It eliminates some of Obamacare's requirements for services health plans need to cover, and it sunsets an expansion of Medicaid over several years, an element causing great consternation with moderate-leaning Republicans but one that conservatives want to move up faster.
U.S. President Donald Trump on Friday stepped up his fight for support on Republicans' plan to dismantle Obamacare, wooing some conservative lawmakers at the White House while legislation advanced toward a possible vote in the House of Representatives next week.
Friday morning, members of the Republican Study Committee - who have expressed serious doubts about the House's health care bill - emerged from a meeting at the White House backing the legislation.
Republican Reps. Mark Sanford, Dave Brat and Gary Palmer, who are members of the conservative House Freedom Caucus, joined Democratic committee members in voting against the measure. Republican leaders have repeatedly said that was their schedule, but opposition mushroomed after a congressional report concluded this week that the measure would strip 24 million people of coverage in a decade.
'Every single person sitting in this room is now a yes.' He said he got a dozen commitments, although a list of attendees put out by the White House was more of a 'baker's dozen'. "We're trying to figure out who, exactly, it's trying to appease".
House Speaker Paul D. Ryan waved aside complaints that the process is messy, saying "this is legislating", and he praised President Trump for staying engaged. "He is helping bridge gaps in our conference".
The three GOP representatives were the first Republican votes against the plan to repeal and replace Obamacare since the bill's introduction last week. "It's been very helpful". Right now, there are not enough backers to get the bill out of the House of Representatives. With every additional rightward move that the House bill makes, more moderate senators grow tired, the Senate becomes less likely to pass the bill, and fewer House moderates want to walk the plank to vote for something that may well die in the Senate.
The Hill's Republican sources said RSC members now supporting the plan were won over by an agreement to give states the option to impose work requirements on Medicare recipients.
More changes could come next week when the bill makes a stop at the Rules Committee, before reaching the floor.
The House Budget Committee narrowly voted Thursday to advance the troubled Republican health bill, with defections by three GOP conservatives underscoring the obstacles party leaders face in maneuvering to avoid a stinging setback to their showpiece legislation after seven years of promises to repeal and replace "Obamacare".
He said his group has spoken with Senate Republicans about potential changes and will propose an amendment on Monday. "It doesn't repeal Obamacare". It would create new, leaner tax credits for health insurance, cap federal spending on Medicaid for low-income people and reverse tax increases on wealthy Americans used to finance Obama's statute.
The administration indicated it was open to revisiting the plan's treatment of Medicaid, the government health insurance program for the poor, during a meeting with a conservative wing of the party. "A fantasy about "freedom" and "choice" in a market that doesn't exist".
"There are other members who still aren't there yet, but a lot of them are working to get there", Scalise said. "'It's our job to get it out of here and get it to the Senate, '" Pence told the Republicans, according to Rep. Dennis Ross, R-Fla. The problem is that since various Republicans have come out both publicly and privately against the bill, there is a risk of it not even getting out of the House and into the Senate.
Rep. Tom McClintock, R-Calif., said he'd been assured by House Speaker Paul Ryan, R-Wis., that the bill's tax credit would be adjusted to focus more benefits on lower-income people.
"I'm 100 percent behind this", Trump told reporters after the meeting.