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Friday, Jan 27 2017

Full Issue

Trump To GOP Lawmakers: Gutting ACA Is Political 'Risk,' But Now Is Time For Swift Action

Congressional lawmakers met with the president at their retreat in Philadelphia to discuss their strategy for the upcoming year. But a cohesive plan for dismantling and replacing former President Barack Obama's health law has not emerged.

President Donald Trump pushed Republican lawmakers on Thursday for swift action on a sweeping agenda including his planned U.S.-Mexican border wall, tax cuts and repealing the Obamacare law, despite tensions over timetables and priorities. Congressional Republicans were in Philadelphia for a three-day retreat to hammer out a legislative agenda, with the party in control of the White House, Senate and House of Representatives for the first time in a decade. (Cowan and Cornwell, 1/26)

Less than a week into the new administration, GOP lawmakers grappled with how to respond to a Republican president capable of signing their policy proposals into law but also of igniting public feuds and showing little deference to Capitol Hill鈥檚 traditions. 鈥淭his is going to be an unconventional presidency,鈥 House Speaker Paul Ryan (R., Wis.) told reporters. 鈥淭hat鈥檚 something we鈥檙e just all going to have to get used to.鈥 But Mr. Ryan also said, 鈥淲e are on the same page,鈥 referring to the agenda the president and Republican lawmakers are pursuing. (Peterson and Rubin, 1/26)

Even as the lawmakers opened their three-day retreat hoping to build a sense of shared purpose, the new president continued to overshadow them, dominate attention, and at times wrong-foot fellow Republicans with his free-swinging style. The same day Congress' top Republicans spoke about repealing the Affordable Care Act and overhauling the tax code -- perhaps within months -- President Trump grabbed the spotlight by issuing executive orders aimed at cracking down on illegal immigration, and on Twitter announced a "major investigation" to prove his unsubstantiated claims of voter fraud. (Tamari and Fitzgerald, 1/26)

President Trump聽on Thursday聽acknowledged to a roomful of congressional Republicans that there is a political 鈥渞isk鈥 to gutting ObamaCare, and that he contemplated leaving the healthcare law alone for two years. Trump then said that Republicans must quickly repeal and replace the law to prevent it from聽imploding, but his doubts聽were striking given that Hill Republicans, for the past seven years, have made it their top mission to聽roll back聽ObamaCare. (Wong, 1/26)

No precise plan has emerged because 鈥渨e are still developing what this thing is going to look like,鈥 Senator Jim Risch of Idaho told reporters Thursday. Republicans tried to put a happy face on their meetings, but they made little tangible progress. The chairman of the tax-writing House Ways and Means Committee, Kevin Brady of Texas, said "We鈥檙e just working really productively right now so no timetable鈥檚 been set." (House, 1/27)

Rank-and-file Republicans said they are coalescing around a strategy that would not have a single replacement for the Affordable Care Act. Instead they foresee a combination of changes they can make to the law through a budget bill that only requires 51 votes in the Senate, regulatory action and executive orders by the Trump administration, and individual bills addressing smaller aspects of the health system that will follow later. 鈥淚f you鈥檙e waiting for another 2,700-page bill to emerge, you鈥檙e going to have to wait until the sun doesn鈥檛 come up, because that鈥檚 not how we鈥檙e going to do it,鈥 Rep. Greg Walden, R-Ore., who is the chairman of the House Energy and Commerce Committee, told reporters, referring to the length of the Affordable Care Act. 鈥淭here鈥檚 no single fix. There鈥檚 no single plan.鈥 (Rovner, 1/26)

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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