Global Media

House leaving town with GOP health care bill in shambles

Can This Small Tweak Save the Republican Health Care Plan

Ryan's incompetence is not as serious, or as damaging, as Trump's failure to correctly identify the source of the problem.

House Speaker Paul Ryan (R-Wis.) said GOP Congressional leaders are getting closer to reaching a consensus on a revised Obamacare repeal and replacement bill.

The Freedom Caucus, which consists mainly of House members who identify with the Tea Party movement, opposed Obamacare, and most other initiatives of the previous administration, but had supported President Trump reliably until the AHCA debate. We all have meetings with constituents and things we're doing back with the people we represent.

It is far from clear whether the inclusion of the provision - which is based on the state of Maine's high-risk pool - in the American Health Care Act bill will do enough to garner the Republican votes needed to pass that legislation, and send it to the Senate for review.

They included Rep. Mark Meadows, R-N.C., who leads the conservative House Freedom Caucus, a hotbed of opposition, and moderate GOP Rep. Leonard Lance of New Jersey.

The chair of the House Freedom Caucus, a group of conservative USA legislators who held up the Trump administration's attempts to repeal and replace the Affordable Care Act, also known as Obamacare, said that if offers made to the group by the White House appear, the majority would vote for it.

House Speaker Paul Ryan of Wis. pauses during a news conference on Capitol Hill in Washington, Tuesday, April 4, 2017. He said talks were in "the conceptual stage".

We do not have a "health care" crisis in this country, we have a "health insurance" crisis.

Roughed out in negotiations between the White House and leaders of the conservative Freedom Caucus, the idea would allow states to seek waivers of two ACA requirements. The current version of the GOP legislation would erase that coverage requirement but let states reimpose it themselves, language that is opposed by numerous party's moderates. Conservatives complained the moderates were not eager to allow states to opt out of two popular ACA provisions: One would require all plans to cover 10 "essential health benefits" and another would bar insurers from charging sick people more for coverage than healthy people. Conservatives have argued that such restrictions inflate consumer costs. It's not a stretch to say that most of the Freedom Caucus does too, and particularly Rep. Amash. "We're gonna hear it from both sides", said Texas Rep. Joe Barton.

"Insurers are going to want some other filter to keep out people", said Karen Pollitz, an expert on individual health insurance, now with the nonpartisan Kaiser Family Foundation. Majority Whip Steve Scalise conceded that it was "very unlikely" that an Obamacare repeal bill would be voted on this week, while Rep. Patrick McHenry, the chief deputy whip, said the latest push by the White House had actually "diminished votes, not increased them".

The proposal was included in the House GOP's proposed Obamacare repeal legislation, which was pulled from consideration on March 24 due to lack of support. The South Carolina congressman also walked away from the discussions with Trump administration officials thinking the "guarantee issue"-a promise of coverage for people with pre-existing conditions-was on the chopping block". But as they ponder going home this weekend, it's their base voters who dislike Obamacare that they're most anxious about, Blendon stressed. If he makes enemies of them, there will be no reform not only because he won't have the votes, but also because most conventional politicians simply don't want it.