GOP House's Revised Trumpcare Would Speed Medicaid Cuts

Ryan Says House GOP is ‘On Track’ to Repeal Obamacare and Pass the ACHA iStock

Texas GOP Rep. Kevin Brady, chairman of the House Ways and Means Committee, said some of the changes will be "technical" and "policy" related and will "further strengthen the bill".

Walker stopped short of endorsing the bill, but said it is "moving in the right direction".

The influential Heritage Foundation warned on Monday that, "Without repealing these insurance regulations - the regulatory architecture of Obamacare - Republicans will fail to keep their seven-year promise to fully repeal".

As far as the amendments are concerned, many of them would make additional changes to Medicaid that were pushed by conservative members. "We've already seen it start to happen ― and Democrats will be ready to hold Republicans accountable and make clear exactly what's going on and who's responsible".

Asked Tuesday walking to the meeting if he can get the votes, Trump responded, "I think so". He fears that under Trumpcare 14 million people will drop from health insurance rolls within a year, as out-of-pocket costs like deductibles and premiums increase.

Kline tried buying a policy on the federal exchange but found she made a little too much money to qualify for a government subsidy.

House lawmakers punted one important provision to the Senate: Providing more assistance to older consumers, many of whom would face huge premium hikes under the GOP bill. How that would shake out among states is unclear.

Dean Heller of Nevada - the Democrats' No. 1 target in 2018's midterm elections and the only Republican running in a state won by Hillary Clinton - declared Friday in a statement he couldn't vote for the House bill as written because of Medicaid concerns expressed by four Republican governors, including Nevada's Brian Sandoval.

The House bill would phase out that expansion starting in 2020 - part of an larger plan to cut Medicaid by $880 billion and taxes by $883 billion over a decade.

Some conservatives have demanded an earlier phaseout, something that could make it even harder for those senators to support the measure.

Olmsted County Community Services Director Paul Fleissner said based on the proposal being considered in Congress, he expects a lot of non-disabled adults will lose health insurance coverage. "Society will pay for it either through cost-shifting to the privately ensured or it will pay for it through enhanced disproportionate payments" to hospitals that treat indigent patients.

According to the website, Trump was greeted with cheers when he walked into the room, before asking permission to "go off script".

And then there's Tom Cotton of Arkansas, normally a staunch conservative, who has emerged as a surprising wild card. Over 15 million poor or near poor citizens are now receiving Medicaid benefits in the 31 States and the District of Columbia that had opted for Medicaid expansion. "So the key here is to create more flexibility, more ability for states to design programs, and also to have more flexibility in terms of the insurance law". As a result, the premium for a 64-year-old would be 20% to 25% higher in 2026 than it would be under Obamacare, the CBO projected. A House vote is scheduled for Thursday.

If Paul and Collins both end up voting no, GOP leaders would have to win over everyone else. Leadership hopes could hinge on convincing Cruz and Cassidy to vote for the bill after getting a chance to amend the health bill, even if their amendments ultimately are defeated.

Now everybody wants to see how (and when) the Congressional Budget Office scores this one.

As of Monday, senior Republicans were continuing to whip the GOP conference to ensure that they will have the 216 votes necessary to pass the bill out of the House on Thursday.

Republicans will also have to tackle averting a government shutdown when funding expires on April 28, as well as raising the debt limit later this year - two tasks that have taken time and political capital for party leaders in recent years.

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