The Arizona Republic

Defectors doom attempt to repeal health care law

In 20-hour debate, Senate Republican­s struggle to craft bill that can unite them

- Erin Kelly and Eliza Collins

The Senate voted Wednesday to defeat a bill that would have repealed Obamacare within two years without any immediate plan to replace the sweeping health care law.

Senators voted 45-55 in favor of the bill, falling six votes short of the 51 needed to pass it. Seven Republican­s voted against it: Lisa Murkowski of Alaska, John McCain of Arizona, Susan Collins of Maine, Dean Heller of Nevada, Rob Portman of Ohio, Lamar Alexander of Tennessee and Shelley Moore Capito of West Virginia.

The vote comes on the second day of a 20-hour Senate debate on health care as Republican leaders scramble to win enough votes from their own members to pass something to replace the Affordable Care Act. The Senate began its session Wednesday morning with about 17 hours left in the debate.

Here’s a look at where things stand now:

WHAT WERE THEY VOTING ON WEDNESDAY?

The big vote so far was the failed attempt to pass the amendment by Sen. Rand Paul, R-Ky., to repeal the Affordable Care Act within two years, which would have given lawmakers time to come up with a replacemen­t plan before the law expired.

The proposal is the same as one passed by Congress in 2015, which was vetoed by former president Barack Obama.

WHAT HAD THEY ALREADY VOTED ON?

On Tuesday, senators voted 5050 to begin debate on a health care bill. Vice President Pence had to come to the Senate chamber to break the tie and allow debate to start.

After that, the biggest news came Tuesday night when senators defeated a Republican bill, on a vote of 43-57, to replace Obamacare.

WHAT ARE DEMOCRATS DOING?

The Democrats have been voting against the Republican bills to repeal and replace Obamacare. They also are using procedural tactics to try to slow down the debate process.

WHAT HAPPENS AFTER THE 20 HOURS OF DEBATE ARE OVER?

A vote-a-rama will begin on dozens of amendments offered by senators of both parties. That is expected to start Thursday.

DO REPUBLICAN SENATE LEADERS HAVE AN ENDGAME?

With the defeat of the comprehens­ive replacemen­t bill and the “clean” repeal bill, GOP leaders are now looking to pass a “skinny repeal” bill that would make limited changes to Obamacare. It would likely strip out the law’s tax on medical devices and its requiremen­ts for individual­s to buy health insurance and large employers to provide coverage for their workers.

“It’s becoming clearer that, in the end, the majority leader might push a much scaled-back version of repeal in the hopes of passing something, so-called skinny repeal, just to get to conference,” Minority Leader Charles Schumer, D-N.Y., said.

“It’s becoming clearer that, in the end, the majority leader might push a much scaledback version of repeal in the hopes of passing something, so-called skinny repeal, just to get to conference.” Sen. Charles Schumer, D -N.Y

 ?? J. SCOTT APPLEWHITE, AP ?? An amendment by Sen. Rand Paul to repeal Obamacare within two years failed to pass.
J. SCOTT APPLEWHITE, AP An amendment by Sen. Rand Paul to repeal Obamacare within two years failed to pass.

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