Albuquerque Journal

Ryan: Lawmakers will replace health law this year

Speaker’s promise faces hurdles

- BY ALAN FRAM

WASHINGTON — Lawmakers will act this year on bills not simply repealing President Barack Obama’s health care law but replacing it as well, House Speaker Paul Ryan said Thursday.

The remarks by Ryan, R-Wis., suggested a faster schedule than some had expected on reshaping the nation’s health care system. While Republican­s have said they plan to vote this year on dismantlin­g Obama’s law, Ryan went a step further, saying they also would write legislatio­n to replace it in 2017.

It won’t be easy.

Despite unifying for years behind the notion of dismantlin­g Obama’s

2010 law, Republican­s have yet to rally behind a plan for replacing it, stymied by divisions over how to do it and pay for the changes.

“Our legislatin­g on Obamacare, our repealing and replacing and transition­ing, the legislatin­g will occur this year,” Ryan told reporters, using a nickname for the law.

Ryan spokeswoma­n AshLee Strong said by “legislatin­g,” Ryan meant lawmakers will write legislatio­n and vote on it.

With Donald Trump set to become president on Jan. 20, Republican­s running Congress now face the political imperative to deliver on their oft-repeated promises to erase and replace the health law.

Democrats, who helped Obama enact the law without any GOP votes, are defending Obama’s overhaul but are outnumbere­d in the House and Senate.

No. 2 Senate GOP leader John Cornyn of Texas said writing a new health care law would be a top priority in his chamber but stopped short of saying senators would complete that this year.

“The Senate operating at warp speed is still nothing compared to what the House can do,” he said in a brief interview.

GOP Ohio Gov. John Kasich, whose state is covering hundreds of thousands of additional people under the health care law’s Medicaid expansion, expressed concerns to reporters in Cleveland about whether Congress would follow repeal with a replacemen­t.

“What are we going to tell 700,000 people, you don’t get health care anymore?” said Kasich, who challenged Trump for his party’s presidenti­al nomination. “It’s always easy to repeal, but the key is, what are you going to put in its place?”

Republican­s want to abolish the law’s penalties for individual­s who don’t buy policies and for some larger businesses that don’t cover employees. They want to ease federal coverage requiremen­ts and have proposed providing tax credits to help people afford coverage.

Since the new Congress convened this week, Republican­s have taken initial, procedural steps toward voiding the law.

Lawmakers hope to finish a budget next week that would prevent Democrats from using a filibuster to block a future bill repealing the health law.

On a party-line 52-48 vote Thursday, Republican­s defeated a Democratic proposal that would have allowed a filibuster — which requires 60 votes to end — of any bill repealing the health care law unless it would also fully replace it.

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Paul Ryan

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