San Francisco Chronicle

Trump presses GOP holdouts to back measure

- By Erica Werner and Alan Fram Erica Werner and Alan Fram are Associated Press writers.

WASHINGTON — From both sides of the Atlantic, President Trump and administra­tion officials lobbied Republican­s Friday to support the Senate GOP’s revamped health care bill, with the president saying wavering senators “must come through” to keep the measure from collapsing.

But the bill, repealing much of President Barack Obama’s health care overhaul, hovered near failure as Senate Majority Leader Mitch McConnell strained to keep more Republican­s from deserting. Complicati­ng the effort, Ohio GOP Gov. John Kasich called the revised measure “still unacceptab­le,” largely because of its cuts to Medicaid, the same concern that’s been voiced by holdout Ohio Republican Sen. Rob Portman.

McConnell, R-Ky., released the measure Thursday, a plan that caps seven years of his party’s promises to obliterate Obama’s 2010 law. But two GOP senators — Susan Collins of Maine and Rand Paul of Kentucky — immediatel­y said they’d vote “no” on a crucial vote planned for next week. Facing uniform Democratic opposition, a third Republican defection would sink it — a reality not lost on Trump.

“After all of these years of suffering thru ObamaCare, Republican Senators must come through as they have promised!” the president tweeted from Paris, where he was attending Bastille Day ceremonies.

Sen. Dean Heller, R-Nev., was also targeted as top administra­tion officials were talking to his state’s GOP Gov. Brian Sandoval. Republican­s consider winning over the popular Sandoval a key to gaining Heller’s vote.

In an interview Friday, Sandoval said his initial understand­ing of McConnell’s new bill was that it “really doesn’t change the dynamic” about its Medicaid cuts, and “that’s a big concern for me.” Nevada added 200,000 new beneficiar­ies under Obama’s expansion of the health insurance program for the poor, disabled and nursing home patients.

Heller, who faces a tough re-election next year, has stood arm-in-arm with Sandoval in criticizin­g the proposed Medicaid cuts. Heller has said he would have opposed McConnell’s original legislatio­n, which the leader withdrew last month because it faced certain defeat.

The nation’s largest doctors’ group dealt another blow Friday, saying the plan falls short on coverage and access. The American Medical Associatio­n said Medicaid cuts and “inadequate subsidies” will lead to “millions of Americans losing health insurance coverage.”

 ?? Katherine Frey / Washington Post ?? Senate Majority Leader Mitch McConnell (center) is fighting to keep more Republican­s from opposing the health bill. Two Republican senators already have announced their opposition.
Katherine Frey / Washington Post Senate Majority Leader Mitch McConnell (center) is fighting to keep more Republican­s from opposing the health bill. Two Republican senators already have announced their opposition.

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