Washington (CNN) - Rep. Anh "Joseph" Cao was the only Republican to vote in favor of the Democratic health care bill that passed the House late Saturday, a vote that came after President Obama called to personally to ask for his support, Cao told CNN.
The president dialed the freshman congressman from Louisiana around noon on Saturday, hours before a vote on an amendment offered by anti-abortion Democrats that banned most abortion coverage from the public option and other insurance providers in the insurance "exchange" the legislation would create. That measure passed later in the evening.
Cao said he explained to the president he could not support the health care bill without the amendment, but said he would support the bill if the abortion measure passed. It was a sentiment he also expressed to House GOP leadership ahead of the vote, he said.
The final vote came after several discussions about the bill with White House officials.
Cao, who hails from one of the most Democratic districts in the country, also asked the president for assurances that the administration would do more to help with ongoing disaster relief efforts in his New Orleans district, specifically by forgiving millions in disaster loans to the region.
By supporting the bill, Cao has opened himself up to criticism from other members of his party, but the Republican said his vote was the right decision for his constituents and "the right decision based on my conscience."
Last week, Republican National Committee Michael Steele warned GOP members of Congress that they will face tough consequences if they vote in favor of the health care bill.
"So candidates who live in moderate to slightly liberal districts have got to walk a little bit carefully here, because you do not want to put yourself in a position where you're crossing that line on conservative principles, fiscal principles, because we'll come after you," Steele told ABC News.
Cao chuckled when asked about the comment and said he "would like to remind" Steele that he and other Republican leaders trumpeted Cao's upset win over Democrat William Jefferson last December as a symbol of party diversity. Cao is the first Vietnamese-American member of Congress.
"He has the right to come after those members who do not conform to party lines, but I would hope that he would work with us in order to adjust to the needs of the district and to hold a seat that the Republican party would need," Cao told CNN.