my negotiations to help improve the bill for our Valley, I was able to achieve funding for a medical school in the Valley, with studies at UC Merced and residency in Fresno, as well as additional incentives to bring health professionals to our Valley. Increased funding in this bill for programs ranging from nurse training to health career opportunity programs to community health centers and increased reimbursement rates for low-paying Medicaid will go a long way in strengthening our health system in the Valley," Costa said.

The bill, HR 3962, passed the House of Representatives with a vote of 220-215.

Cardoza said the bill directs $167 million in health care funding to hospitals in his 18th district alone. The district includes parts of Fresno and Madera counties. But Cardoza said he still has concerns about the cost of the bill.

"We do need to make parts of this bill better. I am concerned with the cost of the bill while our nation's debt continues to rise. I am also concerned with limiting the impact on small businesses. I have shared both of these concerns with the [Obama] Administration," Cardoza said in a statement.

Rep. Devin Nunes (R-Tulare) opposed the $1.2 trillion-dollar bill in a statement comparing recent government spending to "the actions of a broke gambler who desperately keeps doubling down in a vain effort to break even."

Rep. George Radanovich (R-Mariposa) also voted against the bill, calling it "nothing more than endless generational theft in the form of a new entitlement program that will actually harm health care in America," in a statement.