The Atlanta Journal-Constitution

A renewed GOP push for health overhaul

President wants a repeal bill to sign before recess.

- By Erica Werner and Alan Fram

■ President Donald Trump demanded that Republican senators resume their efforts to approve a plan to repeal and replace the Affordable Care Act, challengin­g them to hammer out an agreement even if it means remaining in Washington through their summer recess next month. ■ Senate Republican­s’ proposal to repeal much of the current health law without a replacemen­t would leave 32 million more Americans without health insurance over the next decade, according to an updated analysis by the nonpartisa­n Congressio­nal Budget Office released Wednesday. ■ A group of Senate Republican met to try to resolve difference­s over the party’s health care plans. Majority Leader Mitch McConnell said Republican­s leaders were still planning to vote on advancing a health bill next week.

Lecturing fellow Republican­s, President Donald Trump summoned GOP senators to the White House Wednesday and told them face-to-face they must not leave town for their August recess without sending him an “Obamacare” repeal bill to sign. Senators responded by vowing to revive legislativ­e efforts left for dead twice already this week.

Success was far from assured, but Trump declared “I’m ready to act,” putting the responsibi­lity on Republican lawmakers, not himself. During last year’s presidenti­al campaign he had declared repeatedly it would be “so easy” to get rid of the Obama law.

The developmen­ts Wednesday came just a day after the latest GOP health care plan collapsed in the Senate, leading Trump himself to say it was time to simply let President Barack Obama’s health care law fail. Majority Leader Mitch McConnell had indicated he was prepared to stick a fork in the Republican bill and move on to other issues including overhaulin­g the tax code.

But in an apparent change of heart, in keeping with his erratic engagement on the issue, Trump pressured McConnell to delay the key vote until next week, and he invited Republican senators to the White House for lunch.

There, with the cameras rolling in the State Dining Room, Trump spoke at length as he cajoled, scolded and issued veiled threats to his fellow Republican­s, all aimed at wringing a health care bill out of a divided caucus that’s been unable to produce one so far.

“For seven years you promised the American people that you would repeal Obamacare. People are hurting. Inaction is not an option and frankly I don’t think we should leave town unless we have a health insurance plan,” he said.

Seated next to Nevada Sen. Dean Heller, who is vulnerable in next year’s midterm elections, Trump remarked: “He wants to remain a senator, doesn’t he?” as Heller gave a strained grin.

It was not clear that the White House lunch would change the calculus in the Senate, where McConnell has failed repeatedly to come up with a bill that can satisfy both conservati­ves and moderates in his Republican conference. Two different versions of repeal-and-replace legislatio­n fell short of votes before coming to the floor, pushing him to announce Monday night that he would retreat to a repeal-only bill that had passed Congress when Obama was in office.

But that bill, too, died a premature death as three GOP senators announced their opposition on Tuesday, one more than McConnell can lose in the closely divided Senate. Further complicati­ng that approach, the Congressio­nal Budget Office released an analysis Wednesday reaffirmin­g its earlier findings that the repeal-only bill would mean 32 million additional uninsured people over a decade and average premiums doubling.

And a new AP-NORC poll found that Americans overwhelmi­ngly want lawmakers of both parties to work out health care changes, with only 13 percent supporting Republican moves to repeal the Obama law absent a replacemen­t.

At the White House lunch, the discussion was not simply about repealing “Obamacare” but also how to replace it as Republican­s said that after seven years of promises, they could not let their efforts die without one last fight.

“This is more than just a health care debate,” said Sen. Pat Roberts of Kansas as he left the meeting. “It really means, can we come together as a conference, can we come together as a Republican Party, can we come together on a signature piece of legislatio­n we’ve talked about for seven years.

“If we don’t, I think it’s pretty clear the political consequenc­es are staring us right in the face,” Roberts added.

The administra­tion scheduled a late-night meeting at the Capitol with Vice President Mike Pence and others for undecided senators to air their concerns.

McConnell announced that the Senate would vote next week to open debate, and “I have every expectatio­n that we will be able to get on the bill” — although no one seemed quite sure what bill it will be.

Sen. Lisa Murkowski of Alaska, who on Tuesday announced she would vote “no” on the “motion to proceed” to the repeal-only bill, demurred when asked after Wednesday’s lunch whether she remains “no.”

Trump’s sudden re-resolve to get “Obamacare” repeal-and-replace passed came after he’s been on all sides of the issue in a whiplash-inducing series of remarks over recent days and weeks, supporting repeal and replace, straight repeal, and finally doing nothing so “we’ll just let Obamacare fail,” as he declared on Tuesday.

He’s also failed to use his “bully pulpit” to sell the GOP legislatio­n to the public, something he promised senators he would remedy, according to Roberts.

WASHINGTON —

 ?? STEPHEN CROWLEY / THE NEW YORK TIMES ?? President Donald Trump speaks to Republican senators about health care legislatio­n Wednesday at the White House. At left are Sen. Shelley Moore Capito, R-W.Va., who has said she was opposed to any plan that repeals the Affordable Care Act without a...
STEPHEN CROWLEY / THE NEW YORK TIMES President Donald Trump speaks to Republican senators about health care legislatio­n Wednesday at the White House. At left are Sen. Shelley Moore Capito, R-W.Va., who has said she was opposed to any plan that repeals the Affordable Care Act without a...
 ?? AP ?? Senate Majority Leader Mitch McConnell, followed by Senate Majority Whip John Cornyn, leaves the White House on Wednesday after a luncheon with President Donald Trump and other GOP leadership.
AP Senate Majority Leader Mitch McConnell, followed by Senate Majority Whip John Cornyn, leaves the White House on Wednesday after a luncheon with President Donald Trump and other GOP leadership.

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