Overnight Health Care: Ryan's office warns he wasn't part of ObamaCare deal | House conservatives push for mandate repeal in final tax bill | Dem wants probe into CVS-Aetna merger

Overnight Health Care: Ryan's office warns he wasn't part of ObamaCare deal | House conservatives push for mandate repeal in final tax bill | Dem wants probe into CVS-Aetna merger
© Greg Nash

Speaker Paul RyanPaul Davis RyanNew Dem ad uses Paterno, KKK, affair allegations to tar GOP leaders House Dem: Party's aging leaders is 'a problem' Rand Paul to ask Trump to lift sanctions on Russian leaders MORE's (R-Wis.) office told a meeting of congressional leadership offices on Monday that the Speaker is not part of a deal to get ObamaCare fixes passed before the end of the year, according to a source familiar with the meeting.

Senate Majority Leader Mitch McConnellAddison (Mitch) Mitchell McConnellTrump stays out of Arizona's ugly and costly GOP fight Sen. Warner to introduce amendment limiting Trump’s ability to revoke security clearances The Hill's 12:30 Report MORE (R-Ky.) made a commitment to Sen. Susan Collins (R-Maine) that he would support passage of two bipartisan ObamaCare bills before the end of the year, a promise that helped win her vote for tax reform.

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However, Ryan's office told a meeting of staff from the four top congressional leadership offices on Monday that he has not made that same commitment, raising further questions about whether the ObamaCare bills, already opposed by House conservatives, can pass the House.

Ryan's office did not go so far as to say it opposed the bipartisan bills, the source said, and it is still possible the measures could pass before the end of the year. The Senate is expected to add the measures to a government funding bill later this month, which would put pressure on the House to accept it or else risk a government shutdown.

Collins also got a commitment from President Trump to support the bills, which could help get them to passage.

One of the measures in question, from Senate Health Committee Chairman Lamar AlexanderAndrew (Lamar) Lamar AlexanderGovernor's race grabs spotlight in Tennessee primaries A single courageous senator can derail the Trump administration GOP worries trade wars will last as Trump engages in temporary tiffs MORE (R-Tenn.) and ranking member Patty MurrayPatricia (Patty) Lynn MurrayGOP leader criticizes Republican senators for not showing up to work Senate Dems press Sessions for records on racial discrimination complaints Dem senators introduce resolution calling on Trump to stop attacking the press MORE (D-Wash.), would fund key ObamaCare payments to insurers for two years in exchange for additional flexibility for states to change ObamaCare rules. The other bill, from Collins and Sen. Bill NelsonClarence (Bill) William NelsonDem campaign chairman expresses confidence over path to Senate majority The Hill's Morning Report: Dems have a majority in the Senate (this week) Dems urge tech companies to remove 3D-gun blueprints MORE (D-Fla.), would provide funding known as "reinsurance" that helps pay for the costs of sick ObamaCare enrollees with the intent of bringing down premiums.

Collins hopes that these two bills would make up for the premium increases caused by repealing ObamaCare's individual mandate in the tax bill.

Read more here.

 

Top House Dem calls for probe into CVS-Aetna merger

A top House Democrat is calling for a hearing to examine the merger between CVS and Aetna.

In a letter to House Energy and Commerce Committee chairman Greg WaldenGregory (Greg) Paul WaldenHouse committee considering subpoena for Twitter CEO: report Top Republicans concerned over impact of potential Trump drug rule Apple jabs ‘other companies’ in defending customer data policies to lawmakers MORE (R-Ore.), the committee's ranking member Frank Pallone Jr.Frank Joseph PalloneDem: Trump ‘placing politics over our national security’ by revoking Brennan’s clearance House Dems press FCC chairman for answers on false cyberattack claim House Dems call for new FCC probe into Sinclair MORE (D-N.J.) asked for a hearing on the merger as soon as possible.

"As the business of healthcare continues to morph, it is critical that Congress closely examine the changing relationships among healthcare entities and the impact these changing relationships have on the way healthcare is delivered in this country," Pallone wrote.

If approved, the $69 billion merger of the nation's largest pharmacy and third-largest health insurer could have major implications for the health care industry.

The companies are arguing that when merged, they will be able to improve health outcomes and reduce costs by integrating the pharmacy and insurer. They are promising significant changes to the business of health care delivery.

Read more here.

 

Chairman expects 'strong support' in House GOP for mandate repeal in tax bill 

House Ways and Means Committee Chairman Kevin BradyKevin Patrick BradyTreasury releases proposed rules on major part of Trump tax law Republicans happy to let Treasury pursue 0 billion tax cut Trump weighs big tax cut for rich: report MORE (R-Texas) told reporters Tuesday that he expects most House Republicans will support repealing ObamaCare's individual mandate in tax legislation, as GOP senators did.

"We'll be asking our members where do they want us to be on that position. I suspect there will be strong support," he said.

The House-passed tax bill did not include repeal of the individual mandate, while the Senate bill did. The two chambers now must reconcile their versions of tax-reform legislation in a bicameral conference.

Twenty Republicans voted against the House's health-care bill in May, which included mandate repeal, though some of those members voted for the House's tax bill.

Read more here.

 

House conservatives push for repeal of ObamaCare mandate in final tax bill

The Republican Study Committee (RSC), a group of conservative Republicans in the House, is pushing for tax reform to include a repeal of the individual mandate.

"Including language to repeal this harmful policy will return personal decisions about health care choices to patients, fulfilling a key promise we have made to the American people," the RSC wrote in a letter being circulated among members.

In a letter to Ways & Means Chairman Kevin Brady (R-Texas) and Senate Finance Chairman Orrin HatchOrrin Grant HatchSentencing reform deal heats up, pitting Trump against reliable allies Dem lawmaker calls Trump racist in response to 'dog' comment PETA calls out Trump for attacking Omarosa as a 'dog' MORE (R-Utah), the RSC asks that the final package that emerges from a conference committee between the two houses contain a repeal of the mandate.

"Obamacare's coercive individual mandate represents perhaps the worst example of the federal government violating individual freedom and liberty -- which is why we have repeatedly promised to repeal it," the letter, which has about 50 signatures, says.

Read more here.

 

From The Hill's opinion pages

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Medicaid funds shouldn't be used to subsidize state taxes on health care

 

What we're reading

Orrin Hatch just made the Republican agenda startlingly clear (Vox)

Trump science job nominees missing advanced science degrees (AP)

The CHIP program is beloved. Why is its funding in danger? (The New York Times)

 

State by state

Abortion limits advance in Pennsylvania House (Associated Press)

New maternal mortality strategy relies on 'medical homes' (Stateline)

State Medicaid director Michael Heifetz resigning (Wisconsin State Journal)

Premera to reimburse Alaska state insurance program $25M (AP)