"It's important that we don't just win the votes of one caucus, or one group, but that we get the votes and the consensus of 216 of our members", he continued.
Also at Monday evening's meeting with conservatives were White House chief of staff Reince Priebus and budget director Mick Mulvaney. President Trump's frustration with legislative obstruction overlooks the fact that that obstruction is itself one of the greatest strengths of the American system of government.
Thus, if President Trump had Prime Minister Trudeau's power, he could have ejected disobedient congressional Republicans from the GOP, forcing them to sit as independents and denying them party funding for their reelection campaigns-a frequent enough practice in Canadian politics. I heard the speaker talk about 'conceptual.' They were at concepts. Any changes that move the bill further to the right from there is viewed by Ryan's team as nearly certainly to only alienate them further.
Though states would have some flexibility to drop some of the essential benefits, Meadows said that the plan preserved coverage of pre-existing conditions and allows children 26 years old and younger to remain on their parents' insurance plans.
The proposal being floated by the White House at this point would give states the opportunity to opt out of some Obamacare regulations including the requirement that insurers cover Essential Health Benefits like maternity care or substance abuse, a version of which was already included in the previous House bill. But, the House Freedom Caucus also continues to ask for a repeal of community rating provisions, rules that dictate insurers can not discriminate against consumers on the basis of gender or health status. Rand Paul, R-Kentucky, to play golf on Sunday. On Capitol Hill, members of the House Freedom Caucus and the moderate Tuesday Group have struggled to rebuild trust following the health care debacle in March. Leaders say if the vote happens this week there'll be no time for a new CBO score, telling lawmakers how much the bill would cost. An aide emphasized that changes had to "add net votes" to the total in order for leaders to agree to move forward with it.
Some Republicans object to providing government-assisted health care on principle.
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"We can't try again and fail", Womack said. President Trump, House Speaker Ryan and others could even claim such modifications as evidence of their leadership in breaking through a partisan impasse.
And, there was still little evidence that Pence's renewed push had changed any minds in the House Freedom Caucus.
Vice President Mike Pence, along with other White House officials, met with members of the conservative House Freedom Caucus to renegotiate and possibly revive the Republicans' attempt to repeal and replace the Affordable Care Act, the chairman of the caucus said.
The Trump administration is unlikely to renew its push to repeal and replace the ACA through a single bill like the AHCA, but may attempt to water down elements of healthcare reform through administrative actions created to reduce federal subsidies and weaken health insurance exchanges.
Conservative groups such as the Club for Growth and Heritage Action had planned to keynote the health care vote - meaning that if they'd supported the Trump-Ryan bill, their cumulative conservative score would have taken a hit on the groups' annual scorecard and given ammunition to a primary challenger running against them from the right.