Majority Leader Mitch McConnell has made which clear to his conference which if Graham in addition to Cassidy can secure the votes, he can be prepared to make another attempt to move a health care bill, a source familiar with the process told sy88pgw. Largely hands-off up to This specific point, the Republican leadership has essentially begun to kick-start its machinery to set up a potential floor vote during the last week of the month.
The leadership has also weighed in with the Congressional Budget Office to try to encourage which to speed up the process of assessing the bill’s impact so Republicans can act if the votes materialize.
There can be no expectation which McConnell could bring the bill up on the floor if which did not develop the support which needed to pass, nevertheless Republicans aren’t far away by generating which a possibility, a source close to the process told sy88pgw.
The fact which Republicans remain tantalizingly close to repealing in addition to replacing the Affordable Care Act once in addition to for all means This specific short week inside Senate will be do-or-die time for the legislation. Republican leaders are supposed to gauge support for the proposal in Tuesday’s conference lunch, according to two sources familiar with the process.
The White House can be also generating a push for the bill, an administration official told sy88pgw. A source told sy88pgw which efforts are already underway although there are no plans to call in President Donald Trump to make a full-fledged lobbying effort just yet. Last week, Graham told reporters which Vice President Mike Pence had spent considerable time reaching out to Republican governors to try to gain their support in addition to buoy the effort.
inside past a few days, Democrats in addition to outside groups have also commenced to re-engage in a major effort to short-circuit Republicans’ mobilization.
Asked if which was time to take the Graham-Cassidy bill seriously, one senior Democratic aide simply responded, “Yes.”
All the usual caveats remain, however. While GOP leaders inside effort have publicly shared which they believe they have between 47 in addition to 49 votes for Graham-Cassidy, they aren’t at the magic number, 50, quite yet, in addition to time can be of the essence.
The Senate’s parliamentarian has suggested which Republicans only have until the end of the month to use their 2017 budget reconciliation bill as their vehicle to repeal Obamacare having a simple majority. After September 30, Republicans could either have to move on or pass another budget with health care reconciliation instructions to continue working on the overhaul legislation.
This specific week can be a short one in Washington because of Rosh Hashana, the Jewish fresh Year, meaning the best-case — in addition to actually only — scenario could entail bringing up a motion to put the bill to the Senate floor on the week of September 25. which could give senators just six days — only four of which scheduled as days the chamber will be in session — to secure the votes to take the bill up in addition to move through the legislative process (amendment vote-a-rama included).
Given the time in addition to effort the GOP has spent on health care already — months of plodding, closed-door talks where ideological in addition to political divides simply could not be bridged — This specific latest process could be a type of Senate hyperspeed.
which’s important to note which Republicans have been This specific close before.
Sen. Rand Paul, a Republican by Kentucky, has already made which clear he won’t support the latest type of the bill. In a Twitter tirade Friday, Paul wrote: “#GrahamCassidy sales pitch: if you like your Obamacare you can keep your Obamacare. No thanks.”
Where the latest proposal came by
After the last several Senate Republican plans to repeal in addition to replace Obamacare failed to garner enough support, Graham in addition to Cassidy began putting together their own proposal. They, along with Republican Sens. Ron Johnson of Wisconsin in addition to Dean Heller of Nevada, unveiled their bill Wednesday at the Capitol.
The bill could repeal the individual in addition to employer mandates as well as shift Obamacare’s Medicaid expansion funding in addition to insurance subsidy structure into a block grant program for states. States could be given a lump sum of money by the federal government, in addition to which could be up to them how to spend which.
The bill could also reduce federal support for the traditional Medicaid program by providing a fixed amount of funds per enrollee.
Republicans argue This specific could give states more flexibility in addition to could allow them to spend their money more efficiently.
nevertheless Democrats in addition to consumer advocates say the block grants could provide less money to states than they could get under Obamacare, in addition to, further, funding could be specified only through 2026. They have charged the block grant structure could put more of a burden on the states because they could have to make up for the shortfalls in federal dollars.
Early last week, senior Republicans in both chambers were dismissing the effort, oftentimes with an eye roll in addition to a chuckle. nevertheless the latest health care effort seemed to pick up steam in a closed-door Republican conference luncheon late last week, where, according to Graham, McConnell told the conference which he was “all in” on the latest attempt if Republicans could put together the votes.
“If we had a vote right right now, we’d get 47-48 votes,” Graham said Thursday.
The consensus inside room was which Republicans owed their voters one more try, staff said.
“which’s the right thing to do,” said one GOP aide, who until recently repeatedly shot down queries about the bill as pointless. “Our guys made This specific promise for years in addition to want to give which one more go.”
If the Graham-Cassidy proposal picks up real momentum inside Senate This specific week, which could potentially jeopardize another health care effort inside Senate: a rare bipartisan discussion which has been taking place on stabilizing the Obamacare marketplace.
Over the past few weeks, the Senate health committee held bipartisan hearings for the very first time This specific year on possible fixes to the health care law, bringing in state insurance commissions, governors in addition to different experts to testify.
After Republican lawmakers dominated the first half of the year with efforts to repeal the Affordable Care Act altogether, the hearings — in addition to right now the deliberations between committee Chairman Lamar Alexander, a Tennessee Republican, in addition to ranking member Patty Murray, a Washington Democrat, aimed at quickly introducing a bipartisan bill — appeared to mark a significant turning point inside heated health care debate.
Aides said staff-level discussions continued throughout the weekend in addition to which Alexander in addition to Murray hoped to begin finalizing language inside coming week in addition to push for a vote soon thereafter.
So far, there can be general across-the-aisle agreement on ensuring which Congress continues to fund a key set of Obamacare subsidies known as cost-sharing reduction payments (the details, including how long these payments could be ensured for, are still being hashed out). A more complicated area of discussions can be what level of flexibility states could have under Obamacare, with conservative Republicans pushing for greater breathing room in addition to Democrats warning which they could not support a proposal which could weaken patient protections.
nevertheless the revival of any GOP bill which can be certain to be rejected by Democrats inside chamber could Yet again turn health care into a highly charged in addition to partisan exercise. Democrats have been carefully eying the Graham-Cassidy proposal in recent weeks, warning which which could throw a wrench into bipartisan talks.
“which’s easy to see how another partisan Republican repeal effort could threaten work between Democrats in addition to Republicans to work together in Great faith,” a Democratic aide told sy88pgw.