Washington
But Trump sounded more like he was at the start of a negotiation than ready to close the deal. And combined with opposition from Republicans of all stripes, the president’s flexible stance suggested final passage of the bill could be delayed, potentially exposing the legislation to the same kind of extended public backlash that undermined former President Barack Obama’s Affordable Care Act from the start.
“It’s very preliminary,” the president said of the House GOP bill in a Fox News Channel interview on Wednesday, when questioned about reports the legislation would help Democratic voters more than those who elected him. “A lot of things aren’t consistent. But these are going to be negotiated. … We will take care of our people or I’m not signing it, OK, just so you understand.”
The House Budget Committee narrowly voted on 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.”
In another warning signal, four GOP governors wrote congressional leaders saying the beleaguered bill would not work for their states.
Govs. John Kasich, of Ohio; Rick Snyder, of Michigan; Brian Sandoval, of Nevada; and Asa Hutchinson, of Arkansas, said the legislation “provides almost no new flexibility for states,” fails to ensure enough resources to protect vulnerable residents and shifts significant new costs to states.
The House GOP bill repeals elements of the Obama law, including the “individual mandate” that penalizes people who don’t have insurance. It sets up a new system of tax credits that is less generous, particularly to older Americans. 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.
The bill also cuts a slew of taxes, mostly to the benefit of the rich. Conservatives say it doesn’t go far enough in repealing the Obama-era law in full, and an analysis by the nonpartisan Congressional Budget Office found 24 million people would lose their health insurance over a decade though the bill would also reduce the deficit.
Republicans in the Budget Committee pushed nonbinding proposals to phase out the Medicaid expansion more rapidly, help low-income people more with tax credits and require able-bodied Medicaid recipients to meet work requirements. The provisions seemed a window into votes that leaders think may be needed to win support from conservatives.