Morning Briefing
Summaries of health policy coverage from major news organizations
Republicans Shelve Bill But Vow 'We Haven鈥檛 Given Up On Changing American Health Care System'
Senate Republicans on Tuesday officially abandoned the latest plan to repeal the Affordable Care Act, shelving a showdown vote on the measure and effectively admitting defeat in their last-gasp drive to fulfill a core promise of President Trump and Republican lawmakers. The decision came less than 24 hours after a pivotal Republican senator, Susan Collins of Maine, declared her opposition to the repeal proposal, all but ensuring that Republican leaders would be short of the votes they needed. (Kaplan and Pear, 9/26)
The repeal-and-replace bill's authors promised to try again at a later date, while President Donald Trump railed against "certain so-called Republicans" who opposed the GOP effort. But for now, Trump and fellow Republicans who vowed for seven years to abolish President Barack Obama's law will leave it standing and turn their attention to overhauling the nation's tax code instead. (Werner, 9/26)
鈥淲e haven鈥檛 given up on changing the American health-care system,鈥 Mr. McConnell (R., Ky.) told reporters on Tuesday. 鈥淲e鈥檙e not going to be able to do it this week.鈥 But for the moment, he said, 鈥渨e plan to move forward on our next priority, which is reforming the American tax code in significant ways for the first time in 30 years.鈥 (Peterson and Armour, 9/26)
"We don't have the votes so it's probably best we don't do the vote," said Sen. Steve Daines (R-Mont.) after the GOP conference met at its regular weekly luncheon. "We've lost this battle, but we're going to win the war." (Bolton, 9/26)
Senator Susan Collins said Monday the bill would cause too many Americans to lose insurance, while Rand Paul said it preserved too many of the federal subsidies for health care -- even after the bill鈥檚 authors made a spate of last-minute changes to win them over. Their opposition followed John McCain鈥檚 declaration last week that it was too hasty and partisan, as the GOP raced to meet a Sept. 30 deadline. Their firm stances against it -- each for a very different reason -- underscore the difficulty Republicans face in trying to make dramatic changes to the 2010 Affordable Care Act. (Litvan and Tracer, 9/26)
"We have 50 votes for the substance (of the Graham-Cassidy bill) but not for the process," Graham said. "I'm confident that with a new process, hearings and regular order, we'll get 50 votes." Several Senate Republicans鈥攊ncluding Alaska's Lisa Murkowski, who joined Collins and McCain in killing the previous GOP repeal bill in July鈥攈ad not yet announced their position on the bill. (Meyer, 9/26)
The Senate leaders said they would turn their attention to their next major legislative undertaking. 鈥淲here we go from here is tax reform,鈥 Majority Leader Mitch McConnell (R-Ky.) told reporters after holding a closed-door policy lunch with members of his caucus. Republicans already are bracing for the political fallout from the measure proposed by Sens. Lindsey O. Graham (S.C.) and Bill Cassidy (La.)., which McConnell had hoped to bring to a vote this week. They said the pressure to pass a tax overhaul bill was higher than ever and hoped the Republican base would give them a bit more time to take another shot at repealing the ACA. (Eilperin, Sullivan and Goldstein, 9/26)
President Trump, who has repeatedly expressed frustration with the GOP failure to repeal and replace the healthcare law, responded tersely when reporters asked him what would happen next. "It will happen,鈥 he said as he landed in New York for a high-dollar Republican fundraising dinner. (Mascaro and Levey, 9/26)
President Trump on Tuesday said he was 鈥渄isappointed鈥 that some 鈥渟o-called Republicans鈥 were opposing the Senate's latest effort to repeal ObamaCare. 鈥淲e were very disappointed by a couple of senators, Republican senators I must say, we were very disappointed that they would take the attitude that they did,鈥 Trump told reporters. 鈥淏ut we are disappointed in certain so-called Republicans.鈥 (Weixel, 9/26)
Vice President Mike Pence opted not to make a last-ditch pitch to Republican senators Tuesday to vote for the GOP鈥檚 latest health care bill. Instead, Republican senators leaving their weekly lunch at the Capitol said Pence instead focused on how Congress could provide disaster aid to U.S. territories devastated by a string of recent hurricanes, pivoting from one of the president鈥檚 central campaign promises. (Rahman, 9/26)
Frustration overtook Senate Republicans on Tuesday as the reality sunk in that they had failed again in fulfilling a seven-year campaign promise to repeal and replace the 2010 health care law. And senators were looking to cast blame wherever they could find it. (Williams, 9/26)
Republican U.S. Sen. Ron Johnson said Tuesday night that he's not giving up in his effort to repeal and replace the Affordable Care Act, known as Obamcare. Hours after Republican leadership in the U.S. Senate scrapped a vote on a Johnson co-sponsored health care bill, he faced an array of questions from constituents during a statewide telephone town hall. (Glauber, 9/26)
After their weekly luncheon caucus meeting Tuesday, GOP leaders said there would be no vote on a bill sponsored by Sens. Bill Cassidy, R-La., and Lindsey Graham, R-S.C. On Monday Sen. Susan Collins, R-Maine, came out against the bill, joining Sens. John McCain, R-Ariz., and Rand Paul, R-Ky., who were also opposed to the measure. (Radelat, 9/26)
On Tuesday, Senate Republicans decided not to vote on the Cassidy-Graham bill, effectively halting (again) the GOP鈥檚 efforts to repeal Obamacare. In the process of debating the merits of the legislation, Sen. Lindsey O. Graham (R-S.C.) and former senator Rick Santorum (R-Pa.) made assertions聽that we thought warranted a closer look.聽Graham held up the landmark shift in welfare policy in 1996 as an example of the federal government successfully turning an entitlement program over to states. The changes redirected the money spent on federal aid for low-income families to a block grant for the states, giving them flexibility on how to spend the money, so long as it聽went toward programs to reduce poverty. Graham said this shift in funding 鈥渨orked like a charm.鈥 (Lewis, 9/27)