Tuesday, September 19, 2017 07:21


 
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GOP Expresses Hope for ACA Repeal Bill 09/19 06:03

   Top Senate Republicans say their last-ditch push to uproot former President 
Barack Obama's health care law is gaining momentum. But they have less than two 
weeks to succeed and face a tough fight to win enough GOP support to reverse 
the summer's self-inflicted defeat on the party's high-priority issue.

   WASHINGTON (AP) -- Top Senate Republicans say their last-ditch push to 
uproot former President Barack Obama's health care law is gaining momentum. But 
they have less than two weeks to succeed and face a tough fight to win enough 
GOP support to reverse the summer's self-inflicted defeat on the party's 
high-priority issue.

   "We feel pretty good about it," Sen. Bill Cassidy, R-La., a leader of the 
effort along with Sen. Lindsey Graham, R-S.C., said Monday.

   "He's the grave robber," No. 3 Senate GOP leader John Thune of South Dakota 
said of Cassidy. "This thing was six feet under" but now has "a lot of very 
positive buzz," Thune said.

   With Democrats unanimously against the bill, Republicans commanding the 
Senate 52-48 would lose if just three GOP senators are opposed. That proved a 
bridge too far in July, when three attempts for passage of similar measures 
fell short and delivered an embarrassing defeat to President Donald Trump and 
Senate Majority Leader Mitch McConnell, R-Ky.

   McConnell said he'd not bring another alternative to the Senate floor unless 
he knew he had the 50 votes needed. Vice President Mike Pence would cast the 
tie-breaking vote.

   A victory would let Senate Republican leaders claim redemption on their 
"repeal and replace" effort. The House approved its version of the bill in May.

   The 140-page bill would replace much of Obama's law with block grants to 
states, giving them wide leeway on spending the money. It would let states set 
their own coverage requirements, allow insurers to boost prices on people with 
serious medical conditions, end Obama's mandates that most Americans buy 
insurance and that companies offer coverage to workers, and cut and reshape 
Medicaid.

   Democrats backed by doctors, hospitals, and patients' groups mustered an 
all-out effort to finally smother the GOP drive, warning of millions losing 
coverage and others facing skimpier policies. Sixteen patients groups including 
the American Heart Association and the March of Dimes said they opposed it, as 
did the American College of Physicians and the Children's Hospital Association.

   Potentially complicating the GOP drive, the Congressional Budget Office said 
it won't have crucial estimates on the bill's impact on coverage ready for 
several weeks.

   Special procedures protecting the GOP bill from filibusters --- which take 
60 votes to block --- expire Sept. 30, and after that Democratic opposition 
would guarantee its defeat. Some wavering Republican senators could want the 
nonpartisan budget office's analysis before feeling comfortable about the 
measure's impact back home.

   All but daring Republicans to vote without the budget office figures, Senate 
Minority Leader Chuck Schumer, D-N.Y., said voting without that information 
would be "legislative malpractice at the highest."

   The budget agency's evaluations of past GOP repeal plans concluded they 
would have caused millions of Americans to lose insurance coverage.

   Pence was calling senators to seek support, White House officials said. 
House Speaker Paul Ryan, R-Wis., said the House would vote on the bill if it 
passes the Senate. Speaking in Menomonee Falls, Wisconsin, Ryan called it "our 
best, last chance to get repeal and replace done."

   The sponsors say their proposal would let states decide what health care 
programs work best for their residents.

   The bill would reduce spending gaps between states that expanded Medicaid 
under Obama's law and the mostly GOP states that did not. Details on the 
measure's exact state-by-state impact were murky.

   Conservative Sen. Rand Paul, R-Ky., has said he'll oppose the measure 
because it doesn't do enough to erase Obama's law. Sen. Susan Collins, R-Maine, 
said she was concerned the bill would make "fundamental changes" in Medicaid.

   Other Republicans who've not yet lined up behind the bill include Alaska's 
Lisa Murkowski, Shelley Moore Capito of West Virginia, John McCain of Arizona 
and Ohio's Rob Portman.

   Collins, Murkowski and McCain provided the decisive votes against the last 
measure Republicans tried to push through the Senate in July.

   "It's better but it's not what the Senate is supposed to be doing," McCain 
told reporters about the new package.

   Arizona GOP Gov. Doug Ducey said he backed the new bill, putting pressure on 
McCain.

   The revived drive comes as Sens. Lamar Alexander, R-Tenn., and Patty Murray, 
D-Wash., work toward a bipartisan deal to continue federal subsidies to 
insurers that are used to ease some costs for lower-earning customers. Trump 
has threatened to block the subsidies.

   Murray spokeswoman Helen Hare said Murray is "hopeful and optimistic" a deal 
could come soon, a statement that came as Democrats tried peeling away GOP 
support from the Graham-Cassidy bill.


(KA)

 
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