In a blow, influential Republican a 'no' on health care bill

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"He's working it one by one". Leadership has been careful to ensure they have enough votes to avoid having to once again pull the legislation off the floor.

"I told him my concerns continue to be about Medicaid expansion not being soft on its landing", Dent said. Half of all respondents said that they have "little or no" confidence that the Republican bill will make their health care better, according to a recent NBC News poll. Despite the travails, House GOP leaders are optimistic the chamber could vote on the bill as soon as this week. The president said "Pre-existing conditions are in the bill".

That's right on the edge of the 22 members Republicans can afford to lose for the bill to pass.

House Republicans said they are planning to focus their end of the week policy meeting on Thursday on discussing healthcare further. "This is fine print time". Change the bill back to include a mandate and lots of Freedom Caucus support walks away.

On Monday evening, the vice president met with three different Republican House members individually to discuss the AHCA.

A senior Trump adviser said the White House counts them five votes short on the bill, which he said could drop to zero or grow to 15.

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 could see some shelve objections just to offload it to the Senate. For those who are voting yes, many are doing so reluctantly.

"I try to tell them how this bill balances two critical things, bringing the cost down and taking care of the most vulnerable people", said Rep. Tom MacArthur, R-NJ.

House Majority Leader McCarthy, R-California, agreed.

We say it because the bill has moved in the right direction, and because in our judgment passage through the House now considerably raises the likelihood that we will see improvements in health policy this year.

Chairman of the Freedom Caucus U.S. Rep. Mark Meadows (R-NC), who today said that Republicans still lack the votes to pass a reform bill to overhaul the U.S. healthcare system, walks in a hallway of the Rayburn Building on Capitol Hill in Washington, U.S., May 2, 2017. Some of their number could be leaning yes, but are waiting until the last minute to enjoy as much political cover as possible or to extract concessions from the White House or the House leadership. He needed surgery to fix two discs in his back, and the law's prohibition on insurance companies discriminating against people with pre-existing conditions is what allowed him to find a new insurer to pay for the procedure.

That was done by proposing to repeal the prohibition on pre-existing conditions in insurance plans.

Despite a provision that allows states to opt out, President Trump insists pre-existing conditions will be covered.

President Donald Trump is also not helping the matter with his confusing and contradictory comments about whether the final version of the bill will mandate that insurance companies cover people with pre-existing conditions - as the ACA now does.

A 21st, congressman Fred Upton, came out opposed, saying he was uncomfortable with a new amendment which allows states to remove essential health benefits, including protections that require insurance providers to offer coverage regardless of pre-existing conditions. In order to obtain that waiver, states would have to set up a high-risk pool-a government funded insurance plan for individuals with expensive medical conditions-but the Manhattan Institute's Chris Pope notes, those risk pools have historically been underfunded and expensive for enrollees.

Rep. Chris Collins of NY, a member of the moderate Tuesday Group and an ally of President Donald Trump, acknowledged that Republicans in competitive districts are in a tough spot.

He said he's going to vote for it to "move the bill forward".

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