Republicans Push for Health Care Vote With Support Uncertain

Republicans Push for Health Care Vote With Support Uncertain

The Affordable Care Act was loosely based on Massachusetts' health care system, which was signed into law in 2006 by Gov. Mitt Romney.

Still, given the huge pressure Republicans are facing from their base constituents and conservative donors to repeal Obamacare - not to mention constant criticism from President Trump - the Senate could still proceed to a vote later this week. The Blue Cross Blue Shield Association opposes the measure as well, saying it would "increase uncertainty in the marketplace, making coverage more expensive and jeopardizing Americans' choice of health plans".

Iowa Sen. Chuck Grassley summed up the GOP political calculation in a call with reporters last week. Lindsey Graham, R-S.C., Bill Cassidy, R-La., Dean Heller, R-Nev., and Ron Johnson, R-Wis. - would do one popular thing: Eliminate the requirement that individuals purchase health insurance or pay a fine. The measure would end Obama's Medicaid expansion and subsidies for consumers and ship the money - $1.2 trillion through 2026 - to states to use on health services with few constraints.

Murkowski and Collins, whose votes are crucial to the success of the so-called Cassidy-Graham measure, have both insisted any attempt to replace parts of the ACA must not hurt their states. This block grant provision is routed through an existing federal statute that bars federal funding for abortion care or for insurance coverage that includes abortion (again, except in cases of life endangerment, rape or incest). The state would lose another $2 billion from the cap on federal Medicaid spending per recipient.

Separately, the law provides $750 million for states that expanded Medicaid after December 31, 2015.

Cassidy's home state of Louisiana, on the other hand, stands to lose money under his legislation.

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Sen. Patty Murray, D-Wash., has joined a bipartisan effort to fix state insurance plans, and has opposed unilateral Republican efforts in the Senate.

This Republican Obamacare-repeal bill will require every state in the country to make a complete evaluation of how they would like their health-care systems to work and to build such a system in just over two years.

The updated version of the repeal bill, released publicly Monday morning, includes more conservative regulatory policies created to win over key holdouts. Among other changes, the revision would spread the change over a decade, rather than the original half-dozen years.

States, those laboratories of democracy, are better suited to craft insurance policies - which are, at their core, boring financial contracts - narrowly tailored to their own unique state needs.

Angry, yelling demonstrators forced the Republican-led Senate Finance Committee to briefly delay the chamber's first and only hearing on the controversial issue.

Bennet is a member of that panel. Congress is still waiting for the Congressional Budget Office to release its score of the bill, which would indicate how much the legislation will affect the government's deficit. Instead, it tries to smooth over the formula of how the money would be distributed in an effort to put the states on a more equal footing. Asked whether he designed those changes with the two moderate Republican women in mind, Cassidy insisted that many states - not just Alaska and ME - would benefit. South Dakota would see the largest funding increase at 88 percent, OR the greatest decrease.