CBO scores leaves some Republicans skittish about ACA replacement

CBO scores leaves some Republicans skittish about ACA replacement


He is a second-term lawmaker from upstate NY.

President Trump and House Republicans triumphantly announced changes to their Obamacare replacement plan Friday, saying they will pave the way for passing the bill that has earned criticism from many conservative members, as well as Democrats. "But should the leadership force a vote on this current version, it will be defeated".

The Republican plan to replace the Affordable Care Act would mean an additional 24 million people without health insurance in the next 10 years while also saving $337 billion in federal budget deficits, according to the Congressional Budget Office (CBO), which released its highly anticipated score of America's Health Care Act (AHCA) on Monday.

"We're going through the process here".

Senators found an array of faults with the legislation, raising a challenge for GOP leaders trying to craft a cohesive message.

"Step three requires us to believe that the left is going to join us in voting for things that are going to repeal and replace Obamacare", GOP Rep. Raul Labrador, a conservative from Idaho who is a critic of the House legislation, said Thursday. He said that an optional work requirement for Medicaid "doesn't move the ball more than a couple yards on a very long playing field". One is the need to get 51 Senate votes on the first piece and 60 senate votes on subsequent parts.

Even the term "Obamacare" was created as a derisive term by Republicans and only embraced years later by President Barack Obama. Rep. Bill Flores, R-Texas, said it's important to get the legislation passed before Congress leaves for a two-week spring recess next month.

- Later, the uninsured rate would rise as federal funding shrinks and states change Medicaid rules.

"There needs to certainly be deliberation and something that ameliorates people's concerns", Cassidy said. Republican governors fear that millions of people now covered by Medicaid could be dropped, a step the governors warn could hurt GOP candidates in their states. Thirty-one states have enlarged their Medicaid rolls under the law.

But it's not clear whether the AHCA now has enough votes to pass the House. "But they also show that President Trump is all-in now" to help win converts.

Rep. Leonard Lance, New Jersey Republican, said he can not vote for a plan that won't make it through the Senate, where Republicans are mulling ways to soften the edges of the plan. "Well, they came out with their own bill, which doesn't include anything that the governors have talked about". Their efforts are expected to culminate in a vote on the House floor as soon as late next week.

Mike Tucker, volunteer state president for AARP Washington, says the flat tax-credit proposal in the plan amounts to an "age tax" that would increase premiums for older Americans.

More moderate Republicans are anxious about the political implications of an extra 14 million people without coverage in 2018 under the AHCA. Centrists remained wary of yanking constituents from coverage. Conservatives say this change gives states more flexibility.

GOP Rep. John Katko, from a closely divided district in upstate NY, said late Friday he opposed the measure. The fact that right now senators are skeptical, party activists are angry, and the health care industry is opposed are not, by themselves, unusual.

  • Jack Replman