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Possible shutdown, health care quagmire awaiting Congress

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Despite uncertainty insurers gear up for Obamacare 2018

Mr. Trump's GOP allies run Congress, but they've been unable to deliver a single major bill to him as his presidency faces the symbolic 100-day mark on April 29.

But other Republicans have expressed skepticism related to progress on the health care front, pointing to the hurdle of an internal divide between moderate and conservative GOP House members that stalled the initial attempt to repeal and replace President Barack Obama's signature legislation.

While the proposed change - and the larger health care bill - would likely need to drastically change in order to pass the Senate, Claxton said Republicans with likely continue to struggle to come to a consensus on health care legislation.

Even if the House manages to agree on a plan, there's no guarantee it will pass the more moderate Senate, where GOP leadership can only afford two defections without jeopardizing the bill's chances.

Speaking to members of the Republican Party on a call Saturday, Ryan urged lawmakers to prioritize the passage of a spending bill to avoid a government shutdown, the Washington Post reported, citing unnamed Republican aides who were on the call.

Two members of the Freedom Caucus want to re-establish a reinsurance - or risk sharing - program, similar to one previously in place under the Affordable Care Act, also called Obamacare.

Contact President Trump and your USA senators and representative to tell them the irresponsible way the Republicans are approaching health care reform is doing irreparable harm to the current health care system by throwing it into a state of chaos and uncertainty, the costs for which the Republicans will be held accountable.

In addition, House Appropriations Committee Chairman Rodney Freylinghusen of NY gave lawmakers an update on a spending bill that would need to be passed by Friday to keep the federal government open.

At this point it's not clear what the new GOP health care plan will do with Obamacare's Medicaid expansion. "Our Republican colleagues know that since they control, you know, the House, the Senate and the White House, that a shutdown would fall on their shoulders, and they don't want it".

Republicans are hoping to get the deal done before the president's 100 day milestone next Saturday.

Ryan called off a March 24 House vote on the measure after realizing that objections by conservative and moderate Republicans would have assured its defeat. It's a tactic Republicans know well; they were quite successful these past eight years using obstructionism as a political tool.

The White House official and most lawmakers and GOP congressional aides who spoke were not authorized to discuss the internal process publicly and insisted on anonymity. They would also be able to obtain waivers from the pre-existing conditions requirement by creating a "high-risk pool" to provide coverage for those who are unwell.

"It looks to me like we're headed in the right direction", Rep. Dave Brat, R-Va., a Freedom Caucus member, said Thursday.

Moderate Republican representative Tom MacArthur is pushing a proposal to allow states to waive some Obamacare provisions.

The Tuesday Group has about 50 members that include MacArthur and LoBiondo.

Chatter from the White House last week suggested that officials have pushed for a vote as early as this week, but that seems to be wishful thinking.

There's no denying that we experienced a setback when the American Health Care Act was pulled from the floor before the House was given the opportunity to vote on the bill, but I am not giving up.

Ryan sent a mixed message about the bill's prospects in remarks Wednesday to reporters in London.

Mick Mulvaney, director of the Office of Management and Budget, said a recent proposal created to let states waive insurer regulations in Obamacare is a tweak to an underlying replacement plan, so it's not as if House Republicans are starting from scratch.

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