They said those changes would greatly improve the chances of Senate approval even though they might further alienate conservatives. And combined with opposition from Republicans of all stripes, the president's flexible stance suggested final passage could be delayed, potentially exposing the legislation to the same kind of extended public backlash that undermined the Affordable Care Act from the start. It will now move to the House Rules Committee for consideration.
Roy Blunt, a member of the Senate Republican leadership, after the CBO report was released.
"States can not successfully administer a quality Medicaid program that grants significant flexibility in lieu of adequate funding", they wrote in their plan. Some are actually behind the expansion that Obamacare allowed, which allowed federal and not state money to extend healthcare to more people who needed it in certain states. "They will have to tone down number the number of uninsured.in dramatic fashion", Mr Strazzella said.
Trump admitted that his Republican Party had put itself in a hard position by taking on health reform so soon in his administration, but that there was no other option.
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Beyond the pressure on state budgets, cuts to Medicaid spending would hurt hospitals, drug companies, medical equipment manufacturers, doctors, and other health-care providers. "We're making the kinds of improvements and refinements that we think make this bill better", Mr. Ryan told Fox Business Channel, while saying the "major components" will remain intact. The legislation, the American Health Care Act, would also in that year convert Medicaid into a per capita capped financing system, in which the feds would provide a set amount of funding each year based on the number of enrollees in each state's program. Most of that increase would stem from repealing the individual mandate because some people would choose not to have insurance once free of the threat of penalty.
The president griped that the media was not reporting fairly on the bill. Without most people on board, the House can not even get it to the Senate to even consider.
Of course, the GOP bill will need 216 voted in order to pass to the House.
"They're buying off people one by one with these little changes", said Rep. Raul Labrador. "As somebody who was uninsured in my childhood because of a preexisting health condition, this is a battle that I've taken on for many years", says Baldwin. "And there's a cap on how much you can make and still get it".
"The worst thing we could do is not follow up on our word", he told conservative radio host Laura Ingraham. "I don't want to see something like that happen to my old friends in the House of Representatives".