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With 227 Republican votes, the House passed the most sweeping tax overhaul in three decades on Thursday, taking a significant leap forward as lawmakers seek to enact $1.5 trillion in tax cuts for businesses and individuals and deliver the first major legislative achievement of President Trump’s tenure. (Kaplan and Rappeport, 11/16)

Senator Susan Collins is back in the spotlight as a crucial swing vote in the U.S. Senate as she raises questions about how combining a Republican tax-cut plan with a partial repeal of Obamacare will affect middle-class Americans. ... She told reporters in the Capitol on Wednesday that her staff's research showed pairing tax cuts with an effective repeal of the individual mandate of Obamacare, formally known as the Affordable Care Act (ACA), could be a mistake. (11/16)

Senate Republicans remain generally unified behind repealing the penalty for individuals who don't maintain health insurance, but some worry the provision could endanger their ability to pass a tax code overhaul. Sen. Ron Johnson of Wisconsin is the first Republican to oppose the tax plan in its current form over issues relating to tax breaks for small businesses. Two more no votes would sink the measure if it doesn't get Democratic votes. (Clason, 11/16)

Repealing Obamacare's individual mandate might not be the devastating blow to health insurance markets that supporters of the law fear. Because the tax penalty for not having insurance is far less costly than what many Americans would have to pay for coverage, many have chosen to take the fine. (Haberkorn and Demko, 11/16)

On Nov. 14, Senate Republicans tacked a repeal of the Affordable Care Act’s individual mandate onto their tax bill. The mandate, which polls indicate is one of the most disliked aspects of Obamacare, requires Americans to pay a fine if they are uninsured for all or a portion of the year. During a news conference with Senate leaders, Sen. John Cornyn criticized the mandate, calling it a “tax on poor Americans” because “about half” make $25,000 or less. (Lewis, 11/17)

As congressional Republicans move forward with their tax legislation, there are growing concerns that the costs, which are projected to increase the deficit by $1.5 trillion over the next decade, will force a host of big cuts in government programs, including Medicare. The Medicare cuts alone are projected to hit $25 billion next year, according to the nonpartisan Congressional Budget Office, and would increase steadily by 2026. (Levey, 11/16)

Pope Francis on Thursday urged lawmakers to ensure that health care laws protect the "common good," decrying the fact that in many places only the privileged can afford sophisticated medical treatments. The comments came as U.S. lawmakers in Washington, D.C., have been debating how to overhaul the nation's health insurance laws. (D'Emilio, 11/16)

Republicans have added a tax credit to a modified version of the Senate tax bill, which aims to incentivize businesses to offer paid family and medical leave. Senate Finance Committee Chairman Orrin Hatch (R-Utah) included in his “modified mark” a proposal from Sen. Deb Fischer (R-Neb.) to give businesses offering full-time employees at least two weeks of paid family and medical leave each year a general business credit equal to 12.5 percent of the amount of wages they pay an employee if the employee is getting at least 50 percent of their normal wages. (Wheeler, 11/16)