ObamaCare replacement deal hits major speed bumps

House Republicans are throwing cold water on hopes there will be a vote next week on a revived ObamaCare repeal-and-replace bill. 

Rep. Mark Meadows (R-N.C.), chairman of the conservative House Freedom Caucus, and Rep. Tom MacArthur (R-N.J.), co-chairman of the centrist Tuesday Group, are nearing a deal on changes to the bill, and the White House is eager for a victory before President Trump’s 100th day in office. 

But GOP aides and some lawmakers say it seems doubtful the deal, as presented by MacArthur, could win approval in the House.

They also note that there is not even legislative text yet to mark a deal, which makes the prospect of holding a vote next week even more unlikely.

“The question is whether it can get 216 votes in the House, and the answer isn’t clear at this time,” said a senior GOP aide, referring to the number of votes likely necessary to pass the legislation.

“There is no legislative text and therefore no agreement to do a whip count on.”

“I don’t know that the state of play has really changed over the recess,” said another House GOP aide. 

A White House aide also said they are “still in the same place we’ve been” with no timetable or set date for a vote. 

The changes being discussed would allow states to apply for waivers to a core ObamaCare provision, known as community rating, that stops insurance companies from raising premiums based on individuals’ health, as long as the states also offered high-risk pool coverage. 

Repeal of that provision would mean insurers could go back to the days of charging people with much higher premiums based on their health, often putting coverage out of reach. Conservatives argue funding for high-risk pools could fill the gap, but opponents say high-risk pools were underfunded and did not work before ObamaCare. 

The proposed changes would also allow states to waive ObamaCare’s requirements that insurers offer certain benefits, including mental healthcare and prescription drugs. 

While the changes could win over some conservatives in the Freedom Caucus, aides expressed doubts it will win over a number of centrists, who are critical to getting a bill through the House in the face of unanimous opposition from Democrats.

MacArthur is a centrist, but he backed the original ObamaCare replacement bill pulled from a scheduled floor vote last month. Centrists were fleeing that bill as it moved toward a vote.

“There’s no deal,” said an aide to one moderate House GOP lawmaker.

“I wouldn’t be surprised if they started to lose more moderates” because of the new changes, the aide added.

Sources said the agreement has largely been between Meadows and MacArthur, and much of the rest of the GOP conference has not been involved in the talks.

Rep. Dan Donovan (R-N.Y.), a centrist lawmaker, told The Hill Thursday that he is still opposed to the bill despite the changes.  

“None of the changes addressed the concerns I had with the original proposal,” Donovan said.

He and other…

Read the full article from the Source…

Leave a Reply

Your email address will not be published. Required fields are marked *