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Friday, Mar 24 2017

Full Issue

The Trump Ultimatum: House Must Vote Friday On GOP Health Plan

After days of negotiations, President Donald Trump sent a message to Capitol Hill: It's do or die. If the measure fails, he plans to pivot away from the repeal-and-replace effort and move on to his other legislative priorities.

President Trump issued an ultimatum on Thursday to recalcitrant Republicans to fall in line behind a broad health insurance overhaul or see their opportunity to repeal the Affordable Care Act vanish, demanding a Friday vote on a bill that appeared to lack a majority to pass. (Hirschfeld Davis, Pear and Kaplan, 3/23)

For Trump, who campaigned as a skilled negotiator capable of forging a good deal on behalf of Americans, it could either vindicate or undercut one of his signature claims. If the measure fails, it would be a defeat for Trump in his first effort to help pass major legislation and it may also jeopardize other items on his wish list, including a tax overhaul and infrastructure spending. Defeat would also mean that Obamacare 鈥 something that congressional Republicans have railed against for seven years 鈥 would remain in place. (DeBonis and Eilperin, 3/23)

House Republican leaders expect to vote Friday on their embattled health-care bill, moving on the legislation under pressure by Trump administration officials who voiced urgency during a closed-door meeting on the Capitol with conservative holdouts...The chamber plans to vote on a revised version of the health-care bill that includes a provision that conservatives negotiated with senior White House officials to remove Obamacare鈥檚 requirements that certain essential benefits be covered by insurance, according to several lawmakers and aides. (Kapur, House and Dopp, 3/23)

The move by Trump and Ryan is an enormous gamble, setting up a real cliffhanger when the legislation hits the floor on Friday. ... A loss on the House floor would be a glaring embarrassment for the new president and House speaker 鈥 one that could undermine other parts of the GOP legislative agenda, including tax reform. A victory, on the other hand, would provide not just a shot of badly-needed momentum for both men, but undermine the House Freedom Caucus, the group of conservative hard-liners who've fought the GOP health care plan because it doesn't go far enough. (Bade, Cheney and Dawsey, 3/23)

The decision to bring the bill to the floor appeared to put an end to days of negotiations, amounting to a calculation that lawmakers would view the vote as a do-or-die moment and opt to follow through on campaign promises to replace former President Barack Obama鈥檚 signature legislation with a more conservative alternative. (Peterson, Hughes and Radnofsky, 3/24)

Trump, famous for his deal-making abilities, has tried to woo both unhappy factions of the GOP conference with little success. No consensus was reached during a meeting with the president and the roughly 40 members of the House Freedom Caucus at the White House earlier Thursday. Vice President Pence met with the maybe two dozen moderates in the so-called Tuesday Group, many of whom are also opposed to the bill. (Montanaro and Taylor, 3/23)

If the vote fails, Trump will move on to other priorities and ObamaCare will stay as the law of the land, Mulvaney said. The developments set up a likely vote on the measure Friday afternoon. Dozens of Republicans have vowed to oppose the bill, putting them into a direct confrontation with their president. With all of the House's Democrats expected to vote against the bill, the GOP can only afford 22 defections. (Wong, 3/23)

"The message is tomorrow it's up, it's down 鈥 we expect it to be up 鈥 but it's done tomorrow,鈥 Mulvaney said Thursday night. It remained unclear whether Trump鈥檚 extraordinary ultimatum was real or a pressure tactic designed to bring unruly Republicans in line. Despite personal appeals from the president and a flurry of last-minute negotiations with House Speaker Paul D. Ryan (R-Wis.), wary GOP lawmakers remained unconvinced, leaving leaders shy of the votes needed to advance the legislation. (Mascaro and Levey, 3/23)

House GOP leaders on Thursday delayed a vote on legislation to repeal and replace ObamaCare as they scrambled to win enough votes to pass the measure. House Republicans had planned to vote on the bill on Thursday's seventh anniversary of ObamaCare becoming law. But GOP leaders appeared to be short of the 215 votes they needed. (3/8)

Trump鈥檚 move was an astonishing use of power wielded at precisely the moment he appeared weakest. Amid a day of turmoil and frenzied meetings at the White House and the Capitol, the legislation, called the American Health Care Act, was on the brink of collapse. Republicans were dozens of votes short, having timed the repeal for the seventh anniversary of the day the Affordable Care Act became law. House Speaker Paul Ryan of Wisconsin had postponed the vote and called a recess, his GOP factions hopelessly divided over their fundamental approach to health care. Trump鈥檚 risky move sets up a dramatic showdown on the House floor Friday. (Lochhead, 3/23)

However, the vote has been seen by financial markets as a crucial test of Trump's ability to work with Congress to deliver on his other priorities, such as tax cuts and infrastructure spending. Even if their replacement plan does eventually get approval from the House, the legislation faces a potentially tough fight in the Republican-controlled Senate. The House and Senate had hoped to deliver a new healthcare bill to Trump by April 8, when Congress is scheduled to begin a two-week spring break. (Cornwell and Becker, 3/24)

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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