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The Republican health care bill remained in shambles Thursday as House leaders threw up their hands and sent lawmakers home for a two-week recess. GOP chiefs announced a modest amendment to curb premium increases, but internal divisions still blocked their promised repeal of former President Barack Obama's law. (Fram and Alonso-Zaldivar, 4/6)

Under intense pressure from President Trump, House Republicans took a small step Thursday to revive legislation to dismantle the Affordable Care Act, adding a $15 billion fund to help insurers pay claims for their sickest customers. Speaker Paul D. Ryan orchestrated a broad show of Republican support for the proposal, conceived as an amendment to the repeal bill that collapsed on the House floor two weeks ago. (Pear, 4/6)

The new provision would create a fund of $15 billion over the next decade to reimburse insurers for patients with costly pre-existing conditions. House leaders had planned to add it to legislation to replace the ACA, which they pulled just hours before a planned vote last month due to a lack of support. ... The amendment’s co-sponsor, Rep. David Schweikert (R., Ariz.), believes it can pull in “every member who was concerned that we weren’t seeing enough premium efficiency.” It was unclear whether the provision persuaded any Republicans who opposed the overhaul plan to change their minds. (Hackman and Andrews, 4/6)

Called the Federal Invisible Risk Sharing Program, the Republican proposal would give health insurers $15 billion over nine years to subsidize the care of high-cost patients. It’s similar, though less generous, than Obamacare’s three-year-long reinsurance program, which gave insurers $7.9 billion for 2014 and $7.8 billion for 2015, according to data from the Kaiser Family Foundation, and is intended to pay out $4 billion for 2016. (House, Tracer and Edney, 4/6)

The idea, modeled after a program in Maine, appears similar to the “reinsurance” idea from the first three years of ObamaCare. That program gave insurers $7.9 billion for 2014 and $7.8 billion for 2015. But experts say $15 billion is not enough to bring down premiums. "$15 billion over 9 years is definitely not enough to make a meaningful difference in premiums or market stability," tweeted Larry Levitt, senior vice president of the Kaiser Family Foundation. (Hellmann, 4/6)

House Majority Leader Kevin McCarthy (R-Calif.) told Republicans as they departed Washington on Thursday that their recesses could be cut short if a deal is reached on legislation to repeal and replace ObamaCare. Such a compromise between the centrist and conservative factions of the House GOP remains a long way off. But McCarthy warned lawmakers they might have to return early if negotiations prove fruitful in the next two weeks. (Marcos, 4/6)

Tempers are flaring at the White House over House Republicans’ failure to repeal Obamacare. But that hasn’t changed the reality on the ground: As Congress skips town for a two-week recess, Speaker Paul Ryan and his team are no closer to approving legislation. In fact, some Ryan allies worry that the White House involvement has only set GOP leaders back further. (Bade and Haberkorn, 4/7)

A number of states are readying blueprints for substantial changes under an ObamaCare waiver program, but a renewed push to repeal the law is complicating their plans. The Affordable Care Act’s 1332 State Innovation Waiver lets states skip some of the law’s regulations if their healthcare plan covers a comparable number of people without increasing the federal deficit. States can apply for the waivers starting this year. But a revived attempt to repeal the health law is throwing a wrench in those plans, since states don’t know what a new bill will entail. (Clason, 4/6)