GOP gripes about 'bull----' vote

Angry House conservatives denounced the Republican leadership for abruptly ramming through a fix to Medicare doctor payments on Thursday without a full roll call vote.

“Outrageous,” Rep. Louie GohmertLouie GohmertLawmakers press DOJ to help victims of Ponzi scheme House approves spending bill with funds for Trump's border wall House avoids floor fight over transgender people in military MORE (R-Texas) told The Hill after complaining about the maneuver to a colleague. “I think it’s outrageous.”

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House Republican leaders had planned to bring up the “doc fix” under a procedure requiring a two-thirds majority to pass, but after a series of closed-door meetings on Thursday morning, they determined they didn’t have the votes to meet that threshold and didn’t want to stay in session long enough to set up a simple majority vote.

So with just a few members on the House floor before a scheduled vote on an unrelated Ukraine measure, Republicans brought up the Medicare bill by voice vote. When no one in the chamber objected, the measure passed.

“Bullshit,” said a visibly annoyed Rep. Mick Mulvaney (R-S.C.) as he emerged from the floor following the Ukraine vote. When Mulvaney was asked to comment about the upcoming GOP budget, he replied: “I can’t talk about the budget because I’m so pissed about the [doc fix].”

The measure is an annual delay to the sustainable growth rate formula that this time would prevent a 24 percent cut in Medicare reimbursement payments to doctors set to begin at month’s end. The change is broadly supported by Republicans and Democrats most years, but it drew opposition from the American Medical Association, which has pushed for a long-term solution to the problem instead of annual patches. House and Senate leaders have agreed on a resolution to repeal the formula, but they can’t agree on how to pay for the $180 billion cost over a decade, necessitating the stopgap measure.

Rep. John FlemingJohn FlemingCoast Guard suspends search for missing Ohio plane Freedom Caucus member to bring up bill on impeaching IRS chief GOP seeks to make it 52 MORE (R-La.), a member of the “Doctor’s Caucus” that opposed the bill, said he didn’t like the maneuver but did not object because, he said, the alternative of payment cuts to doctors was worse.

“This would affect millions of seniors across the country in a very negative way,” he said.

“I didn’t like the way we did that,” Fleming added. “They gave us a choice between something bad and something worse.”

Rep. Justin AmashJustin AmashThe five kinds of Republicans who could primary Trump Overnight Defense: Military won't lift transgender ban until Trump sends directions | House passes national security spending | Russian sanctions bill heads to Trump Overnight Finance: House passes spending bill with border wall funds | Ryan drops border tax idea | Russia sanctions bill goes to Trump's desk | Dems grill bank regulator picks MORE (R-Mich.) voiced his displeasure on Twitter, writing: “Short on votes for controversial spending bill, so GOP & Dem leaders rammed it through by ‘voice vote’ in empty House chamber. Not right.”

Speaker John BoehnerJohn BoehnerIt's time for McConnell to fight with Trump instead of against him How Republicans can bring order out of the GOP's chaos Republican donor sues GOP for fraud over ObamaCare repeal failure MORE (R-Ohio) was not in Washington on Thursday, but spokesman Michael Steel said he was kept apprised of the discussions and did not object to the voice vote. He had told reporters on Wednesday a temporary doc fix was needed but held out hope for an eventual long-term agreement.

While the maneuver undermines pledges of transparency by the House GOP leadership, aides quipped that it was a rare show of bipartisan cooperation.

Democratic leaders signed off on the move, and rank-and-file members were more amused than anything else.

Rep. Gerry ConnollyGerry ConnollyHow the New South became a swing region Three dead after violent clashes at white nationalist rally House Democrats call for transparency in Trump's deregulatory panels MORE (D-Va.) said he was one of just a handful of Democrats on the floor when the voice vote occurred and that he was surprised when no recorded vote was requested.

“There was a voice vote and you could hear 'nos' all from our side of the aisle,” he said.

He said it was his understanding that Senate Majority Leader Harry ReidHarry ReidOPINION | 5 ways Democrats can win back power in the states THE MEMO: Trump's base cheers attacks on McConnell It's time for McConnell to fight with Trump instead of against him MORE's (D-Nev.) office pushed House leaders to not require a recorded vote because it was necessary to send some form of the doc fix to the upper chamber quickly.

“There were concerns raised by the Senate side,” he said. “They don't have the votes for an alternative. And then the alternative is everything expires and doctor's fees are negatively affected March 31.”

Asked if the maneuver was sneaky, Connolly quoted the fictional Frank Underwood, a master of Washington subterfuge from Netflix's "House of Cards" series.

“To quote the ‘House of Cards,’ you might say that, you might very well say that. But I cannot comment,” he quipped.

“I've been dying to do that,” he added.

Rep. John Dingell (D-Mich.), the retiring dean of the House, mused to reporters, “I’ve seen a lot of dumb things, but I’ve never seen anything as comical as this.”

Bernie Becker and Peter Schroeder contributed.