Expectations Already Being Lowered On Latest O'Care Repeal 'Deal'

Donald Trump is bring back Trumpcare because he cares about how his first 100 days goes

House Speaker Paul Ryan in late March canceled the House vote over the GOP's first effort under President Donald Trump to repeal and replace the ACA after it became clear the effort would not pass. Ryan described the death of the bill as a "disappointing day".

The GOP tug-of-war tanked Republicans' first repeal-and-replace bill, leaving President Trump reaching for a legislative win in the first 100 days of his presidency.

In recent weeks, the insurance companies have been strongly urging the Trump administration and Congress to commit to funding cost-sharing reductions, warning that without the money from the government, the companies will have to sharply raise the prices of their plans offered through the state marketplaces.

The proposal retains numerous popular consumer protections of the Affordable Care Act, including ensuring that people with pre-existing medical conditions can not be refused coverage or charged more.

A White House source said they could potentially have a vote by the end of next week, though they put the chances at 50-50. Sixty percent think Republicans should move on to something else.

Brat publicly said he would not vote for the original installment of the AHCA.

"I'm optimistic that we will have a bill that accomplishes all the goals that so many of us have campaigned on, promised, and yet the work's not done", Meadows told the Asheville (N.C.) Citizen-Times. It is aimed at giving states more flexibility to pull out of "Obamacare" provisions.

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But top House Republicans say the chamber has to focus next week on must-pass legislation to prevent a government shutdown.

"We're in the midst of negotiating sort of finishing touches because our members want to make sure we lower premiums, that a person that is buying health insurance has a lot of choices", he said.

"I don't want people to get hurt", he said, fielding the idea.

Funding for President Donald Trump's massive and catastrophically expensive wall at the US border with Mexico could be the deciding factor as to whether the government stays open past April 28.

The amendment provides a big exception for that last one - states can let insurers charge different prices for sicker consumers if they set up a "high risk pool" created to subsidize those who are priced out of the market. "He has insisted during these discussions that any legislation must have protections for pre-existing conditions", his office wrote on a social media post Thursday.

One administration official said the White House has been angling for a possible vote next week, but said nothing was set in stone. The Republican leadership is stuck: the only way to pass a bill is to do it fast, before there's a CBO score and a million phone calls and an outbreak of fighting between moderates and HFC ultras. No member of Congress anxious about their chances of winning next November is going to take a rushed vote on a health care bill they have barely even seen but that fiddles with the pre-existing condition clause - or any of the other popular elements of Obamacare.

House Republicans have sued to eliminate the program, which will bring the insurance industry about $7 billion this year. Democrats saw Mulvaney's comments as evidence that the White House is meddling to undermine what they described as successful, bipartisan talks. Despite what the president says, people would most definitely "get hurt", and Trump would be naive to assume that working Americans would simply blame the Democrats for a system that failed as a result of his administration's deliberate inaction.

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