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Morning Briefing

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Friday, Jul 7 2017

Full Issue

For A Party That Hates Obamacare, Republicans' Current Bill Looks A Whole Lot Like It

Republicans are finding out they need to keep a lot of the provisions from the Affordable Care Act. Meanwhile, some senators say they may be weeks away from a vote.

Senate Majority Leader Mitch McConnell famously promised to rip out Obamacare 鈥渞oot and branch,鈥 a sentiment echoed by Republicans on the campaign trail for seven years. But Obamacare is proving harder to eradicate than kudzu, and Republicans may be stuck with major parts of Barack Obama鈥檚 legacy. (Demko, 7/6)

Conservative groups are warning GOP senators against keeping an ObamaCare tax on investment income in their healthcare bill, an idea that has gained some traction among lawmakers. GOP lawmakers have floated keeping ObamaCare鈥檚 3.8-percent net investment income tax (NIIT) to help pay for more generous healthcare subsidies for low-income people. Democrats criticized an earlier version of the Senate鈥檚 ObamaCare repeal bill for eliminating the tax because it generally applies to high earners. (Jagoda, 7/7)

For the better part of a decade, 鈥渞epeal and replace鈥 has been Republican gospel, a political talking point and policy manifesto. Other issues that long served as the glue holding together the disparate GOP coalition 鈥 free trade, a deep and abiding suspicion of Russia, 鈥渢raditional family values鈥 鈥 have loosened their grip on the party and its voters. (Barabak, 7/6)

Republican senators are downplaying the chances of a quick vote next week on their ObamaCare replacement bill amid divisions in the party over what the legislation should look like.聽"We're still several weeks away from a vote, I think,鈥 Sen. Pat Toomey (R-Pa.) said at an event Wednesday. 聽(Sullivan, 7/6)

And in other news related to the Republicans' health care efforts聽鈥

Former GOP Rep. Jason Chaffetz (Utah) said members of Congress are frustrated with Republican leadership for not living up to promises to voters and passing a healthcare bill. He said on Fox News that the GOP聽did not follow through on its聽promises to pass the healthcare bill despite having control over the House, Senate and the presidency. He said lawmakers promised to have a plan for repealing and replacing ObamaCare on Trump鈥檚 desk by the time he took office in January, but there is still no bill seven months later. (Eberhardt, 7/6)

Sen. Rob Portman is back in Ohio, promoting treatment for opioid abuse during this week's congressional break -- and being confronted by critics who fear he'll help slice health care benefits in a vote later this summer. Health care, and specifically the Obamacare repeal-and-replace proposals, is dogging the second-term Ohio Republican unlike any other bill he has had to vote on. (Koff, 7/6)

Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Margot Sanger-Katz of The New York Times and Paige Winfield Cunningham of The Washington Post discuss the latest on the Senate鈥檚 effort to 鈥渞epeal and replace鈥 the Affordable Care Act, and why it is so difficult to make popular changes, such as requiring insurers to cover people with preexisting health conditions. (7/6)

Among gunshot survivors, 51-year-old聽House Majority Whip Steve Scalise聽is an outlier. Such victims are more likely to be low-earning聽black men聽between the ages of 15 and 24. Scalise, who is white, does share聽one fundamental characteristic with these younger men: Being shot means he now has a pre-existing condition in the eyes of health insurers. For most people, that status could聽mean more financial suffering under a聽Republican聽rollback of the Affordable Care Act. (Woolley, 7/6)

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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