WASHINGTON, D.C.: Republican leaders unveiled a retooled health care bill Thursday (Friday in Manila) aimed at salvaging President Donald Trump’s top legislative priority, but the fresh effort was already on life support as it faced skepticism from within the party.
The new Senate bill is intended to woo lawmakers from rival conservative and moderate Republican factions, and reassure those who fear that repealing Barack Obama’s Affordable Care Act—a longstanding goal for the party—could adversely impact millions of Americans.
With Democrats united in opposition, Senate Majority Leader Mitch McConnell needs support from at least 50 out of 52 Republicans to pass the measure in the 100-member chamber.
But shortly after the revamped bill’s release, two Republicans confirmed their opposition against it, while at least five more expressed deep concerns.
The test is whether leadership can convince those holdouts to get on board now in order to even begin debate on the bill.
Like the previous version, the new draft eliminates Obamacare’s fundamental requirement that almost all individuals obtain health insurance.
It still includes plans to slash by more than $700 billion the Medicaid federal health care program for the poor and disabled, a move that Republican centrists fear could devastate millions of families.
But key changes include the provision of an extra $70 billion to stabilize the health insurance exchanges created under Obamacare, on top of the $112 billion earmarked under the previous version.
In another nod to moderates, the revised bill jettisons plans to repeal two taxes on wealthy Americans that help pay for Obamacare, and preserves a tax on health insurance executives.
That could free up about $230 billion to help contain health costs, supporters argue.
It also provides $45 billion to fight the opioid abuse crisis, a move aimed at placating moderate Republicans, notably Senator Rob Portman of Ohio and Senator Shelley Moore Capito of West Virginia.
Portman said he still was not sure if he could support the bill. “We’ll see,” he told reporters.
‘Still deeply concerned’
Concessions to conservatives include giving states flexibility to let insurance companies offer cheap, no-frills plans alongside those that include certain health benefits mandated by Obamacare.
Some Republicans warn that such a move could end up abolishing protections for people with pre-existing conditions and send costs soaring for children and older insurance holders in the individual market.
Senator Ted Cruz emerged from a Republican closed-door meeting to declare that the bill “represents a tremendous improvement over the previous version.”
The conservative Cruz had been a critic of the earlier plan, but led the push to allow insurance companies to offer bare-bones plans.