Morning Briefing
Summaries of health policy coverage from major news organizations
Road To 50 Votes Paved With Uncertainty, Doubts Despite Changes In Drafts
Majority Whip John Cornyn acknowledged GOP leaders don鈥檛 have the minimum 50 votes right now but insisted, "We're making good progress." He said he and Senate Majority Leader Mitch McConnell were not making "state-specific" promises to wavering senators and were instead merely trying to convince them that the bill is better than Obamacare."We're not through yet," Cornyn said of his and McConnell's work. (Everett and Haberkorn, 7/13)
Senate Republicans hope their latest proposed聽bill to replace Obamacare will attract enough votes from the moderate and conservative wings of their party to pass聽next week.聽But there are at least five hurdles that could derail efforts to reach consensus. (Kelly, 7/13)
Three Republicans opposed to the bill would effectively kill it. (Phillips, Fischer-Baum, Schaul and Uhrmacher, 7/13)
The bill makes almost no effort to recruit moderates such as Sen. Susan Collins (R-Maine), who has already stated her objection聽to the new bill. Those senators have asked for more Medicaid funding, which the CBO projected聽would be cut by 26 percent over the next decade and 35 percent the decade after. (Soffen, Din and Uhrmacher, 7/13)
Moderate Sen. Susan Collins of Maine told reporters she had informed McConnell she would be voting against beginning debate on the bill, citing in part cuts in the Medicaid health program for the poor and disabled. Sen. Rand Paul of Kentucky, who has repeatedly complained that McConnell's efforts don't amount to a full-blown repeal of Obamacare, also announced he was a "no." That means McConnell cannot lose any other Republican senators. (Werner and Fram, 7/14)
鈥淭he revised Senate health-care bill released today does not include the measures I have been advocating for on behalf of the people of Arizona,鈥 said Sen. John McCain (R-Ariz.) in a statement, adding he planned to offer amendments to change it. (Sullivan, Eilperin and Snell, 7/13)
Sen. Shelley Moore Capito (R-W.Va.), who has been an ally of Portman's during the healthcare talks, said she doesn鈥檛 know whether she鈥檒l vote to proceed to the bill after hearing a presentation from Senate Republican leaders at the Capitol. (Bolton, 7/13)
McConnell is urging his party鈥檚 holdouts, including Rob Portman of Ohio and Shelley Moore Capito of West Virginia, to back the legislation because the majority leader said the bill's sharpest cuts, which go into effect in 2026, would never happen. Portman issued a statement saying he'd review the text and the upcoming CBO analysis, adding that he opposed the previous version because of its Medicaid cuts. (Clason, 7/13)
Republican Senator Ron Johnson of Wisconsin, who had opposed plans to advance an earlier version of the bill in late June, said Thursday that he will support debating the current bill, although he isn鈥檛 ready to give his full backing. Johnson said he expects some of the remaining deficit reduction in the bill to be spent, though he would prefer to shrink the budget gap. (Dennis and Litvan, 7/14)
Social media pressure continues to build in attempts to influence Sen. Rob Portman on a health care bill that could see a vote soon. That's because the Ohio Republican is one of several senators who has not committed to either side in the heated battle to overhaul or keep the Affordable Care Act, or Obamacare. (Koff, 7/14)
U.S. Sen. Jerry Moran鈥檚 silence Thursday on the GOP鈥檚 revised bill to repeal and replace the Affordable Care Act prompted one Capitol Hill reporter to refer to him as a 鈥渕ystery man.鈥 Several Republican senators who either opposed or had concerns about an initial draft of the bill commented on changes unveiled Thursday by GOP leaders in an effort to gain votes. But not Moran. In response to repeated emails, a spokesperson in his office said only that the senator was analyzing the changes 鈥渢o fully understand the impact on Kansas.鈥 (Mclean, 7/14)
After the bill was released on Thursday and he huddled with his Republican colleagues, Rubio said his demands were met, and Florida鈥檚 junior senator was ready to announce his support... Two Republican senators said Thursday they are not in favor of moving forward with the bill: Maine Sen. Susan Collins, a moderate, and conservative Kentucky Sen. Rand Paul. (Daugherty, 7/13)
Democrats remained steadfastly opposed to the measure. 鈥淭he meat of this bill is exactly the same as it was before, and in some ways, they鈥檝e somehow managed to make it even worse,鈥 said Minority Leader Chuck Schumer (D-N.Y.). (Rovner, 7/13)
惭别补苍飞丑颈濒别听鈥
U.S. governors responded largely along partisan lines Thursday to the latest Republican health care overhaul, although the plan's long-term rollback in Medicaid funding remains a concern among many from both parties. (McDermott, 7/13)
Public opposition to the Republican effort to replace the Affordable Care Act grew stronger this month, but a core group of Republicans remained in support, according to a poll released Friday. Sixty-one percent of the public said this month they did not like the GOP health care effort, now undergoing a revised push in the Senate. (Rau, 7/14)