Milwaukee Journal Sentinel

McConnell looking to salvage health bill

Little progress evident as Senate majority leader hunts for GOP votes

- ALAN FRAM AND ERICA WERNER

WASHINGTON - Senate Majority Leader Mitch McConnell explored options for salvaging the battered Republican health care bill Wednesday but confronted an expanding chorus of GOP detractors, deepening the uncertaint­y over whether the party can resuscitat­e its bedrock promise to repeal President Barack Obama’s overhaul.

A day after McConnell, short of votes, unexpected­ly abandoned plans to whisk the measure through his chamber this week, fresh GOP critics stepped forward.

Some senators emerged from a party lunch saying potential amendments were beyond cosmetic, with changes to Medicaid and Obama’s consumer-friendly insurance coverage requiremen­ts among the items in play.

“There’s a whole raft of things that people are talking about, and some of it’s trimming around the edges and some of it’s more fundamenta­l,” said Sen. Bill Cassidy (R-La.). “Right now, they’re still kind of, ‘Can we do it?’ and I can’t answer that.”

Yet while this week’s retreat on a measure McConnell wrote behind closed doors dented his reputation as a consummate legislativ­e seer, no one was counting him out.

“I expect to see buyouts and bailouts, backroom deals and kickbacks to individual senators to try and buy their vote,” said Senate Minority Leader Chuck Schumer (D-N.Y.). “What I don’t expect to see, yet, is a dramatic rethink of the core” of the bill.

A day after McConnell prodded Republican­s by saying a GOP failure would force him to negotiate with Schumer, the New Yorker set a price for such talks — no Medicaid cuts or tax reductions for the wealthy. No negotiatio­ns seem imminent.

Facing a daunting equation — the bill loses if three of the 52 GOP senators oppose it — the list of Republican­s who’ve publicly complained about the legislatio­n reached double digits, though many were expected to eventually relent.

Sen. John McCain (R-Ariz.) said “of course” his support was uncertain because he wants to ease some of the measure’s Medicaid cuts, and Sen. Ben Sasse (R-Neb.) told The Omaha World-Herald that the bill was not a full repeal, adding, “Nebraskans are dissatisfi­ed with it and so am I.”

McConnell (R-Ky.) wants agreement by Friday on revisions so the Senate can approve it shortly after returning in mid-July from an Independen­ce Day recess. Several senators scoffed at that timetable, with McCain saying, “Pigs could fly.”

At the White House, Trump continued his peculiar pattern of interspers­ing encouragem­ent to GOP senators trying to tear down Obama’s 2010 statute with more elusive remarks.

Trump told reporters that Republican­s have “a great health care package” but said there would be “a great, great surprise,” a comment that went without explanatio­n.

On Tuesday, he said it would be “great if we get it done” but “OK” if they don’t, and two weeks ago he slammed as “mean” the House version of the bill that he’d previously lionized with a Rose Garden ceremony.

The GOP’s health care slog has highlighte­d discord between moderates who say the bill cuts Medicaid and federal health care subsidies too deeply, and conservati­ves eager to reduce government spending and shrink premiums by letting insurers sell policies with scantier coverage than Obama’s law allows.

GOP support for the measure sagged this week after a report by the nonpartisa­n Congressio­nal Budget Office estimated that it would produce 22 million fewer insured people by 2026 while making coverage less affordable for many, especially older and poorer Americans.

It wasn’t helped when an NPR/PBS NewsHour/Marist Poll said that 17% of people approved of the Senate bill.

McConnell showed no signs of abandoning his push for the legislatio­n.

“We’ll continue working so we can bring legislatio­n to the floor for debate and ultimately a vote,” he said as the Senate convened Wednesday.

To succeed, McConnell must balance demands from his party’s two wings. It’s a challenge that’s intricate but not impossible, with some saying an eventual compromise could include elements both want.

Centrists from states that expanded Medicaid health insurance for the poor under Obama’s law are battling to ease the bill’s cutoff of that expansion.

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