Morning Briefing
Summaries of health policy coverage from major news organizations
With Holy Grail Of Repeal In Sight, Leadership Gears Up To Muscle Bills Through Despite Opposition
Republicans seem set to start muscling legislation through Congress reshaping the country鈥檚 health care system after seven years of saber rattling. Don鈥檛 confuse that with GOP unity or assume that success is guaranteed. Unresolved disputes over taxes and Medicaid rage and conservatives complaining that Republican proposals don鈥檛 go far enough could undermine the effort, or at least make GOP leaders鈥 lives difficult. (Fram, 3/4)
House Republicans, despite stiff political headwinds, are readying an ambitious push this week to begin moving legislation to replace major parts of the Affordable Care Act, a crucial test of their ability to fulfill one of their party鈥檚 main campaign promises. The plan marks the first time GOP lawmakers will do this since Obamacare was enacted seven years ago and will provide an early indication of whether President Trump can rally his party鈥檚 members of Congress, many of whom are anxious about how to repeal and replace the healthcare law. (Levey and Mascaro, 3/5)
Republicans who have vowed for years to 鈥渞epeal and replace鈥 ObamaCare are now seeking to turn their campaign pledge into reality, with markups of legislation potentially beginning this week.聽With narrow majorities in the House and Senate, Republicans won鈥檛 be able to pass healthcare legislation unless they remain united. That could prove difficult, as there are several knotty issues raised by the repeal effort that threaten to push lawmakers into opposing camps. (Hellmann, 3/6)
Republican U.S. lawmakers expect to unveil this week the text of long-awaited legislation to repeal and replace the Obamacare healthcare law, one of President Donald Trump's top legislative priorities, a senior Republican congressional aide said on Sunday. Since taking office in January, Trump has pressed his fellow Republicans who control Congress to act quickly to dismantle former Democratic President Barack Obama's Affordable Care Act and pass a plan to replace it, but lawmakers in the party have differed on the specifics. (Cornwell, 3/6)
Conservative groups are raising alarms over central provisions of the House GOP鈥檚 emerging plan to repeal the Affordable Care Act, pushing lawmakers to buck House Speaker Paul Ryan and oppose the Republican blueprint. The groups鈥攊ncluding Heritage Action, the Club for Growth and Freedom Partners, an organization funded by billionaire industrialists Charles and David Koch鈥攁re troubled by the notion of refundable tax credits to help consumers pay for health insurance, a central tenet of Mr. Ryan鈥檚 plan that President Donald Trump appeared to endorse in his address to Congress last week. (Hackman, 3/5)
Speaker Paul Ryan (R-Wis.) on Friday blasted Sen. Rand Paul鈥檚 (R-Ky.) hunt for House Republicans鈥 closely held draft bill to repeal and replace ObamaCare as a 鈥減ublicity stunt.鈥 鈥淚 like Rand, but I think he鈥檚 looking for a publicity stunt here,鈥 Ryan told Fox News' Bret Baier. 鈥淭he things he described are just not accurate.鈥 Paul tweeted on Thursday that the ObamaCare legislation was being kept under 鈥渓ock and key鈥 in a 鈥渟ecure location.鈥 He then went to the House side of the Capitol to try and enter the room where he said the bill was located 鈥 with a copier in tow to distribute the draft. (Hagen, 3/3)
While final legislation has yet to be unveiled, an outline and a leaked draft from last month give a general idea of where House Republicans are headed. Their bill would dismantle the central elements of ObamaCare, including its subsidies to help people afford coverage, its expansion of Medicaid, and its mandates and taxes. Democrats warn the bill would jeopardize coverage for the 20 million people who have gained it from ObamaCare, while Republicans argue the health law has failed and needs to be replaced with a less intrusive system. (Sullivan, 3/4)
Some people 鈥渏ust don鈥檛 want health care,鈥 according to Rep. Roger Marshall (R-Kan.), who cited the Bible while arguing against former President Obama's Medicaid expansion. 鈥淛ust like Jesus said, 鈥楾he poor will always be with us,鈥欌 Marshall, a doctor and freshman lawmaker, told聽Stat News聽on Friday. ... Marshall argued that ObamaCare鈥檚 expansion of Medicaid had not helped.聽鈥淛ust, like, homeless people. 鈥 I think just morally, spiritually, socially, [some people] just don鈥檛 want health care,鈥 he said. (Sullivan, 3/3)