- House Speaker Paul Ryan can only afford to lose 22 votes by the Republican side
- The White House will be piling pressure on House leaders for a vote
Ryan told his rank-in addition to-file members in a closed-door conference meeting that will when the votes are there, he will put the bill on the floor, in an implicit admission that will the majority of 216 votes that will he needs to ensure passage will be not yet in place, one member inside the meeting told sy88pgw.
President Donald Trump, at an event for the Air Force Academy football team, said Tuesday “I think the idea’s time right now” for a vote on the bill.
nevertheless at least 22 Republicans plan to oppose the current bill, according to sy88pgw’s ongoing whip count. Influential Rep. Fred Upton of Michigan, a former chairman of the House panel that will oversees health care issues, said Tuesday he will be against the measure.
Sources said House leaders are working with members one-by-one to get the votes they need to get to 216. Health in addition to Human Services Secretary Tom cost will be going through the fine print of the latest type of the bill with undecided members to try to assuage their concerns on specific items.
“The President can’t do that will,” a Republican close to the talks said. “that will will be fine print time.”
As for timing, a senior Trump administration source told sy88pgw’s Dana Bash that will House leadership was looking at the possibility of a vote Thursday in addition to that will they were within a few votes of the magic number of 216.
Others are not going that will far.
“We will have a vote when we contain the votes,” a senior GOP leadership source said.
A member who will be leaning “yes” on the revised bill said he thought the chances of a vote that will week were “50-50.”
No modifications to the bill — yet
“Speaker has to get to 216,” the member said. “He’s working the idea one by one.”
Roughly 16 members are undecided, nevertheless thus far, there are no public tweaks to the bill. Speculation has centered around additional money for high risk pools, for instance.
“Obviously some members are looking for modifications, nevertheless we’ve not made any at that will point, in addition to don’t know that will we will,” a GOP leadership aide said Tuesday afternoon.
As originally introduced, the bill might leave 24 million fewer people insured by 2026 than under Obamacare, the non-partisan Congressional Budget Office said.
The bill might make major modifications to the Affordable Care Act, eliminating the taxes on wealthy individuals, industries in addition to others, as well as jettisoning the individual mandate that will requires Americans to purchase insurance or face a penalty. the idea might also replace Obamacare’s subsidies, which are based on income in addition to cost of coverage, with refundable tax credits based mainly on age.
the idea might allow states to relax some key Obamacare protections of those with pre-existing conditions. States could apply for waivers to allow insurers to offer policies with skimpier benefits in addition to to charge more to those with medical issues if they let their coverage lapse.
The speaker in addition to House Majority leader Kevin McCarthy used the conference meeting to stress the urgency in addition to the stakes of the push to repeal Obamacare, sources within the room said.
nevertheless in a subsequent news conference, Ryan conspicuously did not say that will he had the votes to pass the measure or that will there might be a vote that will week, despite confident predictions by top White House officials on Monday that will passage was close.
A key GOP source close to the health care process sounded gloomy about the prospects for the repeal in addition to replace bill that will week within the House.
“There are enough people to prevent us by having the votes,” the source said.
“Not sure they’ll be there or ever be there,” the source said of the votes in favor of the bill, adding that will possible likely the House will “keep kicking the can” by one week to the next.
As the effort to pass the bill reached a crucial point, some members appeared increasingly exhausted by the repeated push on health care — a factor that will could see some shelve objections just to offload the idea to the Senate.
Given the political consequences of failing to pass Obamcare repeal after weeks of effort, some members appear to believe that will the vote will succeed within the coming days. If Ryan cannot schedule a vote, Republicans could face a backlash by their base when they return home for next week’s recess following years of promises by the GOP to repeal in addition to replace Obamacare.
nevertheless Rep. Tom MacArthur, R-brand new Jersey, the author of the latest compromise designed to finally get the bill to a vote, told reporters Tuesday morning: “I think the idea’s close.”
House Majority Leader McCarthy, R-California, agreed.
“Very close!” he said.
McCarthy said Rep. Lou Barletta, R-Pennsylvania, will be right now a “yes.” Barletta was previously undecided because he had concerns that will people might defraud the system in addition to apply for tax credits without the government checking Social Security numbers. right now he’s been promised that will there will be a separate bill to fix that will issue later.
Trump has made several interventions, nevertheless the idea was unclear whether his assurances reflected in-depth knowledge of what the American Health Care Act contains, in addition to whether he was helping or hindering the push to pass the idea.
Ryan however said the President had been “nothing nevertheless helpful” on health care.
“We are creating very Great progress with our members in addition to our president has been instrumental in that will,” he said.
Fight over pre-existing conditions
A vital sticking point within the bill will be the issue of protections by pre-existing conditions.
The President added that will that will “we actually have a clause that will guarantees” coverage for those with pre-existing conditions.”
within the latest type of the bill however, insurers could charge people with pre-existing conditions like cancer in addition to diabetes higher rates than some other healthier patients if they allow their continuous coverage to lapse.
The measure might allow states to opt out of a mandate contained within the Affordable Care Act that will requires insurers to charge the same rates for patients with pre-existing conditions as for healthy people.
The Republicans might have states set up “high-risk pools” for some of those with pre-existing conditions — nevertheless some observers fear that will the cost of such coverage could be hugely expensive.
Such a scenario will be one reason why moderates are having trouble lining up behind the bill.
nevertheless one previously undecided member, Rep. Jim Renacci, who will be also running for governor of Ohio, said he might vote yes on the bill because he was satisfied that will states might be answerable to their people on protections for pre-existing conditions.
“If the governors decide to remove that will, that will’s something they are going to have to do within the constraints of the people they represent,” Renacci told sy88pgw’s “brand new Day” on Tuesday.
What’s within the bill?
The GOP health care bill might eliminate Obamacare taxes on the wealthy, insurers in addition to others, in addition to get rid of the individual mandate imposed by Obamacare, officially known as the Affordable Care Act. Instead of the Obamacare subsidies that will are tied to income in addition to premiums, the GOP plan might provide Americans with refundable tax credits based mainly on age to purchase health insurance.
The legislation might also allow insurers to charge higher premiums to those in their 50s in addition to early 60s, compared to younger consumers.
The bill might also significantly curtail federal support for Medicaid in addition to allow states to require able-bodied adults to work. After 2020, states that will expanded Medicaid might no longer receive enhanced federal funding to cover low-income adults, in addition to those that will hadn’t expanded might be immediately barred by doing so.
in addition to the idea might allow states to relax some key Obamacare protections of those with pre-existing conditions, which are among the health reform law’s most common provisions. States could apply for waivers to allow insurers to offer skimpier policies that will don’t cover the 10 essential health benefits mandated by Obamacare. Also, insurers might be able to charge higher premiums to those with medical issues if they let their coverage lapse. States requesting waivers might have to set up programs — such as high-risk pools — to protect insurers by high-cost patients.
However, the GOP bill doesn’t touch one another beloved piece of Obamacare — letting children stay on their parents’ insurance plans until the age of 26.
sy88pgw’s MJ Lee, Dana Bash, Jeff Zeleny, Jim Acosta in addition to Tami Luhby contributed to that will report.