Chattanooga Times Free Press

Obstacles await as Congress resumes health care discussion­s

- BY ALAN FRAM

WASHINGTON — Republican hopes for repealing and replacing former President Barack Obama’s health care law are still twitching in Congress, though barely.

Leaders lack the votes to pass something and face a fresh obstacle — the Senate parliament­arian ruled Friday that Republican­s only have the ability to dismantle the law with 51 votes until the end of the month.

It’s among several health issues lawmakers face when they return from summer recess, even as fights over the budget and helping Texas recover from Hurricane Harvey grab center stage.

WHEN WE LEFT OFF IN LATE JULY

Senate Majority Leader Mitch McConnell, R-Ky., tried to push three plans through his chamber erasing the 2010 law called Obamacare. Republican defections denied him the 50 votes needed, with Vice President Mike Pence ready to seal victory with a tie-breaking vote.

The excruciati­ng last roll call failed 51-49. Three Republican­s voted “no,” one more than McConnell could afford to lose. President Donald Trump used August to insult McConnell for that flop, even suggesting he might need to relinquish his leadership post, inflaming tensions between the White House and congressio­nal Republican­s and lacerating party unity.

OBAMACARE REPEAL MEETS THE PARLIAMENT­ARIAN

Republican­s have used a procedure that’s prevented Democrats from killing the health bill by filibuster. It takes 60 votes to defeat a filibuster. Without that special step, Republican­s controllin­g the Senate 52-48 would need support from eight Democrats to repeal Obamacare, impossible given unanimous Democratic opposition.

The safeguard against filibuster­s was included in a budget for the government’s 2017 fiscal year that Republican­s pushed through Congress in January.

That protection expires at the end of September, the Senate’s nonpartisa­n parliament­arian, Elizabeth MacDonough, has ruled. That’s when the fiscal year ends.

Sen. Bernie Sanders, I-Vt., the ranking member of the Budget Committee, said in light of the ruling, “we need to work together to expand, not cut, health care for millions of Americans who desperatel­y need it.”

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