GOP senators see CBO report as call to change plan

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The GOP's healthcare bill, the American Health Care Act, was approved by the House Budget Committee on Thursday in a 19-17 vote.

"They won't have the votes unless they change it" further, Meadows said.

Republican Senator Tom Cotton of Arkansas said the plan as written would not pass the Senate and could put the Republican House majority at risk.

The contradictory-sounding "optional mandatory work requirements" for Medicaid.

Senator Bernie Sanders, who ran for president in 2016 as a Democrat, said it was "cowardly" for Republicans to proceed with a healthcare bill without CBO estimates, telling CBS' Face the Nation show: "This is a disgrace".

Republican Representative Jim Jordan of OH, a founder of the conservative House Freedom Caucus, said it does not go far enough to meet Republicans' promise to kill Obamacare. "We stand united today to move this forward for the American people", the chairman of the Republican Study Committee Mark Walker, R-North Carolina, told reporters Friday morning. He said people will have choices as they select the kind of coverage they want as opposed to what the government forces them to buy.

He said that the plan would have a "fairly devastating effect" on hospitals and in the end, would reduce the availability of services even to people with insurance coverage.

Furthering the GOP push to round up votes, Vice President Mike Pence was meeting at the Capitol with a large group of conservatives.

"I don't like the idea of just sending a bill over which they can gut and send back", Dent said. "It will close up very, very soon if something isn't done", he said.

Although the Republican bill would also provide tax credits, they would not be created to keep pace with rising premiums. The results do not bode well for low-income Americans, showing that an additional 24 million people would become uninsured by 2026 if the bill is enacted. They sounded the alarm without saying that most people in ObamaCare had nothing to fear because of federal subsidies. This bill has been criticized for providing tax cuts to the rich and because it would leave millions once more without insurance, detractors say.

The Republican Governor felt the expansion worked well and that it should still be allowed in the GOP bill as long as states will allow it. Medicaid covers more than 70 million people, and its future is expected to be a central issue in the Senate.

"It provides nearly no new flexibility for states, does not ensure the resources necessary to make sure no one is left out, and shifts significant new costs to states", the letter - signed by Govs. John Kasich of Ohio, Rick Snyder of Michigan, Brian Sandoval of Nevada, and Asa Hutchinson of Arkansas.

The House GOP bill is the party's attempt, with control of both chambers of Congress and the White House, to finally make good on seven years' worth of promises to repeal and replace Obama's health care law.

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