“Today I had a productive discussion with President Trump about a number of conservative reforms to improve the proposed House Republican health care bill”. He is a second-term lawmaker from upstate NY. House leaders discussed other amendments calibrated to round up votes and scheduled a showdown vote Thursday.
Ryan told National Review’s editor Rich Lowry, who interviewed the Speaker, that the House plan gives governors freedom to customize Medicaid to the needs of their states.
Members of the centrist Tuesday Group want to keep a provision in the bill that freezes ObamaCare’s expansion of Medicaid in 2020; conservatives are pushing to move that date to 2018. He’s the one who has helped to negotiate changes to this bill with members from all over our caucus.
“We’ve talked to so many folks in the House of Representatives to try to see what their discomfort level is, if they have any, with this piece of legislation”, he said.
Across the Capitol, Sen.
The president is not as concerned about the Bloomberg report as one might think.
If Trump is falling into Ryan’s trap, he’s doing so willingly – because the details don’t really matter to him; because all he wants is a win; and because he now believes this is the only way to get one as quickly as possible. “We are making fine-tuning improvements to the bill to reflect people’s concerns, to reflect people’s improvements”. And though he’s been one of Trump’s unwavering supporters, including using his position on the Armed Services Committee to defend the president over Russian Federation, he’s not ready to fall in line yet, especially given the mixed signals Trump has sent on whether he actually supports the bill as-is. It ends health care subsidies and makes it harder for older Americans to afford coverage.
Given what looks like an unbridgeable divide in the Senate GOP conference, some are saying that it would be better if the bill dies in the House.
Ryan said Sunday that the bill still must go before the House Rules Committee before a final vote. “But they also show that President Trump is all-in now” to help win converts.
But House Republicans want to eliminate that feature of the law, and the GOP bill would allow a five-to-one ratio as part of an attempt to attract more of the younger, healthier customers whom insurers want.
As long as Trump and his fellow party leaders remain organized and on the same page, they can do some real damage.
Ryan said his House leadership team and the president’s team are talking daily, “fused and working together, and I’m very excited about that”.
Todd responded, “How do you say this is a death spiral if more people are signing up”. Breitbart, a conservative site formerly run by Trump’s top aide, Stephen K. Bannon, derogatorily calls the bill “RyanCare”. Many represent states where voters have gained Medicaid and other insurance under the 2010 statute. Paul said of the present GOP plan. He said it would provide inadequate insurance access and cost controls and hurt hospitals.
He’s powered through a politically troubling report from the nonpartisan Congressional Budget Office that estimates that more people could be uninsured by this bill than became insured under Obamacare.