Amendments to health care bill seem certain
WASHINGTON — Undaunted by fellow Republicans’ defiance, GOP leaders and the White House redoubled their efforts Tuesday to muscle legislation overhauling America’s health care system through Congress following a sobering report about millions being shoved off insurance coverage.
President Donald Trump, whose strong Election Day showing in GOP regions makes him the party’s ultimate Capitol Hill vote wrangler, discussed the legislation by phone with the House’s two top Republicans. He also dispatched Vice President Mike Pence and health secretary Tom Price to hear GOP senators’ concerns.
With leaders hoping to move the measure through the House next week so that the Senate can debate it, changes in the measure seemed all but certain. Trump’s spokesman acknowledged the administration is open to revisions to win support.
“This has never been a take it or leave it,” said press secretary Sean Spicer.
The GOP bill is the party’s response to seven years of promising to repeal President Barack Obama’s 2010 health care overhaul. It would undo that law’s individual mandate, which requires most people to have coverage, by ending the tax penalty on those who don’t.
It also would provide age-based tax credits instead of the subsidies geared to income in Obama’s statute, eventually end that law’s expansion of Medicaid and curb its future spending, and let insurers boost rates for seniors.
On Monday, the Congressional Budget Office said the Republican legislation would reduce the ranks of the insured by 24 million in a decade, largely by cutting Medicaid recipients and people buying individual policies. That would be more than the 20 million who’ve gained coverage under Obama’s overhaul — and attach a big number to a problem haunting GOP governors and members of Congress whose states have benefited from Obamacare.
“I plan to vote NO” on the GOP bill, Rep. Ileana Ros-Lehtinen, R-Fla., tweeted Tuesday. “As written the plan leaves too many from my #SoFla district uninsured.”
The budget office report also said the measure would reduce federal deficits by $337 billion over the next decade, largely by cutting Medicaid, the health insurance program for the poor, and eliminating Obama’s subsidies for low- and middle-income people. The report said the bill’s changes would result in federal subsidies that would fall to half their current size in a decade and that older, lowerearning people would be hit especially hard.
“Of course you can have savings if you cut off millions of people from access to health care,” said House Minority Leader Nancy Pelosi of California. She said the measure’s shift of billions of dollars from lower- to higher-earning families actually would effectively transfer money from GOP to Democratic regions. “Explain that to your constituents,” she said to GOP lawmakers.
Pence and Price discussed the legislation over lunch with GOP senators at the Capitol. Participants said senators suggested targeting the bill’s new tax credits more at lower-earning people, improving benefits for seniors and protecting the expansion of Medicaid, the federalstate program that helps lower-income people afford care.
Senate Majority Leader Mitch McConnell, R-Ky., all but acknowledged that the measure will be reshaped, saying, “It will be open to amendment in the Senate.”
Even so, criticism cascaded from both ends of the GOP political continuum.
Freshman Rep. John Faso, R-N.Y., from a closely divided district in the Catskills, said he fears the bill would hurt hospitals and is undecided about supporting it. He’s a member of the House Budget Committee, which is expected to sign off on it Thursday.
Conservatives continued complaining the Republican measure doesn’t fully repeal Obama’s law, as they and Trump promised last fall. Their demands include voiding the law’s requirement that policies cover 10 specified benefits like mental health services, which they say drives up consumers’ costs.
“Ultimately it will be President Trump that saves this deal,” said Rep. Mark Meadows, R-N.C., head of the conservative House Freedom Caucus.