Ryan Looks to Thursday Health Care Vote With More Elder Pay Help

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Ryan insisted that ultimately the Republican plan would cut premium costs for people in their 50s and 60s, but "we think we should be offering more assistance than what the bill now does". "This is exactly where we want to be", the Wisconsin Republican said in an interview with "Fox News Sunday".

Health and Human Services Secretary Tom Price acknowledged that passing the White House backed health care bill through both houses of Congress is going to be tricky, but said he is confident that the GOP plan to repeal and replace Obamacare will move forward.

The GOP leadership's most urgent priority: Make sure they have the votes, changing the bill if necessary.

Changes that the House Republicans are considering include helping people in their 50s and 60s, who, according to a recent analysis by the Congressional Budget Office, will see sharp increases in premiums in 10 years, compared with what they would pay under the existing plan.

Meadows and two other Republican opponents of the bill, Senators Mike Lee of Utah and Ted Cruz of Texas, met at Trump's Mar-a-Lago estate in Florida on Saturday "negotiating with the president's team, trying to fix this bill", Cruz told CBS' "Face the Nation". But it wasn't clear until Sunday that the change would take the form of more financial assistance for seniors - rather than, say, moving the bill in an even more conservative direction, as some House Republicans have demanded. The report said 14 million people would lose health coverage under the measure over the next year. Despite concerns from conservatives and moderates alike, GOP leaders have remained bullish that the bill will pass.

Trump rallied supporters Monday night in Louisville, Kentucky, alongside Senate Majority Leader Mitch McConnell, R-Ky., after meetings and phone calls in Washington aimed at steadying the troubled legislation created to erase President Barack Obama's signature health care law. He told them: "This is our moment to make history".

Dent said Monday, before an amendment was expected to be released by House GOP leaders, that he still had "serious reservations" about the bill, including the size of the tax credits to offset insurance premiums and the potential effect on Pennsylvanians if the expanded Medicaid program were halted.

"We're still having conversations with our members", Ryan said.

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