Tag Archives: Republicans

Trump tells Republicans to get back on healthcare bill

U.S. President Donald Trump calls on Republican Senators to move forward and vote on a healthcare bill to replace the Affordable Care Act in the Blue Room of the White House in Washington,

By Susan Cornwell

WASHINGTON (Reuters) – U.S. President Donald Trump and members of his administration on Sunday goaded Republican senators to stick with trying to pass a healthcare bill, after the lawmakers failed spectacularly last week to muster the votes to end Obamacare.

For the second day running, the Republican president tweeted his impatience with Congress’ inability to deliver on his party’s seven-year promise to replace the Affordable Care Act, President Barack Obama’s signature healthcare bill commonly known as Obamacare. Members of his administration took to the airwaves to try to compel lawmakers to take action.

But it was unclear whether the White House admonishments would have any impact on Capitol Hill, where Republicans who control both houses signaled last week that it was time to move on to other issues.

Republicans’ zeal to repeal and replace Obamacare was met with both intra-party divisions between moderates and conservatives and also the increasing approval of a law that raised the number of insured Americans by 20 million.

Polling indicates a majority of Americans are ready to move on from healthcare at this point. According to a Reuters/Ipsos poll released on Saturday, 64 percent of 1,136 people surveyed on Friday and Saturday said they wanted to keep Obamacare, either “entirely as is” or after fixing “problem areas.” That is up from 54 percent in January.

With the U.S. legislative branch spinning its wheels, the executive branch pledged to look at rewriting Obamacare regulations. Health and Human Services Secretary Tom Price told ABC’s “This Week” that he would change those regulations that drive up costs or “hurt” patients.

Price sidestepped questions about whether there were administration plans to waive Obamacare’s mandate that individuals have health insurance, saying “all things are on the table to try to help patients.”

But Price also told NBC he would implement Obamacare because it is the “law of the land.”

That Obamacare was still law clearly angered Trump, who has no major legislative accomplishments to show for his first half-year in office. “Don’t give up Republican Senators, the World is watching: Repeal Replace …” the president said in a tweet on Sunday morning.

 

NOT ‘TIME TO MOVE ON’

On Friday, Senate Republicans failed to collect enough votes to repeal even a few parts of Obamacare. That capped a week of failed Senate votes on whether to simply repeal, or repeal and replace, the 2010 law, while Trump repeatedly berated lawmakers in a late attempt to influence the legislation.

“The president will not accept those who said, quote, ‘it’s time to move on,'” Kellyanne Conway, a senior counselor to Trump, said on Fox News Sunday. Senate Majority Leader Mitch McConnell, a Republican, had made exactly that comment before dawn on Friday morning after the failed healthcare vote.

The White House budget director, Mick Mulvaney, said on Sunday lawmakers should stay in session to get something done on healthcare – even if this means postponing votes on other issues such as raising the debt ceiling.

“So yes. They need to stay. They need to work. They need to pass something,” Mulvaney said on CNN.

The House of Representatives has already gone home for its August break and the Senate is expected to do the same by mid-August.

Mulvaney also said Trump was seriously considering carrying out threats he tweeted about on Saturday, when the president said that “if a new HealthCare Bill is not approved quickly, BAILOUTS for Insurance Companies and BAILOUTS for Members of Congress will end very soon!”

That tweet appeared to be referring to the approximately $8 billion in cost-sharing reduction subsidies the federal government pays to insurers to lower the price of health coverage for low-income Americans.

The Saturday tweet also appeared to be a threat to end the employer contribution for members of Congress and their staffs, who were moved from the normal federal employee healthcare benefits program onto the Obamacare insurance exchanges as part of the 2010 healthcare law.

“What he’s saying is, look, if Obamacare is hurting the American people – and it is – then why shouldn’t it hurt insurance companies and more importantly, perhaps for this discussion, members of Congress?” Mulvaney said on Sunday on CNN.

Some Republicans have said they are trying to find a way forward on healthcare. Senate Republican Susan Collins, one of three Republicans who voted against repealing parts of Obamacare on Friday, told NBC that Congress should produce a series of bills with bipartisan input on healthcare, including appropriating the cost-sharing subsidies.

The Senate has one vote scheduled when it reconvenes on Monday afternoon: whether to confirm a U.S. circuit court judge. Senate aides said they had no guidance for the agenda beyond that vote.

 

(Additional reporting by Sarah N. Lynch, Roberta Rampton, and Caren Bohan; Editing by Phil Berlowitz and Mary Milliken)

 

Republicans’ push to roll back Obamacare faces crucial test

President Donald Trump (C) gathers with Vice President Mike Pence (R) and Congressional Republicans in the Rose Garden of the White House after the House of Representatives approved the American Healthcare Act, to repeal major parts of Obamacare and replace it with the Republican healthcare plan, May 4, 2017.

By Amanda Becker

WASHINGTON (Reuters) – A seven-year Republican effort to repeal and replace Obamacare faces a major test this week in the U.S. Senate, where lawmakers will decide whether to move forward and vote on a bill whose details and prospects are uncertain.

The Senate will decide as early as Tuesday whether to begin debating a healthcare bill. But it remained unclear over the weekend which version of the bill the senators would ultimately vote on.

President Donald Trump, after initially suggesting last week that he was fine with letting Obamacare collapse, has urged Republican senators to hash out a deal.

“Republicans have a last chance to do the right thing on Repeal & Replace after years of talking & campaigning on it,” Trump tweeted on Monday.

Republicans view former President Barack Obama’s signature 2010 health law, known as Obamacare, as a government intrusion in the healthcare market. They face pressure to make good on campaign promises to dismantle it.

But the party is divided between moderates, concerned that the Senate bill would eliminate insurance for millions of low-income Americans, and conservatives who want to see even deeper cuts to Obama’s Affordable Care Act.

The House in May passed its healthcare bill. Senate Republicans have considered two versions but have been unable to reach consensus after estimates showed they could lead to as many as 22 million fewer Americans being insured. A plan to repeal Obamacare without replacing it also ran aground.

If the Senate approves a motion to begin debating a healthcare bill, Majority Leader Mitch McConnell will determine which proposal has the most Republican support and move forward to a vote, Republicans said.

Republicans hold 52 of 100 Senate seats. McConnell can only afford to lose two Republican votes as Democrats are united in opposition.

Senator John Barrasso, a member of the Republican leadership, acknowledged on Sunday that there remained a lack of consensus among Republicans.

“Lots of members have different ideas on how it should be best amended to replace what is really a failing Obama healthcare plan,” Barrasso said on CBS’s “Face the Nation.”

The Republican effort has also been complicated by the absence of Senator John McCain, who has been diagnosed with brain cancer and is in his home state of Arizona weighing treatment options.

 

(Reporting By Amanda Becker; Additional reporting by Susan Heavey; Editing by Caren Bohan and Nick Zieminski)

 

Republicans meet late into night as Trump demands new healthcare plan

Senate Majority Leader Mitch McConnnell, R, and Senator Richard Shelby, L, (R-AL) listen as U.S. President Donald Trump speaks during a meeting with Senate Republicans to discuss healthcare at the White House in Washington, U.S., July 19, 2017. REUTERS/Kevin Lamarque

By Yasmeen Abutaleb and Richard Cowan

WASHINGTON (Reuters) – Republicans struggling to agree on healthcare legislation to overhaul Obamacare obeyed U.S. President Donald Trump’s orders to try to swiftly reach a deal but were unable to resolve their differences in a long, late-night meeting.

Earlier on Wednesday, Trump took Senate Republicans to task for failing to agree on how to dismantle Obamacare, as a new report showed 32 million Americans would lose health insurance if senators opt to repeal the law without a replacement.

Trump gathered 49 Republican senators for a White House lunch after a bill to repeal and replace the 2010 Affordable Care Act collapsed on Monday amid dissent from a handful of the party’s conservatives and moderates.

After Trump’s exhortation to keep trying, party members met with Health and Human Services Secretary Tom Price behind closed doors on Wednesday night to try to finally come together on a major Republican promise of the past seven years – undoing former Democratic President Barack Obama’s signature legislation, popularly known as Obamacare.

There was no immediate breakthrough.

“We still have some issues that divide us,” said Senator Ted Cruz, a conservative who has proposed letting insurers offer cheaper bare-bones plans that do not comply with Obamacare regulations.

Republicans attending the late meeting sent their staff away in order to talk frankly and Senator John Kennedy said everyone was negotiating in good faith but he added he did not know if they would reach agreement.

Almost all the other senators rushed off after the meeting without comment.

As it was getting underway, the nearly two dozen Republican senators were shaken by news that their colleague, veteran Senator John McCain, had been diagnosed with brain cancer.

McCain’s absence from the Senate makes the job of passing a healthcare bill more difficult because leaders need every Republican vote they can get.

“Obviously, I think more people are worried about his health than thinking about the math. You understand the math. Obviously it makes things difficult,” Senator Bob Corker said as he left the meeting.

Trump had taken a hands-off approach to the healthcare debate last week and suggested on Tuesday that he was fine with letting Obamacare fail. Then on Wednesday he switched course and demanded senators stay in Washington through their planned August recess until they find common ground on healthcare.

“We can repeal, but we should repeal and replace, and we shouldn’t leave town until this is complete,” Trump said at the meeting.

Trump made the repeal and replacement of Obamacare, which he has called a “disaster,” a central promise of his 2016 campaign.

Even with Trump’s new push, Republican leaders in the Senate face a difficult task getting moderates and conservatives to agree on an overhaul that can pass.

Senate Majority Leader Mitch McConnell had planned to hold a straight repeal vote next week, but several Republican senators have already said they oppose that approach.

Thirty-two million Americans would lose their health insurance by 2026 if Obamacare is scrapped without an alternative in place, the nonpartisan Congressional Budget Office reported on Wednesday, while 17 million would become uninsured next year alone.

At the same time, premiums on individual insurance plans would rise 25 percent next year and double by 2026.

The CBO’s estimates were unchanged from a previous report that assessed the impact of a 2015 bill to repeal Obamacare that passed the House of Representatives and Senate and was vetoed by Obama.

‘TRUE DEATH SPIRAL’

Democrats were swift to highlight the CBO’s assessment, while Republicans remained silent.

“President Trump and Republicans have repeatedly promised to lower premiums and increase coverage, yet each proposal they offer would do the opposite,” Senate Democratic leader Charles Schumer said in a statement.

Insurers and hospitals have lobbied against straight repeal, saying the limbo would increase uncertainty and their costs.

“CBO projects half the country would have no insurers in the individual market by 2020 under the new repeal bill. That’s a true death spiral,” tweeted Larry Levitt, vice president at the Kaiser Family Foundation, a healthcare research group.

Republicans say Obamacare is a costly intrusion into the healthcare system.

But the party is divided between moderates concerned the Senate bill would eliminate insurance for millions of low-income Americans and conservatives who want to see even deeper cuts to Obamacare, which boosted the number of Americans with health insurance by 20 million through mandates on individuals and employers, and income-based subsidies.

Moderate Republican Senators Susan Collins, Lisa Murkowski and Shelley Moore Capito said they opposed McConnell’s plan for a repeal that would take effect in two years. All three attended the lunch with Trump.

With Democrats united in opposition to repeal, McConnell can only lose two votes from the Republicans’ 52-48 majority in the 100-seat Senate to pass healthcare legislation.

Opponents of repeal protested throughout Senate buildings on Wednesday afternoon, leading to 155 arrests, police said. Demonstrators returned in the evening to yell as senators arrived for the meeting.

Party fractures also emerged in the House of Representatives. The chamber passed a plan to repeal and replace Obamacare in May. But on Wednesday, the House Freedom Caucus, the Republican Party’s conservative wing, filed a petition to vote on a straight repeal.

House Speaker Paul Ryan’s spokeswoman, AshLee Strong, said: “The House passed an Obamacare repeal-and-replace bill we are proud of and we hope the Senate will take similar action.”

(Writing by John Whitesides and Lisa Lambert; Additional reporting by Susan Cornwell, Richard Cowan, Yasmeen Abutaleb and Susan Heavey; Editing by Leslie Adler, Peter Cooney and Richard Pullin)

Senate Republicans reluctantly consider bipartisan healthcare talks

Healthcare activists with Planned Parenthood and the Center for American Progress protest in opposition to the Senate Republican healthcare bill on Capitol Hill in Washington, June 28, 2017. REUTERS/Joshua Roberts

By Amanda Becker and Susan Cornwell

WASHINGTON (Reuters) – As their seven-year effort to repeal and replace Obamacare derailed in the U.S. Senate, Republicans faced the prospect of doing the once unthinkable: working with Democrats to make fixes to former President Barack Obama’s 2010 healthcare law.

Bipartisan breakthroughs would likely come in the form of individual bills targeted at issues such as stabilizing insurance markets or lowering prescription drug costs. A wholesale overhaul of healthcare, senators say, is a bridge too far for the two parties, locked for years in an ideological battle on that issue and many others.

Democrats, clearly delighted with the turn of events, welcomed the Republicans’ failure to replace Obamacare as an opportunity to work together. Republicans conceded their other options may be exhausted.

“This is our moment, we have been waiting for this moment for months and months and in fact for years,” Democratic Senator Amy Klobuchar said at a Tuesday news conference.

Democrats are united in opposing repeal of the Affordable Care Act, popularly known as Obamacare, which boosted the number of Americans with health insurance through mandates on individuals and employers, and income-based subsidies.

The No. 2 Senate Republican, John Cornyn, told reporters it was “unfortunate” that he expected bipartisan talks to begin.

“Democrats are strongly committed to Obamacare and are unwilling to admit structural problems, which create the problems we are having in the individual market today,” Cornyn said. “But we’ll do the best we can with the hand we’ve been dealt.”

President Donald Trump invited all Republican senators to have lunch at the White House on Wednesday to discuss healthcare and other priorities, an administration official said, adding without elaboration: “There is movement on healthcare.”

Repealing and replacing Obama’s signature healthcare law was a top campaign promise for Trump and Republicans in Congress, who say it is a costly intrusion into the healthcare system.

Senate Majority Leader Mitch McConnell, working for the first time on major legislation with Republican control of both chambers of Congress and the White House, conceded on Monday night that there was not enough Republican consensus around his revised bill to replace Obamacare. He said he would instead hold a straight repeal vote sometime next week.

But at least three Republican senators have already said they oppose repealing Obamacare without an agreement on replacement legislation, likely dooming its prospects. McConnell can only lose two votes from his 52-seat majority in the 100-seat Senate to pass healthcare legislation.

Senate Republicans passed a straight repeal bill two years ago, but Obama vetoed it. The upcoming repeal vote will include a two-year delay, McConnell said.

That would “give us an opportunity to build something better on a bipartisan basis, that’s what I sense most of our members would like to vote on now, and we’ll be doing that in the near future,” McConnell told a news conference on Tuesday.

SHORING UP STATE MARKETS

An initial hurdle in coming weeks will be shoring up faltering state insurance markets by ensuring that insurers keep receiving subsidies that help lower the cost of insurance for low-income individuals.

The Trump administration will continue making the subsidy payments through August while a related Republican lawsuit is pending. The uncertainty beyond that has rattled insurers.

Republican senators have acknowledged the need to address the unstable markets but resisted Democratic calls to fund the subsidies without accompanying reforms, calling it a “bailout” for insurance companies.

Funding for the Children’s Health Insurance Program, a part of the Medicaid government health insurance program for the poor and disabled, known as CHIP, expires on Sept. 30 and will require reauthorization.

Bills to address the subsidy payments and CHIP would likely require 60 votes for passage, acting as a barometer of how inclined Republicans and Democrats are to work together, industry lobbyists and experts said.

Trump suggested on Tuesday that Republicans should allow the insurance markets to fail before working with Democrats. But Republican Senator Lamar Alexander, the head of the Senate Committee on Health, Labor and Pensions, said he would begin holding hearings on the issue in the next few weeks.

Senator Patty Murray, the top Democrat on the panel, said it would be “very smart” for lawmakers to work together to stabilize the markets by funding the subsidies.

“It would send a very strong message to the market, if Congress passes a bill. … I think that would do a lot to create some stabilization that is much needed,” Murray told Reuters.

(Additional reporting by Yasmeen Abutaleb; Editing by Mary Milliken and Peter Cooney)

U.S. Senate Republicans set repeal vote as healthcare overhaul sinks

FILE PHOTO - U.S. Senate Majority Leader Mitch McConnell speaks to the media about plans to repeal and replace Obamacare on Capitol Hill in Washington, DC, U.S. on June 27, 2017. REUTERS/Aaron P. Bernstein/File Photo

By Susan Cornwell

WASHINGTON (Reuters) – U.S. Senate Republican leader Mitch McConnell set a vote on a straight repeal of Obamacare after efforts to overhaul the healthcare law collapsed, but the new approach unraveled within hours on Tuesday in a sharp setback for President Donald Trump and his Republican Party.

The disarray in the Republican-controlled Senate rattled financial markets and cast doubt on the chances for getting Trump’s other domestic policy priorities, such as tax reform, through a divided Congress.

Repealing and replacing Obamacare has been a top Republican goal for seven years, and Trump made the promise a centerpiece of his White House campaign. The overhaul’s failure calls into question not only his ability to get his agenda through Congress but that of the Republican Party to govern effectively.

Saying he was disappointed, Trump told reporters at the White House that “we’re probably in that position where we’ll just let Obamacare fail.”

“We’re not going to own it, I’m not going to own it. … Republicans are not going to own it. We will let Obamacare fail, and then the Democrats are going to come to us,” he said.

McConnell gave up on efforts to overhaul the 2010 Affordable Care Act late on Monday after it became clear he did not have the votes. Instead, he announced plans to vote in coming days on a two-year transition to simply repeal the healthcare law with no replacement.

“We will now try a different way to bring the American people relief from Obamacare,” McConnell said on Tuesday as he opened the Senate, where the Republicans hold a razor-thin 52-48 majority. “I think we owe them at least that much.”

But Republican Senators Shelley Moore Capito of West Virginia, Susan Collins of Maine and Lisa Murkowski of Alaska quickly announced they would not back repeal, dooming the fledgling effort. With Democrats united in opposition, Republicans can only afford to lose two votes to pass the measure in the Senate.

(Writing by John Whitesides; Additional reporting by Caroline Humer in New York and Ginger Gibson, Richard Cowan in Washington; Editing by Tom Brown, Nick Zieminski and Jonathan Oatis)

Senate may vote on revised healthcare bill next week

Senate Majority Leader Senator Mitch McConnell (R-KY) attends a new conference following party policy lunch meeting at the U.S. Capitol in Washington, U.S. July 11, 2017. REUTERS/Carlos Barria

By Yasmeen Abutaleb and Susan Cornwell

WASHINGTON (Reuters) – U.S. Senate Republicans said Tuesday they will seek to bring their healthcare overhaul to the Senate floor next week after a lengthy intraparty struggle, but it remained unclear whether they had the votes to pass the measure or even what form it would finally take.

With his reputation as a master strategist on the line, Senate Majority Leader Mitch McConnell laid out a timetable for Senate consideration of legislation to fulfill President Donald Trump’s campaign promise to dismantle the 2010 Affordable Care Act, also known as Obamacare.

In a departure from Republican orthodoxy on tax-cutting, the legislation likely will retain some of the taxes that were imposed on the wealthy under Obamacare, Senate sources said.

But it was unknown whether a revised version of the bill to be announced on Thursday morning can satisfy both moderates and hard-line conservatives in the Republican majority who voiced opposition to a draft unveiled last month on very different grounds.

With Trump urging the Senate to act before taking the August break, McConnell pushed back the Senate’s planned August recess by two weeks to allow senators more time to tackle the measure that would repeal key parts of Obamacare, as well as pursue other legislative priorities.

McConnell’s announcement drove a turn-around in stock prices in afternoon trading on Wall Street after an earlier sell-off, on hopes that a shortened recess could mean progress on the stalled Republican legislative agenda.

A dark mood lingered among some Republicans over the healthcare subject, with party leaders appearing to act because of the need to dispense with healthcare and turn to other issues, among them increasing the U.S. debt ceiling.

“I think we’ve narrowed down now to where we know where the decision points are, and we just have to make those decisions,” Senator John Thune, a junior member of the Republican leadership, told reporters. Leaders were still trying to “figure out how we get to 50” votes, he said.

Republicans, who hold 52 seats in the 100-seat Senate, would need 50 votes to pass the bill, with Vice President Mike Pence providing the tie-breaking vote.

“I am very pessimistic” about the prospects for Republican healthcare legislation, Chuck Grassley, a senior senator, told Fox News on Tuesday. Another Republican senator, Lindsey Graham, was working on his own healthcare proposal and will unveil it this week, a Graham aide said.

KEEPING OBAMACARE TAXES

McConnell said the plan was to vote on the healthcare bill next week, and said he hoped to have a fresh analysis of the bill from the nonpartisan Congressional Budget Office at the start of the week. He did not reveal any of the planned changes to the draft, on which he postponed action last month after it failed to gather enough support.

But Senate sources said it is likely that two Obamacare taxes on the wealthy will be kept in place – a 3.8 percent net investment tax and a 0.9 percent payroll tax that helps finance Medicare – which would appeal to moderates who have balked at the prospect of cutting taxes for the wealthy while reducing benefits for the poor.

“Obviously that’s the direction I think that a lot of our members want to move, is to keep some of those (taxes) in place and be able to use those revenues to put it into other places in the bill,” Thune said, while stressing that no decisions were final.

Republicans could also retain Obamacare’s limit on corporate tax deductions for executive pay in the health insurance industry, one Senate source said.

It was unclear whether the bill would include a proposal by conservative Republican Ted Cruz that would allow insurers to offer basic low-cost healthcare plans that do not comply with Obamacare regulations.

Cruz argues it would help to lower premiums, but critics say it would allow insurers to offer skimpier plans that may not cover essential health benefits while also charging more for more comprehensive, Obamacare-compliant plans.

The Senate Republican healthcare bill unveiled last month would phase out the Obamacare expansion of Medicaid health insurance for the poor and disabled, sharply cut federal Medicaid spending beginning in 2025, repeal many of Obamacare’s taxes, end a penalty on individuals who do not obtain insurance and overhaul Obamacare’s subsidies to help people buy insurance with tax credits.

Democrats are united in opposition to the bill and at least 10 Republicans have said they oppose the existing draft. The House of Representatives passed its own version in May.

Moderate Republicans are uneasy about the millions of people forecast to lose their medical insurance under the draft legislation, and hard-line conservatives say it leaves too much of Obamacare intact.

Democrats call the Republican legislation a giveaway to the rich that would hurt the most vulnerable Americans.

(Additional reporting by David Morgan and Amanda Becker; Writing by Susan Cornwell and Tom Brown; Editing by Mary Milliken and Leslie Adler)

Trump presses congressional Republicans to pass healthcare plan

By Susan Heavey and Susan Cornwell

WASHINGTON (Reuters) – President Donald Trump on Monday prodded the Republican-led U.S. Congress to pass major healthcare legislation but huge obstacles remained in the Senate as key lawmakers in his party voiced pessimism about the chances of rolling back the Obamacare law.

The House of Representatives approved its healthcare bill in May but the Senate’s version appeared to be in growing trouble as lawmakers returned to Washington from a week-long recess.

“I cannot imagine that Congress would dare to leave Washington without a beautiful new HealthCare bill fully approved and ready to go!” Trump wrote on Twitter, referring to the seven-year Republican quest to dismantle Democratic former President Barack Obama’s signature legislative achievement.

Trump appeared to be referring to the August recess that lawmakers typically take.

Senate Republican leaders have faced a revolt within their ranks, with moderate senators uneasy about the millions of Americans forecast to lose their medical insurance under the legislation and hard-line conservatives saying the bill leaves too much of Obamacare intact.

Republican Senator Pat Toomey said a new version of the legislation is expected to be released on Monday, telling the CNBC program “Squawk Box” that “there’s a shot” of getting to the 50 votes his party needs to win passage in the 100-seat Senate, with Vice President Mike Pence casting a tie-breaking vote.

Repealing and replacing the Affordable Care Act, dubbed Obamacare, was a central campaign pledge for Trump.

Obamacare expanded health insurance coverage to some 20 million people, with much of the increase due to an expansion of the Medicaid government health insurance program for the poor and disabled.

Republicans criticize the law as a costly government intrusion into the healthcare system while Democrats call the Republican legislation a giveaway to the rich that will hurt millions of the most vulnerable Americans.

“The Senate now is literally within weeks of being able to deliver on that promise to the American people,” Pence said in an interview with conservative radio host Laura Ingraham, adding there is “not yet agreement” in the Senate “but we are close.”

Some Republican lawmakers were more pessimistic, with Senator John McCain saying on Sunday the legislation is “probably going to be dead.”

Opponents of the legislation are expected to hold protests in Washington, organizing sit-ins at congressional offices, holding marches and stage vigils outside Republican senators’ homes. During last week’s recess, liberal groups organized town hall meetings and protests and ran advertisements criticizing the bill.

Senate Majority Leader Mitch McConnell faces the tricky task of crafting a bill that can attract Republican moderates and hard-line conservatives in a chamber his party controls with a slim 52-48 majority.

The Senate legislation would phase out the Medicaid expansion, drastically cut federal Medicaid spending beginning in 2025, repeal most of Obamacare’s taxes, end a penalty on Americans who do not obtain insurance and overhaul Obamacare’s subsidies to help people buy insurance with tax credits.

The nonpartisan Congressional Budget Office, which assesses the impact of legislation, has estimated 22 million people would lose health insurance over the next decade under the Senate bill.

Shares of U.S. hospital companies and health insurers, which have been particularly sensitive to developments involving the healthcare legislation, were mixed in midday trading on Monday.

Among hospital stocks, Tenet Healthcare Corp edged up 0.3 percent while HCA Healthcare Inc fell 0.5 percent.

Insurer Anthem Inc inched up 0.1 percent while Centene Corp, an insurer focused on Medicaid, was flat.

The broader S&P 500 healthcare sector was off 0.1 percent, underperforming a 0.2 percent gain for the overall S&P .SPX.

(For a graphic on who’s covered under Medicaid, click http://bit.ly/2u3O2Mu)

 

(Additional reporting by Doina Chiacu; Writing by Will Dunham; Editing by Tom Brown)

 

Senate Republicans struggle to salvage healthcare effort

A demonstrator heads home after protesting the Republican healthcare bill outside Republican Congressman Darrell Issa's office in Vista, California, June 27, 2017. REUTERS/Mike Blake

By Susan Cornwell and Yasmeen Abutaleb

WASHINGTON (Reuters) – The top U.S. Senate Republican struggled on Wednesday to salvage major healthcare legislation sought by President Donald Trump, meeting privately with a parade of skeptical senators as critics within the party urged substantial changes.

Republican leaders hope to agree on changes to the legislation by Friday so lawmakers can take it up after next week’s Independence Day recess.. Senate Majority Leader Mitch McConnell on Tuesday abandoned plans to seek passage of it this week because Republicans did not have 50 votes to pass the bill.

For seven years, Republicans have led a quest to undo the 2010 law known as Obamacare, Democratic former President Barack Obama’s signature legislative achievement. Trump made dismantling it a top campaign promise during last year’s presidential campaign but policy differences within the party have raised doubts Republicans can achieve a repeal.

Democrats have unified against the bill and Republicans control the Senate by a slim 52-48 margin, which means McConnell can afford to lose only two Republicans. So far at least 10 – including moderates and hard-line conservatives – have expressed opposition to the current bill, although some indicated they would vote for it with certain changes.

McConnell, with his reputation as a strategist on the line, met with a procession of Republican senators in his office on Wednesday. John Cornyn, the No. 2 Senate Republican, said party leaders will talk to every Republican senator who has concerns about the bill or is undecided.

The House of Representatives passed its healthcare bill last month, only after striking a balance between the center of the party and the right wing. Now McConnell must find a similar sweet spot.

During a lunch meeting on Wednesday Republicans made presentations on potential fixes. Senator Rand Paul called for jettisoning more parts of Obamacare to get conservatives on board.

TAX ISSUE

Senator Mike Rounds suggested keeping a 3.8 percent Obamacare tax on high earners’ investment income, which the current bill would eliminate. Rounds said the tax could pay for more Americans to receive the tax credits that help pay for health insurance.

Senator Bob Corker, who also supports keeping the tax, said one of the issues he was focused on was helping lower-income Americans pay for health plans.

“My sense is there’s a good chance that issue and other issues people are trying to get addressed can be addressed,” Corker told reporters.

Trump said the bill was moving along well and predicted a “great, great surprise” but did not elaborate.

Maine Senator Susan Collins, a moderate, said it would be “very difficult” to reach agreement by Friday. Collins and other centrists were put off by the nonpartisan Congressional Budget Office’s projection on Monday that 22 million people would lose medical insurance under the existing bill.

Finishing the legislation’s revisions by Friday would be “optimal,” Cornyn said, so the CBO can analyze the new version..

Even then, Democrats could mount a forceful resistance. They have repeatedly said they will not discuss a repeal but have expressed openness to negotiating improvements.

The Senate’s top Democrat, Chuck Schumer, proposed Trump call all 100 senators to Blair House across the street from the White House to craft a bipartisan bill fixing Obamacare but Trump said did not think Schumer’s offer was serious.

McConnell said Democrats had refused “to work with us in a serious way to comprehensively address Obamacare’s failures in the seven years since they passed it.”

The legislation has triggered protests at the Capitol and police said they arrested 40 people, including cancer survivors, on Wednesday for blocking Senate offices.

Obama’s 2010 Affordable Care Act, which passed without Republican support, expanded health insurance coverage to some 20 million people but Republicans call it a costly government intrusion.

The Senate bill rolls back Obamacare’s expansion of the Medicaid government insurance for the poor and cuts planned Medicaid spending starting in 2025. It also repeals most of Obamacare’s taxes, ends a penalty for not obtaining insurance and overhauls subsidies that help people buy insurance with tax credits.

For graphic on who’s covered under Medicaid, click: http://tmsnrt.rs/2u06kvB

(This story fixes attribution of quote in 10th paragraph to Senator Corker from Senator Rounds.)

(Additional reporting by Susan Heavey, Richard Cowan, Susan Cornwell, Steve Holland, Jeff Mason, Mohammad Zargham, Tim Ahmann and Jeff Mason; Writing by Lisa Lambert, Will Dunham and Frances Kerry; Editing by Bill Trott)

Obamacare replacement bill to take center stage in Senate

U.S. Capitol is seen after the House approved a bill to repeal major parts of Obamacare and replace it with a Republican healthcare plan in Washington, U.S., May 4, 2017. REUTERS/Yuri Gripas

By Richard Cowan and Susan Cornwell

WASHINGTON (Reuters) – A seven-year push by U.S. Republicans to dismantle Obamacare and kill the taxes it imposed on the wealthy will reach a critical phase on Thursday when Senate Republican leaders unveil a draft bill they aim to put to a vote, possibly as early as next week.

Senate Majority Leader Mitch McConnell and his lieutenants have worked in secret for weeks on the bill, which is expected to curb Obamacare’s expanded Medicaid help for the poor and reshape subsidies to low-income people for private insurance.

Those subsidies are expected to be linked to recipients’ income in the Senate bill, a “major improvement” from a measure approved last month by the U.S. House of Representatives that tied them solely to age, Republican Senator Susan Collins of Maine said.

Some of the Senate bill’s provisions could be political land mines, with individual senators’ reactions to it crucial to determining whether or not the Affordable Care Act, popularly known as Obamacare, survives a Republican attack that has been under way since its passage in 2010.

The Washington Post reported on Wednesday that the bill would seek to repeal most of the taxes that pay for Obamacare, give states more latitude to opt out of its regulations and eliminate federal funding for Planned Parenthood, a healthcare provider that offers abortion services.

Former Democratic President Barack Obama’s signature domestic policy achievement has been a target of Republican wrath for years. But even with control of both chambers of Congress and the White House since January, the party has struggled to make good on its bold campaign promises to repeal and replace Obamacare.

The law is credited with expanding health insurance to millions of Americans. Republicans say it costs too much and involves the federal government too much in healthcare. President Donald Trump made Obamacare repeal a centerpiece of his 2016 campaign and celebrated the House-passed bill.

Democrats accuse Republicans of sabotaging Obamacare, and say the Republican bill will make healthcare unaffordable for poorer Americans while cutting taxes for the wealthy.

TOUGH SELL

But McConnell may have a tough job convincing enough Republican senators that the Senate bill improves on the House version. A Reuters/Ipsos poll found nearly 60 percent of adults believed the House bill would make insurance costlier for low-income Americans and people with pre-existing conditions. Only 13 percent said it would improve healthcare quality.

The non-partisan Congressional Budget Office estimated the House bill would kick 23 million people off their healthcare plans. Healthcare is a top priority for voters and many Republicans fear a legislative misstep could hurt them.

Collins said she would weigh the CBO’s upcoming assessment of the Senate bill’s impact on costs and coverage.

Conservative Republican Senator Rand Paul, who wants a full repeal of Obamacare, said he feared that with the legislation being developed, “we’re actually going to be replacing Obamacare with Obamacare,” referring to the continuing role of government.

If legislation is to prevail in the Senate, McConnell can lose the support of only two of his 52 Republicans, assuming all 48 Democrats and independents oppose the bill, as expected.

(Reporting by Richard Cowan and Susan Cornwell; Editing by Kevin Drawbaugh and Peter Cooney)

Republican avoids upset in costly Georgia congressional race

Karen Handel, Republican candidate for Georgia's 6th Congressional District, makes an appearance before supporters prior to giving her acceptance speech at her election night party at the Hyatt Regency at Villa Christina in Atlanta, Georgia, U.S., June 20, 2017. REUTERS/Bita Honarvar

By Andy Sullivan

SANDY SPRINGS, Ga. (Reuters) – Georgia Republican Karen Handel won the most expensive congressional race in history on Tuesday, avoiding a Democratic upset in a race that was widely seen as a referendum on President Donald Trump.

By a margin of 52 percent to 48 percent, the former Georgia secretary of state defeated Democrat Jon Ossoff, a political newcomer who sought to wrest control of a suburban Atlanta district that has elected Republicans to Congress since the 1970s.

The election will not significantly change the balance of power in Washington, where Republicans control the White House and both chambers of Congress.

But it could give Republicans a boost in confidence as they struggle to advance health and tax legislation that has been bogged down by infighting and investigations into whether Trump’s campaign colluded with Russia in last year’s presidential election.

Handel said at her victory rally that she knew it was going to “require all hands on deck” for Republicans to hold on to the district.

“Tonight I stand before you, extraordinarily humbled and honored at the tremendous privilege and high responsibility that you … have given me,” Handel told a boisterous crowd that chanted Trump’s name.

Ossoff and Handel both tried to focus on local issues and avoided mentioning Trump, whose approval rating sits at 37 percent, according to Reuters/Ipsos polling.

But that did not stop Trump from weighing in on Twitter, urging voters to support Handel before the election and celebrating her victory afterward.

“Fantastic job, we are all very proud of you!” he posted Tuesday night.

Spending on the race reached at least $57 million, nearly twice the previous record, according to the Center for Responsive Politics, a watchdog group. The special election was held to fill the seat vacated by Tom Price after Trump appointed him as secretary of the U.S. Department of Health and Human Services.

Democrats celebrated the fact that they had turned a conservative stronghold into a competitive district.

“We showed the world that in places where no one thought it was even possible we could fight (that) we could fight,” Ossoff told supporters.

But the defeat was sure to prompt soul-searching in a party that is shut out of power in Washington and has steadily lost influence at the state level in recent years. Despite spending more than $30 million, Ossoff lost the district by a wider margin than Democrat Hillary Clinton in the 2016 presidential election.

Democrats also lost a special election in neighboring South Carolina on Tuesday, where Republican Ralph Norman easily prevailed over Democrat Archie Parnell in a seat formerly held by Republican Mick Mulvaney, who is now serving as Trump’s budget director.

Democrats are 0 for 4 in congressional elections this year, having earlier lost races to fill vacant seats in Kansas and Montana.

“All the Fake News, all the money spent = 0,” Trump wrote on Twitter.

Republicans, meanwhile, can now breathe a sigh of relief with the knowledge that they can still win in the kind of affluent, educated districts that often favor Democrats – even with a president who has divided voters in their own party.

“Do I agree 100 percent with what he does? God, no. But I believe he has the country’s best interests at heart,” said Jessica Podalsky, who voted for Handel on Tuesday morning.

(Additional reporting by Amanda Becker in Washington; Editing by Leslie Adler, Peter Cooney and Paul Tait)