Senators reject legislation to repeal health law

55-45 vote yields shock, frustration amid GOP

WASHINGTON — After seven years of emphatic campaign promises, Senate Republicans demonstrated they didn’t have the stomach to repeal “Obamacare” on Wednesday when it actually counted. The Senate voted 55-45 to reject legislation to throw out major portions of former President Barack Obama’s law without replacing it.

Seven Republicans joined all Democrats in rejecting a measure by GOP Sen. Rand Paul of Kentucky that would have repealed most of Mr. Obama’s health care law, with a two-year delay but no replacement. Congress passed nearly identical legislation in 2015 and sent it to Mr. Obama, who unsurprisingly vetoed it.

Yet this time, with Republican President Donald Trump in the White House itching to sign the

bill, the measure failed on the Senate floor. The Congressional Budget Office has estimated that repealing “Obamacare” without replacing it would cost more than 30 million Americans their insurance coverage, and that was a key factor in driving away more Republican senators than Majority Leader Mitch McConnell could afford to lose in the closely divided Senate.

The result frustrated other GOP senators, some of whom expressed disbelief that their colleagues would flip-flop on legislation they had voted for only two years ago and long promised to voters. Of the current Republican senators, only moderate Susan Collins of Maine opposed the 2015 repeal bill.

“Make no mistake: Today’s vote is a major disappointment to people who were promised full repeal,” said Sen. Ben Sasse of Nebraska. “We still have a long, long way to go — both in health policy and in honesty.”

Wednesday’s vote followed the late Tuesday rejection of GOP leaders’ Better Care Reconciliation Act, which had been bolstered with provisions to attract support from conservatives who want full repeal and centrists who worry about cuts to Medicaid.

Nine Republican senators voted against that idea.

Wednesday’s outcome was hardly a shock in a Senate that’s already shown that unity is elusive when it comes to dealing with Obamacare.

The real-world implications of repeal have proven sobering to GOP senators answering to voters who’ve come to rely on expanded insurance coverage under the law.

It’s not over yet. But what the party’s senators might end up agreeing on instead is far from clear. By week’s end Republicans hope to reach agreement among themselves, and eventually with the House, on some kind of repeal and replacement for the Obama law they have reviled for so long.

One possibility taking shape in talks among senators was a “skinny repeal” that would abolish just a few of the key elements of Mr. Obama’s law including its mandates that everyone purchase insurance and its taxes that all GOP senators can agree to oppose. But in a sign of the general confusion, some said the tactic was aimed chiefly at moving the process forward into the purview of a committee of Senate-House bargainers while others expressed the hope that the House would swallow a “skinny bill” whole, freeing Congress to move on to other issues.

The day’s proceedings began with prodding from Mr. Trump, who’s proven impatient and inconsistent throughout the health care debate and yet can claim some credit for resuscitating Senate talks after Mr. McConnell essentially declared them dead last week.

The president singled out Alaska Sen. Lisa Murkowski, who’d voted the day before against opening long-awaited debate on the legislation, and also opposed a wide-ranging McConnell amendment Tuesday that offered a replacement for Obamacare and went down to defeat.

“Senator @lisamurkowski of the Great State of Alaska really let the Republicans, and our country, down yesterday. Too bad!” Mr. Trump wrote.

Ms. Murkowski was also among the seven GOP senators who voted “no” Wednesday on the repeal-only bill. The others were Ms. Collins, Shelley Moore Capito of West Virginia, Dean Heller of Nevada, John McCain of Arizona, Rob Portman of Ohio and Lamar Alexander of Tennessee.