U.S.

White House expects Senate to change healthcare bill, but retain principles

White House expects Senate to change healthcare bill, but retain principles

Nonetheless, House Republicans celebrated its passage with Trump in the White House Rose Garden, but New Hampshire Republicans such as Gov. Chris Sununu aren't joining in.

"There's a lot of feeling around the country that Obamacare has to change and it has to change for the better", Senate Majority Leader Jeb Bradley said.

But the version of health reform that the Senate will send back in the coming weeks or months will likely look very different from the legislation the House passed Thursday.

And that was in a chamber Republicans control 238-193. Of the 217 Republicans who backed the bill, 14 come from districts carried by Democrat Hillary Clinton previous year, and 24 serve in districts where Trump did not win more than 50 per cent of the vote.

If the GOP efforts to bring wholesale change to the ACA are exhausted, though, it may be possible for some moderate Republicans to craft legislation with Democrats to fix some of the issues that both parties see in the law.

Whatever the merits of the bill, it faces an even tougher slog in the Senate.

While the bill has a long way to go before becoming law, it already has many in Arizona's health care industry concerned.

The GOP's 2017 health care bill allows states to waive the community rating requirement so insurers could charge people with pre-existing conditions more.

The measure would replace federal subsidies for lower-income insurance buyers with tax credits geared to consumers' ages.

Twitter is overflowing with lists of pre-existing conditions, patient testimonials and posts with the #iamapreexistingcondition hashtag. Markedly, there is little or no euphoria in the White House not least because the victory has been rather too marginal for comfort (217 to 213 votes).

Before the Affordable Care Act, pregnancy was considered a pre-existing condition, and insurers frequently denied coverage because of it.

Some Republicans maintain that the GOP had no choice. Imagine no option at all for an entire state?

Among state leadership, Medicaid expansion is viewed as a bipartisan success. Because of that, there might be the potential in some states for a pregnant woman to be charged more for coverage.

If the Republican senators are able to come up with a way to get a bill past the Senate, that would open up another can of worms.

"The ads will run on Facebook and Instagram in order to expose what is in this bill and why it's a awful deal for hardworking Americans", the Democratic Congressional Campaign Committee said in a statement. Still, for several dozen Republicans, adding support for the AHCA to their voting record is an unequivocal political risk.

Sen. Susan Collins, R-Maine, said the House bill poses "more questions than answers about its consequences". Among the vulnerable Republicans is two-term New Jersey Representative Tom MacArthur, who helped revive the bill by authoring a key amendment on pre-existing conditions. "What I'll be looking at is how does it affect Medicaid funding, so we have a better idea of how to proceed with Medicaid expansion".

Other senators are also seeking changes. "I don't think it's an exaggeration to say that some people are going to get sicker and some may actually die".

"This Republican health care bill needs to either be flushed down the toilet or thrown in the garbage".

The Forum left a message with the North Dakota Hospital Association's president, Jerry Jurena, but didn't hear back as of press time.

The outspoken and immediate skepticism pointed to a long road ahead in the Senate. But we don't know for sure given the bill's current form. The figures are suggestive of the discord within the ruling party over whether or not to abrogate Barack Obama's signature domestic achievement.

Those same bylaws bar provisions that aren't chiefly aimed at federal spending or revenue, meaning some House language dealing strictly with policy changes could fall out. It will soon be presented to the Senate, whose Republicans members have already said that they will scrap the AHCA and write their own version of it - so who knows what will make it into the final copy and what won't. Lamar Alexander of Tennessee, who chairs the health committee, to Cornyn, Portman, Cruz and McConnell himself.


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