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Monday, Mar 27 2017

Full Issue

Lawmakers Went Out On Political Limb Only To Watch It Disintegrate Beneath Them

For Republicans who supported the American Health Care Act, 2018 may be a year of reckoning for their decision.

They went to unusual, even dangerous lengths to support President Trump鈥檚 unpopular health care bill, facing down protesters at home and begging for special accommodation from House leaders in Washington. John Faso of New York negotiated a side deal for his state in exchange for backing it. Mike Coffman was the lone Colorado lawmaker to endorse the bill, while his Republican neighbors agonized and stalled. (Burns, 3/25)

Unable to kill the Affordable Care Act, Republicans may now have to fix it. The White House and even GOP members of Congress risk a huge political backlash if they allow the healthcare law to come apart, as President Trump has predicted it will. That leaves Republicans with a strong incentive to take steps to shore up Obamacare insurance markets, keep premiums in check and preserve consumer protections in a way that would be acceptable to both sides of the aisle in Congress. (Levey, 3/25)

One key Republican Washington power player 鈥 Senate Majority Leader Mitch McConnell 鈥 emerges from the wreckage of Friday鈥檚 GOP effort to overhaul Obamacare relatively unscathed. While McConnell had supported the bill, which failed to get enough Republican support and was pulled from the House floor, the Kentucky Republican never asked his 52-member majority to put anything at risk for it. Now none of the senators have to cast a vote either way. (Tate, 3/24)

Republicans won鈥檛 have a recorded vote on leadership鈥檚 health care plan but that doesn鈥檛 mean their position on it won鈥檛 be used against them in campaign ads in 2018. Former National Republican Congressional Committee Chairman Greg Walden, now chairman of the Energy and Commerce Committee, acknowledged as much Friday evening. 鈥淓verybody staked out their position so they鈥檒l be able to reap the benefit of that position or take the hit,鈥 he told CQ Roll Call. Some Republicans actually do have recorded votes that will be used against them. (Pathe, 3/25)

Iowa Rep. David Young twice ran for Congress promising to do whatever he could to repeal the Affordable Care Act. This week, he had planned to vote against a bill to replace it, and thus keep Obamacare the law of the land. (Epstein, 3/25)

Rep. Barbara Comstock dodged constituents, declined town halls and avoided taking a public stance on the Republican Party鈥檚 increasingly unpopular health care bill in the months leading up to its collapse.Her last-minute decision to oppose it 鈥 after other GOP moderates had spoken out and sealed the bill鈥檚 doom 鈥 is unlikely to protect her in 2018. Democrats had already smelled blood, targeting Comstock after Hillary Clinton won her increasingly purple district in northern Virginia by 10 percentage points. (Ehley, 3/27)

While House GOP leadership failed to come up with a framework for dismantling the Affordable Care Act that could win enough support among the most conservative representatives to pass, another element of the party has been sitting quietly on the sidelines. Reticence is understandable when more than 40 percent of your constituents have incomes low enough to qualify for Medicaid under the 2010 health care law鈥檚 expansion. (Leonard, 3/27)

House Speaker Paul Ryan鈥檚 decision to pull his party鈥檚 Obamacare replacement bill spared his fellow Republicans from voting on an unpopular piece of legislation that lacked the votes to pass the House or Senate...聽Ryan鈥檚 fellow Republicans from Wisconsin were mostly prepared to support his controversial health care bill.聽Jim Sensenbrenner and Glenn Grothman planned to vote yes. (Golbert, 3/24)

Following news that the Republicans' health care bill would not advance, some Minnesotans were quick to applaud the development, while others expressed disappointment that Obamacare would remain the law of the land. But many in both parties are still hoping to see improvements to the healthcare system. (Cox, 3/25)

The blast radius of the failed healthcare measure shook up a Republican debate over who should succeed Tom Price in the special election to represent his suburban Atlanta district, as several top GOP contenders sparred over what Congress should have done. The four candidates running to represent the suburban Atlanta district at the Sunday debate split on the next steps, with some blaming the GOP establishment for the failure of the measure and others praising the coalition of moderates and conservatives who ultimately scuttled the proposal. (Bluestein, 3/27)

Austin鈥檚 U.S. Rep. Lloyd Doggett might feel like the force is strong with Democrats on Friday after a GOP attempt to repeal and replace the Affordable Care Act 鈥 aka Obamacare 鈥 foundered, but he warned that the聽鈥淓mpire will strike back.鈥 Doggett鈥檚 statement came just after U.S. House Speaker Paul Ryan announced that he had pulled the President Trump-backed American Health Care Act because of a lack of Republican votes. (Jankowski, 3/24)

Meanwhile, some ads cause embarrassment after the health plan was pulled聽鈥

The decision on Friday to abruptly pull the bill, known as the American Health Care Act, was a stunning defeat for House Speaker Paul D. Ryan and President Trump, who campaigned on a promise to repeal and replace the nation鈥檚 health-care law, known as Obamacare. But hours after the decision, television ads aired聽reflecting a different reality. (Schmidt, 3/27)

Television advertisements thanking Republican representatives for repealing the Affordable Care Act on Friday has the conservative聽American Action Network PAC slightly red-faced. President Donald Trump and the Republican leadership suffered a major setback in their efforts to repeal the聽Affordable Care Act when聽Speaker Paul Ryan pulled his bill to repeal Obamacare from the House floor after support began to crumble. (D'Angelo, 3/25)

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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