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GOP infighting erupts over healthcare bill

Senate Republicans are struggling mightily to find a path forward for their ObamaCare repeal bill, with infighting between moderates and conservatives threatening to create an impasse heading into the July Fourth recess.

GOP leaders say they want to have an agreement on changes to the legislation by Friday, but senators said they made virtually no progress at a lunch meeting on Wednesday. In fact, the two sides appeared to grow further apart.

Conservatives represented by Sen. Ted CruzRafael (Ted) Edward CruzBiden tries to erase Trump's 'America First' on world stage Cotton, Pentagon chief tangle over diversity training in military GOP senators press Justice Department to compare protest arrests to Capitol riot MORE (R-Texas) squared off against moderates led by Sen. Susan CollinsSusan Margaret CollinsSenate confirms Garland's successor to appeals court Bipartisan infrastructure deal takes fire from left and right Outrage grows as Justice seeks to contain subpoena fallout MORE (R-Maine) over lunch, according to lawmakers who attended.

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They battled over Cruz’s “Consumer Freedom” proposal, which would allow companies to sell health insurance plans that don’t meet the requirements of the Affordable Care Act.

Collins and other moderates expressed strong opposition to the plan, fearing that it would lead to sicker Americans becoming segregated in the insurance markets.

Sen. Ron JohnsonRonald (Ron) Harold JohnsonHillicon Valley: House targets tech giants with antitrust bills | Oversight chair presses JBS over payment to hackers | Trump spokesman to join tech company | YouTube suspends GOP senator YouTube suspends Ron Johnson for 7 days GOP senators introduce bill to make Iran deal subject to Senate approval MORE (R-Wis.), meanwhile, continued to chastise leadership for not running a more open process in drafting the legislation and ignoring many ideas from rank-and-file colleagues — criticisms he has voiced over the past few weeks.

One senator described the talks as “running in circles.”

Cruz, leaving the lunch, told reporters that most of the discussion was about proposed market reforms to “reduce premiums to make health insurance more affordable for families who are struggling.”

Collins, who is worried about projections that millions of people will lose coverage under the Senate bill, said she remains concerned with “a number of aspects such as coverage, the Medicaid cuts.”

“Tinkering around the edges, adding a bit more money isn’t going to be the answer,” she said.

Walking out of the meeting, Senate Republican Whip John CornynJohn CornynSenate confirms Garland's successor to appeals court Bipartisan infrastructure deal takes fire from left and right Rising crime rejuvenates gun control debate on campaign trail MORE (Texas) said leadership is aiming to come up with a bill by Friday that both moderates and conservatives can embrace, allowing a vote for the week after the July Fourth recess.

Cornyn said leaders want “to get a bill we can then get scored” by the Congressional Budget Office.

But several Senate Republicans scoffed at the timeline, saying it’s far too optimistic to think a deal can be reached in the next few days.

When asked about the prospects of getting a new bill by Friday, Sen. John McCainJohn Sidney McCainMeghan McCain: Harris 'sounded like a moron' discussing immigration Arizona AG Mark Brnovich launches Senate challenge to Mark Kelly Arizona Democrats launch voter outreach effort ahead of key Senate race MORE (R-Ariz.) joked to reporters, “And pigs could fly!”

Collins, fellow moderate Sen. Dean HellerDean Arthur Heller9 Senate seats most likely to flip in 2022 On The Trail: Democrats plan to hammer Trump on Social Security, Medicare Lobbying World MORE (R-Nev.) and conservative Sen. Rand PaulRandal (Rand) Howard PaulFauci to Chelsea Clinton: The 'phenomenal amount of hostility' I face is 'astounding' GOP's attacks on Fauci at center of pandemic message Fox host claims Fauci lied to Congress, calls for prosecution MORE (R-Ky.) all signaled this week they were unlikely to move from no to yes on the legislation by Friday.

Heller said during a tele-town hall meeting Tuesday that he does not think GOP colleagues are “anywhere close” to a deal and warned it would be “very difficult to get me to a yes,” according to Nevada political commentator Jon Ralston, who reported on the event.

Paul declared after the Wednesday lunch that the GOP conference is at “an impasse.”

He objects to core aspects of the bill as “new entitlements,” including refundable tax credits to help people afford coverage and billions of dollars in a “stabilization fund” intended to bring down premiums. 

Paul told reporters after the GOP lunch Wednesday that he suggested taking the stabilization fund out of the bill and passing it in a separate measure with Democratic votes. But he said his ideas did not go over well with his colleagues, likening his proposal to a “lead balloon.”

Collins on Wednesday said it’s time to work with Democrats instead of trying to win over 50 of 52 Republicans, including conservative holdouts such as Cruz, Paul and Sen. Mike LeeMichael (Mike) Shumway LeeGOP senators press Justice Department to compare protest arrests to Capitol riot Matt Stoller says cheerleading industry shows why antitrust laws are 'insufficient' Senate chaos: Johnson delays exit as votes pushed to Friday MORE (R-Utah).

“It’s hard for me to see how we get there. I think a better approach would be to try to involve some moderate Democrats in the process and see if we can come up with a bipartisan bill,” she said. “It’s never good to pass major legislation without the input of both parties.”

Senate Majority Leader Mitch McConnellAddison (Mitch) Mitchell McConnellBipartisan infrastructure deal takes fire from left and right Jayapal to Dems: Ditch bipartisanship, go it alone on infrastructure The Hill's 12:30 Report: Sights and sounds from Biden's European trip MORE (R-Ky.) postponed a vote he hoped to hold this week on the healthcare bill after five members of his conference warned they would vote against a motion to begin debate.

After he delayed the vote, three other Republicans — Sens. Rob PortmanRobert (Rob) Jones PortmanKerry Washington backs For the People Act: 'Black and Brown voters are being specifically targeted' This week: Democrats face fractures in spending fight UK appeals to Congress in push for trade deal MORE (Ohio), Shelley Moore CapitoShelley Wellons Moore CapitoGOP senator introduces constitutional amendment to ban flag burning Biden fails to break GOP 'fever' Pelosi: 'No intention' of abandoning Democrats' infrastructure goals MORE (W.Va.) and Jerry MoranGerald (Jerry) MoranOvernight Health Care: Moderna says COVID-19 vaccine is 100 percent effective in 12- to 17-year-olds | US achieves full vaccinations for half of adults | Trump on Wuhan lab: Now everyone agrees 'I was right' Senate confirms Biden pick to lead Medicare, Medicaid office Bipartisan Senate bill introduced to give gyms B in relief MORE (Kan.) — announced they opposed the measure.

A variety of Republican senators cycled in and out of McConnell’s Capitol office Wednesday as he scrambled to keep the legislation from collapsing.

He met with Alaska Sens. Lisa Murkow-ski and Dan Sullivan, who are worried about whether the bill’s tax credits are generous enough to help constituents buy insurance in a state where healthcare costs are several times more expensive than other parts of the country.

Moderates who worry the bill’s tax credits are not generous enough are wondering whether some of ObamaCare’s tax increases, such as a 3.8 percentage-point increase on capital gains, should be kept in place.

“I do not see a justification for doing away with the 3.8 percent tax on investment income, because that is not something that increases the cost of healthcare,” Collins told reporters.

Keeping that tax increase, however, would outrage conservatives. 

McConnell also met with Capito, who wants to raise the cap on Medicaid spending that would cut the program by $160 billion in 2026 compared to current law.

After 2025, the Senate bill sets a less generous formula than included in the House-passed bill to index Medicaid to inflation.

Conservatives led by Sen. Pat Toomey (R-Pa.), who had a role in drafting the bill, said the stricter Medicaid inflation formula is “very important.”

Also on the conservative side, an aide to Lee said his boss had not yet met in person with McConnell, but that their two staffs were working on a change related to the ability of states to opt out of ObamaCare regulations.

The ability for states to repeal more of those regulations is key for Lee, as it is for Cruz and other conservatives.

Aside from the moderates, some Republican senators are growing impatient with conservatives holding out after campaigning for years to repeal ObamaCare.

Senate Finance Committee Chairman Orrin HatchOrrin Grant HatchDrug prices are declining amid inflation fears The national action imperative to achieve 30 by 30 Financial market transactions should not be taxed or restricted MORE (R-Utah) grumbled that conservatives, whom he called “recalcitrants,” are inadvertently helping the Democrats keep the controversial law intact.

He said Democrats may eventually bring about “socialized Medicine” and warned “it may take a few of these conservative Republicans to help the Democrats be able to do that to us.”

Jordain Carney contributed.