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Health-care groups that vocally opposed the House Republicans’ health plan are now split on the best path forward in the Senate: Should they work with lawmakers to shape a measure or simply try to kill it? As House Republicans pushed through legislation toppling large portions of the Affordable Care Act, groups representing hospitals, doctors, consumers and some insurers made no secret of their displeasure. Largely shut out of the talks, they actively opposed the bill, firing off angry letters and in some cases airing ads aimed at vulnerable House Republicans. (Hackman, 5/28)

Senate Majority Leader Mitch McConnell faces a challenge in resolving the clashing demands of GOP senators on a health care replacement bill. Lawmakers have mixed feelings about Medicaid funding, with decisions that could throw millions into the ranks of the uninsured, and rising premium costs for some. Many conservatives are eager to cut costs, especially on Medicaid. (Fram, 5/30)

Sometime in the next few weeks, four Democratic lawyers and four Republican ones will file into the ornate Lyndon Baines Johnson Room just steps from the Senate chamber at the Capitol to consider a bill to overhaul the Affordable Care Act. They’ll sit at a long table before someone unknown to most Americans but with singular power to influence whether Republicans can follow through on their seven-year quest to remake President Barack Obama’s signature domestic achievement. That person is Elizabeth MacDonough — the Senate parliamentarian, who is charged with acting as Congress’s version of a referee in the contentious health-care debate. (Cunningham, 5/29)

Senate Majority Leader Mitch McConnell (R-Ky.) is tempering expectations that the Senate will pass an overhaul of the nation’s healthcare system, promising his colleagues a vote but not success. McConnell in his public comments and private conversations about the ObamaCare repeal and replace bill is painting a more sober picture than Speaker Paul Ryan (R-Wis.), who in March guaranteed passage through the House. (Bolton, 5/29)

About 500 of the roughly 18,000 people insured by Unity Health Insurance and Gundersen Health Plan last year accounted for half of their medical and pharmacy costs. The examples show why the most popular provision in the Affordable Care Act — requiring insurers to cover people with pre-existing conditions — also is the most vexing. (Boulton, 5/29)

Democrats are using the new Congressional Budget Office analysis of legislation repealing and replacing ObamaCare to go on the attack against Republicans over a critical one-week recess. A recess packet sent to House Democrats encourages lawmakers to hold events highlighting the “terrible consequences” of the House Republican bill to repeal and replace ObamaCare. (Roubein and Hellmann, 5/28)