Health care bill: Ryan counting votes as Republicans lobby for adjustments

although the reality is actually that will not everyone can get what they want through House Speaker Paul Ryan, who is actually trying to get the 216 Republicans he needs to vote for the bill without any Democratic support. He can afford to lose 21 members; 20 are on the record leaning against the idea, according to sy88pgw’s latest count.

along with as leaders listen to complains, Ryan along with others are already counting votes. The speaker was spotted having a long conversation on the House floor Thursday afternoon with Rep. Gary Palmer, an Alabama Republican opposed to the current bill.

One change that will House leaders are considering is actually adding a work requirement for able-bodied adults who receive Medicaid. The change may appease some conservatives without alienating moderates that will leadership needs to hold on to.

One Republican member with direct knowledge of the negotiations said that will there is actually no “arm twisting ” at This particular point along with no decisions have been made yet on how to amend the bill to get the idea passed on the House floor.

“Anytime you have a large bill like This particular, the idea’s a balancing act. I think all sides are going to try to get their issues addressed. I don’t think the idea’s leaning one way or another,” the Republican said.

The member cited specific concerns they have heard in whip meetings including moving up the Medicaid expansion expiration date, creating tax credits more generous based on income level for older Americans as well as adding a work requirement.

although the member noted that will there are some members who may never get to yes along with whips are taking that will into consideration.

“There are always going to be people who serve under the dome … that will any government injection into the health care system is actually too generous,” the Republican said.

After the legislation advanced out of the Budget Committee Thursday morning, Republicans’ best shot for adjustments to the bill will come next week in what is actually known as a “manager’s amendment,” which incorporates the tweaks that will leaders believe will help smooth passage. that will is actually attached to the legislation inside Rules Committee, the final panel that will reviews the bill before a floor vote.

House leaders trying to hold the line say fellow Republicans should make their concerns heard although not try to derail the bill simply because the idea doesn’t include everything they want.

Oklahoma Republican Rep. Tom Cole, an ally of the leadership, urged those who are vowing to oppose the bill because the idea doesn’t contain all the elements they want to keep the bill moving instead of threatening to derail the idea.

“None of these votes to me are votes that will you ought to live or die by — they are process votes to move the product along,” said said. “You ought to try to continue to amend the idea, to change the idea.”

‘the idea’s a balancing act’

Florida Rep. Mario Diaz-Balart told sy88pgw he still had “concerns in numerous different areas” with the leadership’s bill although said he believed the leadership had set up a process to hear out members who want adjustments.

Pressed how he could vote on the bill, Diaz-Balart declined, saying, “the idea’s too early to tell if the idea will be a bill that will I can whole heartedly support or not. Right at This particular point the idea’s a work in progress.”

Both Diaz-Balart along with Cole sit on the Budget Committee along with voted Thursday to advance the bill. Palmer was one of three Republicans on the panel to vote against the idea.

Ryan told reporters that will President Donald Trump is actually personally involved in lobbying House Republicans, along with multiple GOP aides say they believe the President could be the best advocate they have as they close in on a final vote.

“He is actually a constructive force to help us get to a resolution to ensure that will we get consensus on how to repeal along with replace Obamacare,” Ryan said Thursday.

House vote next week?

Cole told reporters he expected a Rules Committee markup on Wednesday, although GOP leadership aides have said that will while the goal is actually still to vote next week, efforts to tweak the legislation could shift that will timeline.

Members continue to aggressively lobby to make their adjustments.

Republican health care bill clears budget committee hurdle

Mark Meadows, the Chairman of the conservative House Freedom Caucus, told reporters Thursday he was working with his members to introduce an amendment package as soon as Friday he hoped could make the current GOP health care bill to repeal along with replace Obamacare palpable to his members.

Meadows wouldn’t elaborate about what he wants to see in his package, although members of the Freedom Caucus have said inside past that will they have concerns about the legislation’s tax credits to help people buy insurance as well as the fact that will the House bill does not sunset Medicaid expansion until 2020.

Even if ‘St. Peter called …’

although for every member of the conservative wing of the party that will leaders try to appease, they risk losing a moderate Republican.

Rep. Charlie Dent, a moderate through Pennsylvania, has said repeatedly that will cutting off the ability of people to enroll inside Medicaid expansion before 2020 is actually a non-starter for him. Also weighing heavily on moderates like Dent is actually the fact that will they may be forced to day a controversial vote inside House that will won’t have a chance of passing the Senate.

“If I hear the Senate say one more time, that will This particular bill’s dead on arrival, you know my head will explode.”

In an attempt to give their members more cover, leaders plan to move two stand-alone health care bills to the floor next week before the vote on the repeal package. One could allow insurers to sell insurance across state lines along with one allows smaller businesses to pool coverage plans. Both are likely to pass the House although will need 60 votes inside Senate, a bar that will even conservatives who support these proposals say is actually unlikely.

North Carolina GOP Rep. Walter Jones said the only thing leaders could do at This particular point to satisfy him could be “to pull the bill along with say we are going to do something entirely different than what the Democrats did.”

He said leaders needed to slow down along with told reporters he felt zero pressure through supporters of Trump to get behind the bill.

“If St. Peter called along with said you need to vote due to This particular bill if you want to get into heaven, I’d say I can’t do the idea,” Jones said.

sy88pgw’s Tom LoBianco contributed to This particular report.

Health care bill: Ryan counting votes as Republicans lobby for adjustments

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