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McCain to vote no on ObamaCare repeal

Sen. John McCainJohn Sidney McCainThe looming battle over Latino voters Who is 'Anonymous' author Miles Taylor? Why Biden could actually win Texas MORE (R-Ariz.) on Friday announced that he will vote against the latest proposal to repeal ObamaCare, potentially dooming the legislation and, with it, the GOP's last shot at passing a health-care overhaul this year.

“I cannot in good conscience vote for the Graham-Cassidy proposal. I believe we could do better working together, Republicans and Democrats, and have not yet really tried," he said in a statement, referring to the legislation spearheaded by GOP Sens. Lindsey GrahamLindsey Olin GrahamGOP faces fundraising reckoning as Democrats rake in cash The Hill's 12:30 Report - Presented by Facebook - Election night could be a bit messy The Hill's Morning Report - Sponsored by Facebook - Trump, Biden blitz battleground states MORE (S.C) and Bill CassidyWilliam (Bill) Morgan CassidyGeorgia Republican Drew Ferguson tests positive for COVID-19 Two Loeffler staffers test positive for COVID-19 Michigan Republican isolating after positive coronavirus test MORE (La.).

Republicans have been racing toward a vote on health care next week, ahead of a Sept. 30 deadline for approving the bill on a majority vote.

They had been hopeful that McCain's close friendship with Graham and the support for the bill from Arizona's governor would be enough to win him over.

McCain suggested the decision had weighed on him, adding that he takes "no pleasure" in it.

“The bill’s authors are my dear friends, and I think the world of them. I know they are acting consistently with their beliefs and sense of what is best for the country. So am I," he said.

Graham quickly weighed in on McCain's decision, saying he disagrees but their friendship will survive.

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"My friendship with John McCain is not based on how he votes but respect for how he’s lived his life and the person he is," he said on Twitter.

Graham added that "I respectfully disagree" with McCain and "intend to push forward for state-centric health care vs Washington-knows-best health care."

Cassidy said he was "disappointed" in McCain's decision but pledged that he would continue to work for families "being penalized because they can't afford insurance."  

Supporters of Graham-Cassidy, which is also co-sponsored by Republican Sens. Ron JohnsonRonald (Ron) Harold JohnsonGeorgia Republican Drew Ferguson tests positive for COVID-19 GOP faces fundraising reckoning as Democrats rake in cash Overnight Defense: Trump campaign's use of military helicopter raises ethics concerns | Air Force jets intercept aircraft over Trump rally | Senators introduce bill to expand visa screenings MORE (Wis.) and Dean HellerDean Arthur HellerOn The Trail: Democrats plan to hammer Trump on Social Security, Medicare Lobbying World Democrats spend big to put Senate in play MORE (Nev.), argue that it's the GOP's last chance to keep their promise to roll back former President Obama's signature law.

The bill seeks to give more power to the states by converting dollars currently spent on ObamaCare’s subsidies and Medicaid expansion into block grants to states. The bill would also allow states to waive ObamaCare regulations, including those protecting people with pre-existing conditions from being charged higher premiums.

Though McCain's opposition doesn't formally kill the legislation, it leaves leadership with a daunting task: Winning over every other member of a caucus that includes both moderates and firebrand conservatives. 

Sen. Rand Paul (R-Ky.) has already said he opposes the bill because it doesn't go far enough in repealing ObamaCare.

Other senators fear the bill's impact on state budgets and insurance coverage. Sen. Susan CollinsSusan Margaret CollinsSusan Collins says systemic racism isn't 'a problem' in Maine Biden, Cunningham hold narrow leads in North Carolina: poll GOP sees path to hold Senate majority MORE (R-Maine) on Friday said she is "leaning against" the bill, and several other key senators — including GOP Sen. Lisa MurkowskiLisa Ann MurkowskiAlaska Senate race sees cash surge in final stretch Bitter fight over Barrett fuels calls to nix filibuster, expand court The Hill's Morning Report - Sponsored by Facebook - Justice Barrett joins court; one week until Election Day MORE (Alaska) — remain on the fence.

Three "no" votes would be enough to kill the legislation.

Senate Majority Leader Mitch McConnellAddison (Mitch) Mitchell McConnellTop Senate GOP super PAC makes final .6M investment in Michigan Senate race On The Money: McConnell says Congress will take up stimulus package at start of 2021 | Lawmakers see better prospects for COVID deal after election Overnight Health Care: House Dem report blasts Trump coronavirus response | Regeneron halts trial of antibody drug in sickest hospitalized patients | McConnell says Congress will take up stimulus package at start of 2021 MORE (R-Ky.) earlier this week said he intends to hold a vote on Graham-Cassidy next week, but McCain's announcement throws those plans in doubt.

Sen. Joni ErnstJoni Kay ErnstThe Hill's Campaign Report: Trump, Biden barnstorm the Midwest | Texas sets statewide turnout record | Trump, Tillis trail in NC Oct. 30: Where Trump and Biden will be campaigning Ernst holds narrow lead over Democratic challenger in Iowa: poll MORE (R-Iowa), speaking at a town hall in Iowa City, floated that next week's vote could be pulled. 

"I'll be honest, it seems unlikely that we'll be voting on this," she said, according to The Washington Post.

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Republicans had been open with their skepticism that the Graham-Cassidy legislation could get the needed 50 votes.

Sen. Chuck GrassleyCharles (Chuck) Ernest GrassleyBarrett confirmation stokes Democrats' fears over ObamaCare On The Money: Power players play chess match on COVID-19 aid | Pelosi bullish, Trump tempers optimism | Analysis: Nearly 1M have run out of jobless benefits Grassley: Voters should be skeptical of Biden's pledge to not raise middle class taxes MORE (R-Iowa) told Iowa reporters that Republicans were still at least two votes short "and I don’t see those other one or two votes coming." 

And Sen. Ted CruzRafael (Ted) Edward CruzThe Memo: Texas could deliver political earthquake Harris to travel to Texas Friday after polls show tie between Trump, Biden Cruz wants donors to repay K he loaned to his 2018 campaign MORE (R-Texas) told conservative radio host Michael Berry that "it's not clear if we're going to get to 50 votes or not." 

McCain, who has brain cancer, cast the decisive vote that halted the GOP's first ObamaCare repeal effort over the summer. With a dramatic thumbs down on the Senate floor, he stopped that legislation in its tracks.

Murkowski and Collins also voted against that "skinny" repeal bill.

McCain at the time complained the legislation had been rushed to the floor without going through the normal committee process, and he leveled that same complaint against Graham-Cassidy.

“I would consider supporting legislation similar to that offered by my friends Senators Graham and Cassidy were it the product of extensive hearings, debate and amendment. But that has not been the case. Instead, the specter of [the] Sept. 30 budget reconciliation deadline has hung over this entire process," he said on Friday. 

McCain also said he couldn't back the bill without seeing a full analysis from the nonpartisan Congressional Budget Office (CBO). 

Without a CBO score, McCain said, lawmakers have no "reliable answers" to questions about how much the bill will cost, how many people will be covered and how it will affect insurance premiums. 

The CBO has said its analysis won't be ready until next month.

McCain urged his colleagues to try to craft a bipartisan healthcare bill using "regular order." 

"We should not be content to pass health-care legislation on a party-line basis, as Democrats did when they rammed Obamacare through Congress in 2009. If we do so, our success could be as short-lived as theirs," he said. 

Sens. Lamar AlexanderAndrew (Lamar) Lamar AlexanderThe spectre of pension failures haunts this election Bitter fight over Barrett fuels calls to nix filibuster, expand court Senate Health Committee chair asks Cuomo, Newsom to 'stop second guessing' FDA on vaccine efficacy MORE (R-Tenn.) and Patty MurrayPatricia (Patty) Lynn MurrayWorking together to effectively address patient identification during COVID-19 Plaintiff and defendant from Obergefell v. Hodges unite to oppose Barrett's confirmation Overnight Health Care: Trump takes criticism of Fauci to a new level | GOP Health Committee chairman defends Fauci | Birx confronted Pence about Atlas MORE (D-Wash.) had been leading bipartisan talks to try to get a deal on a bill that would stabilize the individual insurance market. 

But those talks were put on hold earlier this week after the White House and Speaker Paul RyanPaul Davis RyanMcCarthy faces pushback from anxious Republicans over interview comments Pelosi and Trump go a full year without speaking Jordan vows to back McCarthy as leader even if House loses more GOP seats MORE (R-Wis.) warned they would not support a bill stabilizing ObamaCare.

McCain said Alexander and Murray had been "negotiating in good faith" and urged them to resume their talks if a third GOP senator comes out against the ObamaCare repeal bill. 

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"I fear that the prospect of one last attempt at a strictly Republican bill has left the impression that their efforts cannot succeed," he said. "I hope they will resume their work should this last attempt at a partisan solution fail." 

Senate Democratic leader Charles SchumerChuck SchumerReestablishing American prosperity by investing in the 'Badger Belt' House Democrats introduce bill to invest 0 billion in STEM research and education Graham dismisses criticism from Fox Business's Lou Dobbs MORE (N.Y.) expressed a similar hope.

“John McCain shows the same courage in Congress that he showed when he was a naval aviator," Schumer said. "I have assured Senator McCain that as soon as repeal is off the table, we Democrats are intent on resuming the bipartisan process.”

Late-night comedian Jimmy Kimmel, who has been waging a crusade against the Graham-Cassidy bill, hailed McCain as a hero.

— This report was updated at 3:20 p.m.