Overnight Healthcare: Top conservative pushes for Medicaid changes in ObamaCare bill

Overnight Healthcare: Top conservative pushes for Medicaid changes in ObamaCare bill
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The chairman of the conservative Republican Study Committee (RSC) says that if the House adopted two Medicaid amendments he is pushing, he would vote yes on GOP leadership's ObamaCare repeal bill.

Rep. Mark Walker (R-N.C.), the RSC chairman, is pushing amendments to move up the end of ObamaCare's Medicaid expansion for new enrollees to 2018 instead of 2020, as it is in the current bill.

The other amendment would institute work requirements for "able-bodied," childless adults on Medicaid.

"We are a 'yes' if we get both of them, and we are 'lean yes' if we get one of them," Walker told reporters.

Read more here: http://bit.ly/2mM0Rba

Second committee advances ObamaCare repeal legislation

The House Energy and Commerce Committee advanced GOP legislation to repeal and replace ObamaCare, titled the American Health Care Act, on a party-line vote Thursday afternoon, after 27 hours of continuous debate.  

The committee markup lasted from Wednesday morning to Thursday afternoon before it was finally approved by a vote of 31-23.

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Democrats dragged out the hearing by proposing a slew of amendments, all of which were rejected by Republicans.

The measure now goes to the House Budget Committee, with plans for a vote in the full House within several weeks. The House Ways and Means Committee passed its piece of the legislation early Thursday morning.

"Today, the House took a decisive step forward in fulfilling a promise to the American people that has been years in the making: repealing and replacing Obamacare with affordable, patient-centered reforms. After conducting an open and transparent markup, we are proud to put forth a plan that represents a Better Way for patients and families," said Energy and Commerce Chairman Greg Walden (R-Ore.).

Read more here: http://bit.ly/2lID4Jv

Very early this morning...

The House Ways and Means Committee on Thursday was the first panel to advance GOP legislation to repeal and replace ObamaCare on a party line vote, moving forward even as the bill faces headwinds.

Their committee markup lasted over 16 hours, stretching until after 4 a.m. Thursday before the measure was approved, 23-16. Republicans blamed Democrats for purposely dragging the process out with a range of amendments.

But Democrats hit back during the markup, accusing Republicans of pushing their plan through in the stealth of night.

"Here we are at almost 2 o'clock in the morning taking a vote when the American people have gone to sleep," said Rep. Richard Neal (D-Mass.), the Ways and Means Committee's top Democrat.

Read more here: http://bit.ly/2nbahdu

Rand PaulRandal (Rand) Howard PaulGraham promises ObamaCare repeal if Trump, Republicans win in 2020 Conservatives buck Trump over worries of 'socialist' drug pricing Rand Paul to 'limit' August activities due to health MORE introduces ObamaCare repeal alternative  

Sen. Rand Paul (R-Ky.) is pushing an alternative ObamaCare repeal bill amid growing opposition to the House GOP leadership's plan.  

Paul introduced a clean ObamaCare repeal bill -- mirrored off a 2015 bill that cleared the Senate along party lines.

"The Republican Party is unified on Obamacare repeal," Paul said in a statement. "We can honor our promise right away by passing the same language we acted on in the last Congress."

Paul's proposal would effectively separate repeal of ObamaCare from replacement. The move could alienate a group of centrist Republicans who want, at a minimum, the key details of replacement nailed down before they vote to repeal.

Read more here: http://bit.ly/2mFTf9B

Trump: GOP healthcare push 'coming along great'

President Trump on Thursday insisted the GOP's effort to repeal and replace ObamaCare "is coming along great," pushing back on news reports detailing serious roadblocks for the plan.

"Despite what you hear in the press, healthcare is coming along great. We are talking to many groups and it will end in a beautiful picture!" Trump tweeted.

Read more here: http://bit.ly/2n4F7HN

States warn millions could lose coverage under GOP plan

Democratic and Republican officials outside of Washington are warning Congress that millions will lose healthcare coverage if the House GOP's proposal to replace ObamaCare becomes law.

Almost all governors and state executive officers who object to the replacement hail from states that opted to accept federal funding to expand Medicaid under ObamaCare. The Republican replacement would roll back funding for the Medicaid expansion, forcing states to either shoulder the billions of dollars in costs themselves or drop new Medicaid recipients from the rolls.

In many states, budgets already stretched thin and threatened by declining growth in tax revenue have governors concerned they won't be able to cover the costs without significant tax hikes.

The Hill's Reid Wilson has more: http://bit.ly/2mG63Na

...And Paul RyanPaul Davis RyanEmbattled Juul seeks allies in Washington Ex-Parkland students criticize Kellyanne Conway Latina leaders: 'It's a women's world more than anything' MORE on Thursday made his pitch for the repeal plan with a slideshow presentation

Jacket off and sleeves rolled up, Speaker Paul Ryan (R-Wis.) on Thursday ditched the podium and delivered a 25-minute TED Talk-like presentation on why the new GOP health bill represents the best, and perhaps only, chance to repeal ObamaCare.

"This is the closest we will ever get to repealing and replacing ObamaCare," Ryan told reporters at the end of his slideshow presentation. "The time is here; the time is now. This is the moment."

The Speaker typically stands behind a podium and answers questions from reporters during his Thursday news briefings. But on this day, reporters in the room weren't the intended audience. The Hill's Scott Wong has more: http://bit.ly/2n4VX9Q

What we're reading

GOP healthcare bill would drop mental health mandate covering 1.3 million Americans (Washington Post)

Expect the CBO to estimate large coverage losses from the GOP healthcare plan (Brookings Institute)

What CBO got right - and wrong - on ObamaCare (CNN)

State by state

Colorado could owe feds up to $43 million for Medicaid "systems error" (Denver Post)

Most Iowa lawmakers ignore call to reimburse health costs (Des Moines Register)

Medicaid spending caps in GOP health plan could be costly for Florida (Miami Herald)

ICYMI from The Hill 

Budget referee caught in ObamaCare crossfire

Cruz: Let's overrule Senate officer to expand ObamaCare bill

Healthcare groups unload on GOP bill

Pelosi: Ryan, GOP 'afraid of the facts'

Warren rips GOP healthcare plan: 'What planet are these guys living on?'

Senate advances Trump's Medicaid, Medicare pick

Bill Kristol: GOP ObamaCare repeal plan is 'going to fall apart'

Pence, Price huddle with Senate GOP

Maine senator: House GOP healthcare plan hammers my state

Ads dare conservatives to oppose Trump on health plan

Dem super PAC runs ads against 'Trumpcare'