GOP senators now oppose health bill _ enough to sink it

Republican leaders in the House faced the same challenges in March that their Senate counterparts are now confronting.

Democrats and other critics of the Senate GOP measure said the bill's feature phasing out costly aspects of Medicaid over time could eventually strip millions of low-income earners of health insurance.

Leaders for Providence Health Care, Community Health Association of Spokane, Frontier Behavioral Health and the Washington State Hospital Association said in separate interviews that the bill, especially its deep cuts to Medicaid, would worsen care for their patients, lead to fewer jobs in health care and hurt their bottom lines.

And Susan Collins of ME restated her opposition to blocking federal money for Planned Parenthood.

"It's not that they're opposed".

On Thursday, after the senate bill was released, Trump revealed a much more positive tone. "Older people who are now getting premium subsidies would get substantially less help, but younger people would get more". The Senate bill appeared shortly after White House press secretary Sean Spicer and President Trump himself said the administration wants a bill with "heart." It would repeal Obama's signature health care law, including its requirement that all Americans sign up for insurance or pay a penalty for not doing so. And I personally fought to include in the bill a tax credit that would help low-income South Dakotans and seniors - those who need it the most. It now covers about 70 million people, including children and able-bodied adults mostly served by private managed care plans.

During a White House meeting last week with 13 Republican senators, Trump said the House version was "mean" and urged the senators to make it more generous.

"I can not support a piece of legislation that takes insurance away from tens of millions of Americans and hundreds of thousands of Nevadans", he said.

A health insurance industry trade group says it's encouraged by provisions of the Senate GOP health care bill, but stopped short of voicing support.

If the Senate version becomes law, insurers could increase premiums for individual coverage by at least 20 percent more than the double-digit increases already under consideration.

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The 31 states that expanded Medicaid coverage now cover individuals making wages too low to afford health insurance and too high to qualify for the traditional program.

All together, it shows how long-term conservative goals of cutting taxes and entitlement spending have overtaken Trump's agenda, as the bill faces critical votes in the Senate as soon as next week that could take it to the precipice of becoming law.

"We live in the wealthiest country on earth".

"The CBO estimated that the surcharge would do more harm to the risk pool because people who are sick and have high medical costs would be willing to pay the surcharge to get the needed coverage", Lambrew said in a conference call with reporters on Friday.

Call your senators and ask them to consider the impact of any new bill on the health of our people and our economy. But federal funding for the program would be capped, based either on a fixed amount per enrollee in states or as a lump-sum block grant paid directly to states, according to published reports.

The problem facing GOP leaders is that any change that moves the bill further to the right has the potential to alienate moderate Republicans.

Vice President Mike Pence has made weekly trips to Capitol Hill to meet with senators about the health care bill and said he and the president are "determined before this summer is out" to keep their promise to break up Obamacare.

That would put greater pressure on cash-strapped states to come up with financing to make up the difference, drop coverage for some, or eliminate the expansion program. "Cuts to Medicaid will lead to more asthma attacks".

"I don't think it really gets at providing better health care for anybody", said Aaron Wilson, CEO of CHAS.

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