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Paul outlines demands for yes vote on Graham-Cassidy bill

Paul outlines demands for yes vote on Graham-Cassidy bill
© Greg Nash

Sen. Rand PaulRandal (Rand) Howard PaulOvernight Health Care: 50 million coronavirus vaccines given | Pfizer news | Biden health nominees Rand Paul criticized for questioning of transgender health nominee Haley isolated after Trump fallout MORE (R-Ky.) is outlining a list of demands to win his support for the GOP's latest ObamaCare replacement bill that would require major changes to the legislation.

Paul's primary demand, according to his office, is to substantially reduce the central component of the bill sponsored by GOP Sens. Lindsey GrahamLindsey Olin GrahamOvernight Defense: Biden sends message with Syria airstrike | US intel points to Saudi crown prince in Khashoggi killing | Pentagon launches civilian-led sexual assault commission Graham: Trump will 'be helpful' to all Senate GOP incumbents John Boehner tells Cruz to 'go f--- yourself' in unscripted audiobook asides: report MORE (S.C.) and Bill CassidyBill CassidySunday shows preview: 2024 hopefuls gather at CPAC; House passes coronavirus relief; vaccine effort continues Republicans see Becerra as next target in confirmation wars Overnight Health Care: Johnson & Johnson vaccine safe, effective in FDA analysis | 3-4 million doses coming next week | White House to send out 25 million masks MORE (La.): block grants to states with money to spend on health care.

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"Graham/Cassidy keeps and redistributes/spends over a trillion dollars," Paul says in a document provided by his office.

"My promise to the voters was to repeal Obamacare - not block grant and keep Obamacare," he adds. "If Obamacare were truly repealed, this entire trillion dollars would not be spent. This is the primary obstacle to my support, and only a significant reassessment of this trillion-dollar spending regime would get my support."

A "significant reassessment" of the spending, though, is likely to cost the GOP other votes, most notably Sen. Lisa MurkowskiLisa Ann MurkowskiGraham: Trump will 'be helpful' to all Senate GOP incumbents The Hill's Morning Report - Presented by The AIDS Institute - Senate ref axes minimum wage, House votes today on relief bill Republicans see Becerra as next target in confirmation wars MORE (R-Alaska), who is already focused on whether the bill does enough to help people afford coverage.

Finding some way to win Paul's vote, however unlikely, is crucial for GOP leaders, given that they can only lose two votes. Sen. John McCainJohn Sidney McCainCindy McCain planning 'intimate memoir' of life with John McCain Trump-McConnell rift divides GOP donors Arkansas state senator says he's leaving Republican Party MORE (R-Ariz.) is also against the bill, and Sen. Susan CollinsSusan Margaret CollinsCollins urges Biden to revisit order on US-Canada border limits Media circles wagons for conspiracy theorist Neera Tanden Why the 'Never-Trumpers' flopped MORE (R-Maine) said Sunday that it's "very difficult" for her to imagine supporting the measure.

Paul, who has repeatedly bashed the bill in television interviews and on Twitter, also wants states to have even more freedom to repeal ObamaCare regulations. The "default," he says, should be that all its regulations are repealed, and states can opt in to keep some regulations if they choose.

Further action to repeal those regulations is politically fraught, though, given that they include protections for people with pre-existing conditions.

Finally, Paul wants both executive action from the Trump administration and committee time to consider legislative action on a favored cause of his, known as Association Health Plans, which allow businesses and individuals to band together to buy health insurance as a group.