McCain to miss week, likely delaying healthcare vote

Sen. John McCainJohn Sidney McCainCongress must use bipartisan oversight as the gold standard The Hill's Morning Report — Ford, Kavanaugh to testify Thursday as another accuser comes forward Trump hits McCain on ObamaCare vote 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 PaulRandal (Rand) Howard PaulA Senator Gary Johnson could be good not just for Libertarians, but for the Senate too Conservatives left frustrated as Congress passes big spending bills Senate approves 4B spending bill MORE (R-Ky.) and Susan CollinsSusan Margaret CollinsRosenstein faces Trump showdown Kavanaugh: I'm asking for a 'fair process' Collins: Second Kavanaugh accuser should speak with Senate panel under oath  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 McConnellAddison (Mitch) Mitchell McConnellFord's lawyer: Hearing doesn't appear to be designed for 'fair', 'respectful' treatment GOP opens door to holding Kavanaugh committee vote this week Press: Judge Kavanaugh must withdraw 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 PortmanRobert (Rob) Jones PortmanGraham calls handling of Kavanaugh allegations 'a drive-by shooting' Overnight Health Care: Senators target surprise medical bills | Group looks to allow Medicaid funds for substance abuse programs | FDA launches anti-vaping campaign for teens Bipartisan group wants to lift Medicaid restriction on substance abuse treatment MORE (Ohio), Shelly Moore Capito (W.Va.), Lisa MurkowskiLisa Ann MurkowskiPolice arrest 128 protesting Kavanaugh on Capitol Hill GOP launches counteroffensive on Kavanaugh Kavanaugh protesters descend on Collins, Flake offices on Capitol Hill MORE (Alaska) and Dean HellerDean Arthur HellerOvernight Health Care: GOP plays defense over pre-existing conditions | Groups furious over new Trump immigration proposal | Public health advocates decry funding transfer over migrant children GOP plays defense on ObamaCare’s pre-existing conditions Heller embraces Trump in risky attempt to survive in November 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.