GOP govs: ObamaCare repeal bill shifts 'significant' costs to states

Posted March 20, 2017

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 supportive. One leading House conservative said the alterations were insufficient and claimed enough allies to sink the measure, and support among moderates remained uncertain.

After a White House meeting between President Donald Trump and around a dozen House Republicans and late night telephone talks, a leader of one group of House conservatives said he and others were now backing the legislation. But that could increase the cost of the legislation, and in turn, make it tougher to get through the House.

CBO said the number of people without health coverage would soar in subsequent years, "to 21 million in 2020 and then to 24 million in 2026" compared to those now insured under the reforms implemented by Trump's Democratic predecessor Barack Obama.

The government says more than 12 million people have signed up for coverage this year under former President Barack Obama's health care law, even as the Republican-led Congress debates its repeal. On Wednesday, the AHCA goes before the House Rules Committee, the final stop before the bill reaches the House floor.

Boozman noted that Republicans were taking on a big challenge, with a lot of potential to get something wrong.

Unlike last week, when the bill made it through both the Energy and Commerce and the Ways and Means committees with little Republican opposition, members of the ultra-conservative Freedom Caucus and other conservative lawmakers who sit on the Budget Committee will have their chance to make a political statement. This bill has been criticized for providing tax cuts to the rich and because it would leave millions once more without insurance, detractors say. They've also discussed changing the new tax credits.

To accommodate moderates, a change in the tax credits is possible, especially one that better helps seniors. They oppose accelerating the phaseout of the Medicaid expansion and are unhappy with long-term cuts the measure would inflict on the entire program.

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In a new complication, Sen.

Before the vote, panel Chairwoman Diane Black, R-Tenn., appealed to fellow Republicans to back the legislation, calling it "the conservative health care vision we've been talking about for years". That left House members angry over being asked to take a politically risky vote for legislation likely to be altered. Removing the cap would ultimately boost the incomes of top executives, who stand to gain from their companies' profitability, they say.

Pence met repeatedly with House Republicans but rebels still abounded. This was called the "individual mandate". Premiums would go up for older Americans and down for younger Americans.

GOP support became scarcer when the nonpartisan Congressional Budget Office projected the legislation would push 24 million Americans off coverage in a decade and shift out-of-pocket costs toward lower income, older people.

OH added 700,000 people to its Medicaid rolls under the expansion, which is mostly paid for with federal funds.

21 million more people would be uninsured by 2020. The figures represent initial enrollment, and there's usually significant attrition over the course of a year.

Contrast that to an interview with Tucker Carlson of Fox News just two days ago, when the president appeared to acknowledge that the American Health Care Act was flawed and not "consistent" with his message in the election, and stressed that it was still "very preliminary".