White House Pushes Uncertain Bid to Revive Health Care Bill
"This will be done in 2017, that is our time line, we would like to get it done as soon as possible", Ryan told reporters during a visit to London that was part of a multi-nation trip aimed at strengthening USA economic and security ties with North Atlantic Treaty Organisation allies.
House Republican leaders are downplaying the likelihood that changes to the GOP health-care bill proposed by leading moderate Rep. Tom MacArthur, R-N.J., would win over enough conservative and moderate holdouts, who have butted heads over removing some of the Affordable Care Act's key insurance regulations. These measures contain the main protections for those with pre-existing conditions, as well as more general consumer protections that ensure enrollees get comprehensive benefits and limit their financial liability if they get sick. States can only access these waivers if they intend to do so for the objective of reducing premium costs, increasing the number of people insured, or otherwise benefiting the state's public interest. To obtain the waiver, states would have to provide sick people priced out of commercial insurance access to a so-called high-risk pool run by the federal government, or establish their own, and satisfy other conditions.
But the complications that remain may be far too hard to finesse at the same time the House and Senate press to pass a giant spending bill.
Funding for President Donald Trump's massive and catastrophically expensive wall at the US border with Mexico could be the deciding factor as to whether the government stays open past April 28.
Leaders of the moderate and archconservative wings of the House Republican conference think they have a deal that could revive the American Health Care Act (like I said, I'm calling it Vampire Trumpcare, and you should too).
"It's not really a new bill - it's the same fundamental bill, but a few pretty significant amendments to it", he said during an appearance on CNN's "New Day". He has cited reservations over how the legislation affects seniors and provisions that would particularly disadvantage New York City.
House Speaker Paul Ryan said a day earlier while on a trip to London that lawmakers were negotiating "finishing touches".
During a news conference Thursday, Trump said "we're doing very well on health care", that the legislative effort is "evolving" and that "there was never a give-up".
But the legislation's future is unclear.
"Without these subsidies, healthcare would be unaffordable for many Americans, including people who voted for Mr. Trump because they were frustrated by high medical costs", it pointed out.
The initial bill's failure has left lawmakers wary of artificial deadlines. Some aides expect members to return to Washington with a renewed sense of energy toward finding a legislative solution that has evaded House Republicans since leadership abandoned a scheduled vote on a repeal bill last month. Some insurers have hinted they will leave the markets altogether without the funding.
One major criticism of the previous reform attempt was it included a provision to allow for a 30-percent penalty that insurers could levy against people who re-upped insurance after having it lapse. At stake is roughly $10 billion in payments expected to be made to the insurers this year. It's impossible to write a bill that gives 216 Republicans in the House something they consider to be politically and substantively acceptable. The next court date is May 22.