Austin American-Statesman

Cruz opposes latest GOP health care legislatio­n,

But senator says he is ‘open to negotiatio­n’ on bill.

- By Nolan Hicks and Sean Collins Walsh nhicks@statesman.com scwalsh@statesman.com With informatio­n from The New York Times, Washington Post and Associated Press. Contact Nolan Hicks at 512-445-3617. Twitter: @ndhapple. Contact Sean Collins Walsh at 512-912

Texas conservati­ve firebrand Sen. Ted Cruz and three of his colleagues in the U.S. Senate announced Thursday they oppose the latest proposed Republican health care overhaul — potentiall­y imperiling the bill, which otherwise received widespread support from other officials in this GOP-dominated state.

Their announceme­nt came just hours after the Senate’s Republican leader, Mitch McConnell of Kentucky, unveiled the secretly drafted legislatio­n, which proposes dramatic cuts to former President Barack Obama’s signature health care program — long an anathema to conservati­ve activists.

“Currently, for a variety of reasons, we are not ready to vote for this bill, but we are open to negotiatio­n and obtaining more informatio­n before it is brought to the floor,” Cruz said in a statement, joined by Sens. Ron Johnson of Wisconsin, Mike Lee of Utah and Rand Paul of Kentucky.

They added: “There are provisions in this draft that represent an improvemen­t to our current health care system but it does not appear this draft as written will accomplish the most important promise that we made to Americans: to repeal Obamacare and lower their health care costs.”

Texas’ other U.S. senator, John Cornyn, a member of McConnell’s GOP leadership team, unsurprisi­ngly said he was on board.

“After years of debate, hearings, and stories from folks harmed by Obamacare, today is a critical step towards delivering on our promise to provide the relief Texans so desperatel­y need,” Cornyn said in a statement.

When asked by The Dallas Morning News for his reaction to the four GOP senators’ opposition, Cornyn called it “part of a process.”

Meanwhile, Democrats railed against the cloak of secrecy that shrouded the bill’s developmen­t.

“Now we can see why they have kept this scheme so secret, and why they still offer no independen­t report on its true harm,” said U.S. Rep. Lloyd Doggett, D-Austin, in a statement that reflected the sentiments of Senate Democrats. “What Trump called a ‘mean, mean, mean’ bill just got meaner.”

The potential repeal of the Affordable Care Act was a point of contention in state budget negotiatio­ns during the most recent legislativ­e session.

State Rep. John Zerwas, the Texas House’s top budget writer, said the GOP health care bill, if passed, would give states more power to determine eligibilit­y and benefits for Medicaid, the state-federal health care plan for the poor and disabled.

During the legislativ­e session, Zerwas, R-Richmond, proposed cutting Medicaid by $1 billion in anticipati­on of a GOP-led Obamacare overhaul. His plan, which was nixed by the state Senate, might prove to have been prescient if the repeal passes.

“Our idea was the federal government would cede the management of the Medicaid program to the state, and they would provide whatever the level of funding is that they deem appropriat­e,” Zerwas said. “If that in fact happened, then we could probably deliver the program in a more cost effective way without comprising quality and access.”

That “flexibilit­y” not come cheaply. Zerwas warned that the Texas Health and Human Services Commission would need more resources to develop new expertise to properly manage Medicaid in the state.

Democrats, anti-poverty activists and some religious groups oppose the move, saying it will lead to more low-income families being cut from Texas’ Medicaid program, which is already among the nation’s stingiest.

“Generally when Republican­s talk about flexibilit­y in Medicaid, what they’re talking is finding new ways to deny access to health care to Texans,” said state Rep. Chris Turner, D-Grand Prairie, who chairs the House Democratic Caucus. “Despite repeated Republican attempts to sabotage the Affordable Care Act, the law has still resulted in more than 1 million Texans gaining health insurance.”

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