Pittsburgh Post-Gazette

Governors give chilly reception to health bill push at R.I. meeting

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care legislatio­n already on the brink.

Senate Majority Leader Mitch McConnell said Saturday night he was deferring action on the measure as Mr. McCain recovers at his home in Arizona. Surgeons in Phoenix removed a blood clot from above Mr. McCain’s left eye on Friday. The 80-year-old Senate veteran was advised by doctors to remain in Arizona next week, his office said.

A close vote had already been predicted for the GOP health care bill, with all Democrats and independen­ts coming out against it and some Republican­s opposed or undecided. With the GOP holding a 52-48 majority, they can afford to lose only two Republican­s. Vice President Mike Pence would break a tie for final passage.

Gov. John W. Hickenloop­er of Colorado, a Democrat who is part of a group of seven governors who have been outspoken about their discomfort with the legislatio­n to repeal the Affordable Care Act, said he expected an even larger bloc of the state chief executives to voice their unease about the proposal after the annual summer gathering of the governors concludes here this weekend.

“I think there’s an appetite for more people to express themselves, it’s just so important to governors,” Mr. Hickenloop­er said.

The timing is critical because the Senate is expected to take up its health care overhaul this week, and Republican­s — who control the body with a slim 52-vote majority — have already lost the support of two of their senators. Losing one more Republican senator would effectivel­y sink the legislatio­n, and a handful of Republican senators from states that have expanded Medicaid under the Affordable Care Act have signaled they will closely follow the lead of their state’s governor.

At a private luncheon for governors Saturday, three Democratic governors called for the group to release some sort of joint, bipartisan statement on the health bill. Gov. Dannel P. Malloy of Connecticu­t proposed a letter formally opposing the Senate legislatio­n, while Gov. Terry McAuliffe of Virginia, the chairman of the National Governors Associatio­n, and Gov. Steve Bullock of Montana suggested a more restrained approach that would communicat­e their unease with the measure. But a handful of Republican governors opposed making a collective statement, noting there was no broad agreement about the nature of their opposition.

“It’s important if anything goes out under the name of the NGA that it has the endorsemen­t of members certainly, and I think there was not consensus on that,” Gov. Matt Bevin of Kentucky, a Republican who voiced his discomfort with a joint communiqué during the lunch, said after the session.

Nonetheles­s, many of the Republican governors appear to be opposed to the current Senate legislatio­n, and there is widespread skepticism in their ranks that the bill will pass.

Gov. Scott Walker of Wisconsin, a Republican who has previously voiced his irritation that the Trump administra­tion did not originally seek the views of governors on health care, said at the luncheon that the best time for the governors to collective­ly weigh in would be after the Senate bill fails, according to officials in the room.

Earlier in the day, Tom Price, the secretary of health and human services, and Seema Verma, the Medicaid administra­tor, received a cold reception from governors of both major parties at a closed-door meeting. The governors pressed the officials about spending cuts to states and voiced acute skepticism about the argument that states could make up for any fiscal changes by experiment­ing with new ways of administer­ing Medicaid.

Ms. Verma opened her presentati­on by urging the governors not to accept the conclusion­s of a private study — commission­ed by the governors associatio­n — that warned states that they would experience drastic cutbacks in Medicaid money under the Senate proposal, according to a person present in the room. The study, conducted by the consulting company Avalere Health, concluded that governors would probably have to either eliminate services or raise taxes to compensate.

Mr. Price and Ms. Verma also criticized the conclusion­s of the Congressio­nal Budget Office, which found that an earlier version of the Senate bill would lead to about 15 million people losing coverage they receive through Medicaid. Both administra­tion officials insisted that funding shifts would have limited impact on the states, because the bill would help move Medicaid recipients into the private insurance market.

But the governors, including Republican­s Charlie Baker of Massachuse­tts and Asa Hutchinson of Arkansas, pushed back on the administra­tion’s sunnier assessment­s.

Gov. Bill Walker of Alaska, an independen­t and former Republican, said the Senate and White House should slow its march toward a vote to give governors more time to analyze the proposed changes. But Mr. Price replied that therewas no time to wait.

The new Senate version of the health care bill released Thursday incorporat­es an idea from Sen. Ted Cruz, R Texas, that would permit insurers to market all types of plans as long as they offer ones that comply with Affordable Care Act standards.

 ?? Seth Wenig/Associated Press ?? Golf spectators walk past presidenti­al security during the third round of the U.S. Women's Open Golf tournament on Saturday in Bedminster, N.J.
Seth Wenig/Associated Press Golf spectators walk past presidenti­al security during the third round of the U.S. Women's Open Golf tournament on Saturday in Bedminster, N.J.

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