The Arizona Republic

Bill unlikely to pass:

With Collins a ‘no,’ it’s unlikely last-ditch overhaul will pass

- Eliza Collins and Nicole Gaudiano

With three GOP defections, the measure seems doomed.

WASHINGTON Sen. Susan Collins of Maine, a key Republican vote on health care, announced Monday that she will oppose the last-ditch GOP effort to overhaul Obamacare, essentiall­y leaving the bill dead.

Republican­s, with 52 seats in the Senate, can lose just two votes and still pass the bill introduced by Sens. Lindsey Graham, R-S.C., Bill Cassidy, R-La., Dean Heller, R-Nev., and Ron Johnson, R-Wis.

Majority Leader Mitch McConnell, R-Ky., intended to bring the bill to the floor for a vote this week before a Sept. 30 deadline for the Senate to act.

Republican Sens. John McCain of Arizona, Rand Paul of Kentucky and Ted Cruz of Texas all have said they are against the bill. While Cruz had been against the current version, he had been hoping for more tweaks in the legislatio­n. Shortly after Collins’ announceme­nt, Cruz tweeted: “We cannot give up on Obamacare repeal. We must keep working. We can get to yes.”

The bill’s sponsors, however, already made changes over the weekend to the funding model in the hopes of winning votes.

Collins’ announceme­nt came just after after the non-partisan Congressio­nal Budget Office released a limited analysis estimating “the number of people with comprehens­ive health insurance that covers high-cost medical events would be reduced by millions” under the legislatio­n over the next decade. CBO said it was not clear the exact number of people who would be uninsured because it was difficult to estimate how states would react.

If passed, the legislatio­n would have kept most Obamacare taxes in place but sent the money back to the states in the form of block grants to design their own health systems, waiving Obamacare’s minimum insurance requiremen­ts. It also would have ended the Affordable Care Act’s expansion of Medicaid eligibilit­y and temporaril­y replaced that money with block grants through 2026.

The bill would also overhaul the traditiona­l Medicaid pro-

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