Milwaukee Journal Sentinel

Backlash threatens GOP health bill

Conservati­ves balk, but Trump backs plan

- ERICA WERNER AND ALAN FRAM ASSOCIATED PRESS

WASHINGTON - A powerful conservati­ve backlash threatened to sink the new Republican health care bill less than 24 hours after its launch, even as President Donald Trump and congressio­nal leaders began trying to sell the legislatio­n as the long-promised GOP cure for Obamacare.

“We’re going to do something that’s great, and I’m proud to support the replacemen­t plan released by the House of Representa­tives,” Trump said at the White House as he met with the House GOP vote-counting team Tuesday. “We’re going to take action. There’s going to be no slowing down. There’s going to be no waiting and no more excuses by anybody.”

Meanwhile, Vice President Mike Pence told GOP lawmakers at the Capitol this was their chance to scuttle Barack Obama’s Affordable Care Act, and Senate Majority Leader Mitch McConnell forecast congressio­nal passage by early April.

But major obstacles loomed as key Republican lawmakers announced their opposition, and one conservati­ve group after another released statements torching the plan. The Club for Growth, Heritage Action for America, Americans for Prosperity and Tea Party Patriots variously derided the new bill as Obamacare Lite, Obamacare 2.0 and even RyanCare, in a dig at House Speaker Paul Ryan of Wisconsin.

The new GOP plan would repeal the current law’s unpopular fines on people who don’t carry health insurance. It also would replace incomebase­d subsidies, which the law provides to help millions of Americans pay premiums, with agebased tax credits that may be skimpier for people with low incomes. Those payments would phase out for higher-earning people.

The legislatio­n also would limit future federal funding for Medicaid, which covers low-income people, about one in five Americans. And it would loosen rules that Obama’s law imposed for health plans directly purchased by individual­s.

Republican supporters and opponents are all intent on reducing the role of government in health care, but some House conservati­ves say the new bill doesn’t go nearly far enough.

For example, they are focusing on the system of refundable tax credits they denounce as a costly new entitlemen­t. They’re demanding a vote on a repeal-only bill.

At the White House meeting Tuesday, Trump made clear to House Republican­s that he would be personally engaging with individual members who oppose the bill as leadership tries to round up votes, according to a lawmaker present who spoke on condition of anonymity to discuss the private gathering.

Not long after, Trump appeared to be making good on his promise, tweeting at Sen. Rand Paul of Kentucky, who has criticized the bill.

“I feel sure that my friend @RandPaul will come along with the new and great health care program because he knows Obamacare is a disaster!” the president wrote.

The concerted conservati­ve opposition was a remarkable rebuke to legislatio­n GOP leaders hope will fulfill seven years of promises to repeal and replace the Affordable Care Act. The groups that are uniting to oppose the new House legislatio­n include many that sprang up to oppose passage of Obamacare in the first place.

“As the bill stands today, it is Obamacare 2.0,” the billionair­e Koch Brothers-backed Americans for Prosperity and Freedom Partners Chamber of Commerce said in a statement. “Millions of Americans would never see the improvemen­ts in care they were promised, just as Obamacare failed to deliver on its promises.”

Republican­s are pushing forward even without official estimates from the Congressio­nal Budget Office on the cost of the bill and how many people would be covered, although GOP lawmakers acknowledg­e they can’t hope to match the 20 million covered under Obamacare.

Democrats say the bill would leave many people uninsured, shifting costs to states and hospital systems that act as providers of last resort.

 ?? GETTY IMAGES ?? House Speaker Paul Ryan (R-Wis.) holds up a copy of the new health care act during a news conference with House Majority Leader Kevin McCarthy (R-Calif.) (left) and House Energy and Commerce Committee Chairman Greg Walden (R-Ore.).
GETTY IMAGES House Speaker Paul Ryan (R-Wis.) holds up a copy of the new health care act during a news conference with House Majority Leader Kevin McCarthy (R-Calif.) (left) and House Energy and Commerce Committee Chairman Greg Walden (R-Ore.).
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