Republican Governors Came Out Against the GOP Health Care Bill

Dan Coats as director of national intelligence.

"We constantly get feedback, we constantly get suggestions from members, and we're working on bridging those gaps to make improvements to the bill so that we have a bill that can pass", he said.

In a joint letter sent Thursday to the leaders of the House and Senate, the governors of Ohio, Michigan, Nevada and Arkansas argued that the "current version" of the American Health Care Act in the House hurts states.

Even so, the tally underscored the challenge Republican leaders face in trying to round up votes for the measure.

In 2017, Ryan's bill has been mocked and ridiculed by just about every member of Congress.

The conservative group balked at Trump's announcement that all RSC members at the White House meeting are now "yes" on the health care bill, insisting that the development does not at all change the widespread opposition within the HFC to the bill.

House Speaker Paul Ryan, R-Wis., declined to commit to bringing the measure to the House floor next week, a fresh indication of uncertainty.

Ryan has been under heavy criticism from conservatives and major interest groups as well as a Congressional Budget Office report that said the bill would lead to 24 million people losing health insurance coverage.

While many Republicans lauded the plan's impact on the deficit and the high cost of premiums, the rising chorus of concerns means congressional GOP leaders and the White House will have to delicately balance modifying the bill in ways that appease one faction of Republicans without alienating another. The measure would strike down much of former President Barack Obama's 2010 overhaul and reduce the federal role, including financing, for health care consumers and is opposed uniformly by Democrats.

"It's our job to get it out of here and get it to the Senate", Pence told the Republicans, according to congressman Dennis Ross of Florida.

Govs. John Kasich of Ohio, Rick Snyder of Michigan, Brian Sandoval of Nevada, and Asa Hutchinson of Arkansas said the legislation "provides nearly no new flexibility for states", fails to ensure enough resources to protect vulnerable residents and shifts significant new costs to states.

Trump held a campaign-style rally in Nashville and Tom Price, secretary of Health and Human Services, appeared on a CNN Town Hall, to promote the effort.

The House bill would freeze the Medicaid expansion in all states by 2020, gradually shrinking the program's enrollment over time, and cap Medicaid spending on individual enrollees.

At this point it's clear the bill will need to be changed, but pressed on what kind of changes the leadership is prepared to make, a senior House GOP leadership aide said they are limited to those that would "net votes" - meaning that they are carefully evaluating those amendments conservatives and moderates are pressing and are only planning to sign off on those that up the ultimate vote total.

Conservatives have criticized the legislation as too similar to Obama's law.

Right now the credits begin phasing out for people earning $75,000.

MI has enrolled more than 650,000 low-income residents in its unique Medicaid expansion program.

In a new complication, Sen.

Heller joined three other GOP senators in opposing the bill: Susan Collins of Maine, Rand Paul of Kentucky and Mike Lee of Utah. That left House moderates angry over being asked to take a politically risky vote for legislation that seems likely to be significantly altered.

"Anything that can get 218 votes and make the bill better, we're all about it", Rep.

Leaders continue to work toward the 216 votes needed, and believe with some of the changes they are making they are securing additional support. Gone was the federal government's oppressive mandate requiring all Americans who do not have health coverage to pay a stiff penalty. What has been proposed so far would massively increase the number of uninsured people, and the poorest of those would lose their doctor and resume going to the ER instead, placing enormous strain on hospitals and increasing overall costs to those who are insured.

The obstacle for leadership Thursday was to pass the bill through the committee without significant conservative defections.

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