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Wednesday, Mar 8 2017

Full Issue

Conservatives Balk At GOP Plan: 'This Is Not The Obamacare Repeal Bill We鈥檝e Been Waiting For'

The right wing of the party immediately panned the bill, calling it Obamacare-lite.

After seven years of waiting longingly to annul President Barack Obama鈥檚 signature health care law, Republican leaders on Tuesday faced a sudden revolt from the right that threatened their proposal to remake the American health care system. The much-anticipated House plan to repeal the Affordable Care Act also drew skepticism from some of the party鈥檚 more moderate members, whose constituents have benefited from expanded coverage in recent years. (Steinhauer, 3/7)

As they roll out their Obamacare replacement plan, Republicans are quickly finding out what Democrats learned eight years ago: Even if you win control of Congress and the White House, there are still plenty of obstacles to passing聽laws that, in principle, your whole party agrees with. Several factions within the Republican Party don't like some key details聽about this new health-care plan. In fact, there's enough opposition that聽these Republicans could derail the bill as it stands. It's something President Trump appeared to acknowledge when he offered up in a tweet Tuesday聽morning the opportunity聽for 鈥渞eview and negotiation.鈥 (Phillips, 3/7)

The most imminent and serious threat to the plan crafted by House Speaker Paul D. Ryan (R-Wis.) was the growing backlash from conservative lawmakers and powerful outside groups who argue that the draft is nothing more than 鈥淥bamacare Lite,鈥 a disparaging reference to the former president鈥檚 signature 2010 domestic achievement. The lawmakers do not represent a majority of Republicans in either chamber of Congress, but there could be enough of them to scuttle any health-care bill they oppose 鈥 and several said Tuesday they intend to use that leverage to force major changes to the measures. (DeBonis, Costa and Weigel, 3/7)

But major obstacles loomed as key Republican lawmakers announced their opposition, and one conservative group after another torched the plan. The Club for Growth, Heritage Action for America, Americans for Prosperity and Tea Party Patriots variously derided the new bill as Obamacare Lite, Obamacare 2.0 and even RyanCare, in a dig at House Speaker Paul Ryan of Wisconsin. (Werner and Fram, 3/7)

Opposition from conservative lawmakers and activist groups could derail the party鈥檚 highly prized bid to replace the Affordable Care Act. That could challenge Mr. Trump to decide whether to enter the fray explicitly and become the negotiator-in-chief he had styled himself as on the campaign trail, and if so, when to deploy himself in that capacity. White House officials said they were unfazed by the blowback, and that negotiations could resolve lingering objections from lawmakers they assume are ultimately unwilling to torpedo their chance to repeal the law. (Radnofsky, Peterson and Huges, 3/7)

House Speaker Paul Ryan has long been the darling of conservative policy wonks. But on one of the biggest days of his political career, when House Republicans released their much-anticipated Obamacare replacement, many of Ryan's closest friends in conservative intelligentsia expressed disappointment 鈥 if not outright dismay 鈥 with the legislation bearing the speaker's imprimatur. (Johnson, 3/8)

House Republicans are facing swift criticism that their sweeping plan to repeal and overhaul large swaths of the Affordable Care Act is too similar to the law it would replace. 鈥淥bamacare 2.0,鈥 tweeted Republican Rep. Justin Amash of Michigan. 鈥淭his is Obamacare-lite,鈥 said Jason Pye, public policy and legislative affairs director at FreedomWorks, a conservative group associated with the tea party movement. (Armour, 3/8)

Conservative lawmakers worried about balancing the budget pushed back Tuesday against plans to mark up the health care repeal and replace reconciliation bill before the Congressional Budget Office can compute a score of the costs. "We don鈥檛 know how many people would use this new tax credit, we don鈥檛 know how much it will cost, and we don鈥檛 know if this bill will make health care more affordable for Americans,鈥 Sen. Mike Lee, R-Utah, said in a statement. 鈥淭his is exactly the type of back-room dealing and rushed process that we criticized Democrats for, and it is not what we promised the American people.鈥 (Shutt and Mejdric, 3/7)

鈥淭his is not the Obamacare repeal bill we鈥檝e been waiting for,鈥 said Sen. Mike Lee (R-Utah), who is leading the GOP opposition with Paul and the House Freedom Caucus. Sen. Ted Cruz (R-Texas) has also raised objections. 鈥淲e promised the American people we would drain the swamp and end business as usual in Washington. This bill does not do that,鈥 Lee said. 鈥淭his is exactly the type of backroom dealing and rushed process that we criticized Democrats for, and it is not what we promised the American people.鈥 (Mascaro, 3/7)

But Energy and Commerce Committee Chairman Greg Walden of Oregon and Ways and Means Committee Chairman Kevin Brady of Texas on Tuesday pushed back against critics. They portrayed the legislation as a stark choice between either fulfilling the seven-year Republican pledge to repeal the law or not. 鈥淭his is Obamacare gone. This is the first and most important step to giving relief to Americans from this terrible law,鈥 Brady said. 鈥淎s Republicans, we have a choice. We can act now or we can keep fiddling around and squander this opportunity to repeal Obamacare.鈥 (Williams, 3/7)

鈥淵ou have to get rid of 颅ObamaCare completely,鈥 said conservative Rep. Jim Jordan (R-Ohio) at a press conference with other Freedom Caucus members, along with Sens. Rand Paul (R-Ky.) and Mike Lee (R-Utah), who also object to the bill. Paul called the plan 鈥渄ead on arrival.鈥 (Sullivan, 3/7)

Given the swift opposition to the bill and a glaring lack of a political groundswell in its support, the plan鈥檚 future remains an open question. If the legislation fails to gain traction, the struggle over fulfilling the bedrock promise of President Trump and congressional Republicans to repeal the Affordable Care Act could consume the Republican agenda for weeks if not months, delaying action on tax reform and grinding the new administration鈥檚 legislative agenda to a halt. (Lochhead, 3/7)

Less than 24 hours after legislation was introduced, the plan put forth by House leadership won the approval of the White House, but sparked the ire of conservative organizations, health wonks and lawmakers. Still, GOP leaders are pressing forward with markups scheduled for Wednesday in two House committees, despite not having scoring from the nonpartisan Congressional Budget Office, which will calculate the bill鈥檚 costs and effects on health coverage. (McIntire and Reid, 3/7)

The Republican leadership鈥檚 plan was to fast-track their just-released proposal to repeal Obamacare. Republican leaders want to vote on it in the House of Representatives, send it to the Senate and put it on President Donald Trump鈥檚 desk within months. It could be their own party that stops it from happening. (Daugherty and Harrell, 3/7)

Congressional Republicans have put forth a new bill meant to replace the Affordable Care Act, also known as Obamacare. The new law would encourage people to buy health insurance by using tax credits, while also repealing the individual mandate penalty. (Hobson, 3/7)

Conservative lawmakers said Tuesday they will introduce their own ObamaCare repeal plan, objecting to House GOP leadership's proposal. Rep. Jim Jordan (R-Ohio) and Sen. Rand Paul (R-Ky.) said they will introduce a clean bill to repeal ObamaCare, as Congress did in 2015.聽The conservatives argue that they should vote on repeal as a separate measure from replacement, and then debate how to replace ObamaCare. (Sullivan, 3/7)

With two House committees set to take up the Republican replacement plan for the Affordable Care Act on Wednesday, party leaders have begun trying to sell the proposal to the American public. Leading the effort is President Trump, who met with Republican House leaders at the White House, saying he is "proud to support the replacement plan released by the House of Representatives." (Naylor, 3/7)

Members of the conservative House Freedom Caucus came out of a meeting with Office of Management and Budget Director Mick Mulvaney Tuesday night convinced the White House is open to changes in a health care repeal plan. They also said the former South Carolina congressman did not change the minds of those in the group who are opposed to the repeal plan endorsed by House Republican leaders. Leaders of the group have criticized refundable tax credits in the plan as a new entitlement. (Krawzak, 3/8)

Rep. Jason Chaffetz (R-Utah) made a comment Tuesday morning about health care coverage that he seemed to quickly regret."Americans have choices, and they've got to make a choice," Chaffetz said on CNN. "And so maybe rather than getting that new iPhone that they just love and they want to go spend hundreds of dollars on that, maybe they should invest in their own health care." (Blake, 3/7)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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