McCain to miss week, likely delaying healthcare vote

Sen. John McCainJohn McCainSen. Flake's GOP challenger: McCain should resign The Hill's 12:30 Report Armed Services leaders appoint strategy panel members MORE (R-Ariz.) will miss this week's votes in the Senate after undergoing surgery on Friday, depriving Republicans of a key vote on healthcare.

McCain's absence means Senate Republicans almost certainly will not have the 50 votes they'd need to win a procedural vote.

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Sens. Rand PaulRand PaulThe Hill's 12:30 Report Senate heads to new healthcare vote with no clear plan Overnight Healthcare: CBO predicts 22M would lose coverage under Senate ObamaCare replacement MORE (R-Ky.) and Susan CollinsSusan CollinsThe GOP Wonder Women who saved healthcare for 22 million Senate heads to new healthcare vote with no clear plan OPINION | GOP healthcare attack is a vendetta against President Obama MORE (R-Maine) have already said they would oppose the procedural vote. With all Democrats voting no, that would leave Republicans with just 49 votes, given McCain's absence.

A further delay in the schedule is bad news for Senate Republicans, as it will allow opponents of the legislation more time to pressure wavering GOP centrists to vote against it.

Even with McCain, it is uncertain whether Senate Majority Leader Mitch McConnellMitch McConnellParliamentarian deals setback to GOP repeal bill OPINION | How Democrats stole the nation's lower federal courts Flight restrictions signal possible August vacation for Trump MORE (R-Ky.) could put the 50 votes together for the bill. 

An analysis and score of the Senate GOP's new healthcare bill from the Congressional Budget Office is expected on Monday. 

Centrist GOP Sens. Rob PortmanRob PortmanOPINION | They told us to abandon ObamaCare — then came the resistance Regulatory experts push Senate leaders for regulatory reform Conservative group to give GOP healthcare holdouts ‘Freedom Traitors Award’ MORE (Ohio), Shelly Moore Capito (W.Va.), Lisa MurkowskiLisa MurkowskiPro-ObamaCare group targets key senators in new ads The GOP Wonder Women who saved healthcare for 22 million Senate heads to new healthcare vote with no clear plan MORE (Alaska) and Dean HellerDean HellerPro-ObamaCare group targets key senators in new ads Overnight Healthcare: CBO predicts 22M would lose coverage under Senate ObamaCare replacement 40 million fewer people expected to vote in 2018, study finds MORE (Nev.) are among the swing votes. 

Portman and Heller also face pressure from Republican governors in their states who are worried the Senate bill's curtailing of federal support for ObamaCare's Medicaid expansion could hurt their constituents.

McCain's office in a statement said he is doing well after undergoing surgery to remove a blood clot from his eye on Friday.

“Senator McCain received excellent treatment at Mayo Clinic Hospital in Phoenix, and appreciates the tremendous professionalism and care by its doctors and staff. He is in good spirits and recovering comfortably at home with his family. On the advice of his doctors, Senator McCain will be recovering in Arizona next week," the statement said. 

Senate Majority Leader Mitch McConnell (R-Ky.) announced this week he was extending the Senate's sessions for two weeks, cutting the August recess short. That could give his conference more time to get healthcare done.

McCain, 80, had the procedure done at the Mayo Clinic Hospital in Phoenix following an annual physical. 

"Surgeons successfully removed the 5-cm blood clot during a minimally invasive craniotomy with an eyebrow incision. Tissue pathology reports are pending within the next several days," the statement from the Mayo Clinic read. 

“The Senator is resting comfortably at home and is in good condition. His Mayo Clinic doctors report that the surgery went ‘very well’ and he is in good spirits. Once the pathology information is available, further care will be discussed between doctors and the family," the statement said.