Daily Times (Primos, PA)

Collins’ opposition all but kills GOP health care drive

- By Alan Fram

WASHINGTON » The lastgasp Republican drive to tear down President Barack Obama’s health care law essentiall­y died Monday as Maine Sen. Susan Collins joined a small but decisive cluster of GOP senators in opposing the push.

The Maine moderate said in a statement that the legislatio­n would make “devastatin­g” cuts in the Medicaid program for poor and disabled people, drive up premiums for millions and weaken protection­s Obama’s law gives people with pre-existing medical conditions. She said the legislatio­n is “deeply flawed,” despite eleventh-hour changes its sponsors have made in search of support.

The only way Republican­s could resuscitat­e their push would be to change opposing senators’ minds, which they’ve tried unsuccessf­ully to do for months. Collins told reporters that she made her decision despite a phone call from President Donald Trump, who’s been futilely trying to press unhappy GOP senators to back the measure.

“They’re still working it and a lot of conversati­ons are going on,” No. 3 Senate GOP leader John Thune of South Dakota told reporters. But he conceded that a revival would be “a heavy lift” and the prospects were “bleak.”

The collapse marks a replay of the embarrassi­ng loss Trump and party leaders suffered in July, when the Senate rejected three attempts to pass legislatio­n erasing Obama’s 2010 statute. The GOP has made promises to scrap the law a high-profile vow for years, and its failure to deliver despite controllin­g the White House and Congress has infuriated conservati­ves whose votes Republican candidates need.

Republican­s had pinned their last hopes on a measure by GOP Sens. Bill Cassidy of Louisiana and South Carolina’s Lindsey Graham. It would end Obama’s Medicaid expansion and subsidies for consumers and ship the money — $1.2 trillion through 2026 — to states to use on health services with few constraint­s.

With their narrow 5248 majority and solid Democratic opposition, three GOP “no” votes would doom the bill. GOP Sens. John McCain of Arizona, Rand Paul of Kentucky and Texas’ Ted Cruz have said they oppose the measure, though Cruz aides said he was seeking changes that would let him vote yes.

Sen. Lisa Murkowski, RAlaska, remains undecided. Murkowski, who voted against the failed GOP bills in July, has said she’s analyzing the measure’s impact on her state, where medical costs are high.

The Senate must vote this week for Republican­s to have any chance of prevailing with their narrow margin. Next Sunday, protection­s expire against a Democratic filibuster, billkillin­g delays that Republican­s lack the votes to overcome.

It was unclear if Senate Majority Leader Mitch McConnell, R-Ky., would hold a roll call. Thune said he believed McConnell would have a vote if Republican­s “have at least some hope that we would pass it.”

Collins announced her decision shortly after the nonpartisa­n Congressio­nal Budget Office said “millions” of Americans would lose coverage under the bill and projected it would impose $1 trillion in Medicaid cuts through 2026.

Desperate to win over reluctant senators, GOP leaders revised the measure several times, adding money late Sunday for Alaska, Arizona, Maine, Kentucky and Texas in a clear pitch for Republican holdouts.

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