Republican Governors Came Out Against the GOP Health Care Bill

Conservatives and moderate House Republicans want to shove the bill in opposing directions, GOP senators are rebelling and Republican governors say the House bill gives them nearly no new flexibility and lacks sufficient resources to protect the vulnerable.

A copy of the letter to Senate Majority Leader Mitch McConnell and House Speaker Paul Ryan was provided to The Associated Press.

"We made certain changes but frankly very little", he said.

"We have one opportunity to answer the health care crisis the American people are facing", the Republican congressman said.

He said the income caps for the subsidies would likely come down from $75,000 for individuals and $150,000 for couples - perhaps to $50,000 and $130,000, respectively. States should also have the authority to set provider payment rates and the option to mandatorily enroll all populations in reduced-cost managed care plans, they said.

The conservative group balked at Trump's announcement that all RSC members at the White House meeting are now "yes" on the health care bill, insisting that the development does not at all change the widespread opposition within the HFC to the bill. A lot of the final details are "still fluid", Roe said.

As of Wednesday night, CNN's own whip count recorded 19 Republican House members against or leaning against the bill as it was written, a rude awakening that Ryan can't ignore.

But keeping that promise has become a tough test of their Republican-controlled government.

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Failing to pass a bill while his party controls both the House and Senate would be a devastating blow to his party and the premise of his presidency - that he was a dealmaker the country needed.

"This president is getting deeply involved", Ryan said at a news briefing.

Several Republicans have expressed deep reservations, putting the outcome of the vote in doubt.

Three Republican members of the committee - Reps.

Three Republicans from the vocal House Freedom Caucus - Reps.

"It makes no sense for Speaker Ryan and Chairman Diane Black to force GOP lawmakers to walk the plank and vote for a bad bill that they've already admitted needs to be changed", said Club for Growth president David McIntosh, in a statement, referring to the House Budget chairwoman. Mark Sanford of SC and Dave Brat of Virginia, have been very vocal about their problems with the bill.

Moderates like Rep. Charlie Dent, a Republican from Pennsylvania, have specifically said that rolling back Medicaid expansion before 2020 could be a major problem for himself and others.

The job of the whip team has only been made more hard this week by a non-partisan Congressional Budget Office score showing that 24 million more Americans could be uninsured in the next decade if the Republican bill to repeal Obamacare is passed.

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Trump met with 13 members of the conservative Republican Study Committee, following days of conservative complaints about the GOP leadership health bill, and a floor vote expected next week.

"I do not like the bill in its current form", he said.

Cotton disputes the suggestion that Obamacare is working well in Arkansas or enjoys much popularity, but acknowledges high anxiety among his constituents about what happens next.

But Trump sounded more like he was at the start of a negotiation than ready to close the deal.

Instead, Ryan spent part of his news conference disputing suggestions that he and Trump are at odds over the health bill, rumblings that originate with Ryan's very reluctant support for Trump during the presidential campaign.

"As written, the House bill would not pass the Senate".

The House GOP's vote counter, Rep. Steve Scalise of Louisiana, also attended the meeting and said the changes give Republicans "the best chance" to get the legislation to the Senate. One leading House conservative said the alterations were insufficient and claimed enough allies to sink the measure, and support among GOP moderates remained uncertain.

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