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The health-care world is gearing up for a lobbying offensive to persuade Republican U.S. senators to address their problems with an Obamacare replacement that was conceived in the House in a virtual vacuum. Insurers, doctors, patient groups and most health-care experts are pinning their hopes on the Senate being more receptive after House Republicans -- led by Speaker Paul Ryan -- deliberately avoided discussing their plans with the main groups that would be affected by repealing the 2010 law. (House, Edney and Edgerton, 5/16)

Conservative GOP Sens. Ted Cruz and Rand Paul are pushing to test the limits of how much of Obamacare can be repealed under Senate rules, setting up a potential “nuclear” showdown. The firebrands want to overturn long-standing precedent for what can be done under reconciliation, the fast-track budget process the GOP is using to dismantle the Affordable Care Act. They argue Republicans are allowing stale Senate norms to tie their hands and are forfeiting a chance to completely abolish the law. (Haberkorn and Kim, 5/16)

The White House fired a shot across the Senate’s bow Monday, signaling President Donald Trump feels “very strong” about the health overhaul passed by the House. Several Senate groups, including one composed of Republicans and Democrats, are holding talks about how to alter the House measure or craft an entirely new bill. But just as senators return to Washington to get back to work, Press Secretary Sean Spicer walked a tightrope about what Trump wants them to pass. (Bennett, 5/15)

U.S. House Speaker Paul Ryan (R-Wis.) has touted Wisconsin’s former high-risk insurance pool to counter concerns that some of those people could be priced out of the market under the health care bill recently passed by the House. The state’s Health Insurance Risk-Sharing Plan, known as HIRSP, was considered a model. But it was an exception, not the norm — and it worked only for people who could afford insurance in the first place. (Boulton, 5/15)

As House Speaker Paul Ryan prepared to address hundreds of Karen Handel supporters Monday inside a Dunwoody hotel, a throng of protesters chanting “this is what democracy looks like” massed outside the event. A few dozen protesters, many wielding pink Planned Parenthood signs, lined the entrance to the hotel to greet Handel supporters. (Bluestein, 5/15)

Representative Bruce Poliquin was hard to find the week after casting his vote in Washington to repeal the Affordable Care Act and slash Medicaid spending. So when 30 or so unhappy Mainers descended on his district office in this old mill town, they brought a 5-foot-tall poster version of the Republican lawmaker and stood it in front of the building where they say the real Poliquin will not meet with them. (McGrane, 5/15)

Before he was diagnosed with head and neck cancer in 2015, Anthony Kinsey often went without health insurance. He is a contract lawyer working for staffing agencies on short-term projects in the Washington, D.C., area, and sometimes the 90-day waiting period for coverage through a staffing agency proved longer than the duration of his project, if coverage was offered at all. When Kinsey, now 57, learned he had cancer, he was able to sign up for a plan with a $629 monthly premium because the agency he was working for offered group coverage that became effective almost immediately. (Andrews, 5/16)

Health and Human Services Secretary Tom Price argued that people are currently uninsured because they don’t like Obamacare. ... Price’s characterization leaves out a lot. Many of the 20 million are likely uninsured not as a personal preference, but because they still can’t find coverage. (Sherman, 5/15)

Mick Mulvaney, director of the Office and Management and Budget, told a Stanford University forum that the GOP health care bill should cover some pre-existing conditions, but not others. Asked about late night comedian Jimmy Kimmel's statement that "no parent should ever have to decide whether they can afford to save their child's life," Mulvaney said that he agreed, but "that doesn't mean that we want to take care of the person, or should be required to care of the person, who sits at home, drinks sugary drinks, and doesn't exercise, and eats poorly and gets diabetes." (Young, 5/15)

After five consecutive years of coverage gains, progress toward reducing the number of uninsured Americans stalled in 2016, according to a government report that underscores the stakes as Republicans try to roll back Barack Obama's law. The Centers for Disease Control and Prevention estimated that 28.6 million people were uninsured last year, unchanged from 2015. The uninsured rate was 9 percent, an insignificant difference from 9.1 percent in 2015. (Alonso-Zaldivar, 5/16)