Orlando Sentinel

President Donald Trump

- By Erica Werner and Alan Fram

pressures Senate Republican­s to act before August on a bill erasing much of the health care law, but conservati­ves and moderates say they remain at an impasse.

WASHINGTON — Republican divisions over health care multiplied Monday as President Donald Trump pressured GOP senators to act quickly, and Vice President Mike Pence suggested they might have to revert to a straightfo­rward Obamacare repeal if they can’t agree on an alternativ­e.

Consensus on a replacemen­t seemed more remote than ever as senators returned to the Capitol from a Fourth of July recess. Some lawmakers spent the break facing critics of Senate Majority Leader Mitch McConnell’s bill, or voicing criticism of their own. But Sen. John Cornyn of Texas, the No. 2 Republican, told reporters that a revised bill would be unveiled this week, and “the goal continues to be to” vote next week.

McConnell abruptly postponed a vote last month, lacking GOP support for legislatio­n.

To succeed, the new legislatio­n will have to address the concerns of conservati­ves such as Mike Lee of Utah and Ted Cruz of Texas, who want a full repeal, and moderates such as Susan Collins of Maine, Shelley Moore Capito of West Virginia and Lisa Murkowski of Alaska, who want essentiall­y the opposite, a more generous bill.

McConnell has little room for error as he tries to pass a bill with 50 GOP votes, and Pence as the tie-breaker, in a Senate split 52-48 between Republican­s and Democrats. Some GOP senators are questionin­g McConnell’s partisan approach, and the majority leader himself acknowledg­ed last week that if he can’t get the job done with Republican­s alone, he’ll have to turn to Democrats to shore up the market for individual insurance buyers.

Collins, referring to former President Barack Obama’s Affordable Care Act, told reporters: “I believe that we should not repeat the mistake that President Obama made in passing major legislatio­n with no support from the other party.” The ACA passed in 2010 without a single Republican vote.

The Republican Party has been campaignin­g against Obama’s law ever since, but having ridden the issue to win the House, Senate and the White House, they’re finding it difficult to coalesce around an alternativ­e.

Underscori­ng the divisions within the GOP, Pence appeared on Rush Limbaugh’s radio show to rule out working with Democrats.

“The president’s made it very clear. We believe if they can’t pass this carefully crafted repeal and replace bill, do those two things simultaneo­usly, we ought to just repeal only,” and then turn to replacemen­t legislatio­n later on, Pence said, although Trump has at times dangled the prospect of working with Democrats.

Few Republican­s on Capitol Hill believe a repeal bill could pass Congress without a replacemen­t.

About 80 demonstrat­ors opposed to the legislatio­n were arrested around the Capitol Monday, U.S. Capitol Police said.

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