WASHINGTON — Republican opposition to the last-ditch GOP health care bill swelled to near-fatal numbers Sunday as Sen. Susan Collins all but closed the door on supporting the teetering effort to scrap the Obama health care law and Sen. Ted Cruz said that “right now” he doesn’t back it.
White House legislative liaison Marc Short and Sen. Lindsey Graham, R-S.C., one of the measure’s sponsors, said Republicans would press ahead anyway with a vote this week. But the comments by Collins and Cruz left the Republican drive to uproot President Barack Obama’s Affordable Care Act dangling by an increasingly slender thread.
A showdown must occur this week for Republicans to prevail with their narrow Senate majority. Next Sunday, protections expire against a Democratic filibuster, bill-killing delays that Republicans lack the votes to overcome.
Already two GOP senators, Rand Paul of Kentucky and John McCain of Arizona, have said they oppose the legislation. All Democrats will vote against it. “No” votes from just three of the 52 GOP senators would kill the party’s effort to deliver on its perennial vow to repeal “Obamacare” and would reprise the party’s politically jarring failure to accomplish that earlier this summer.
Collins cited the bill’s cuts in the Medicaid program for low-income people and the likelihood that it would result in many people losing health coverage and paying higher premiums. The Maine moderate also criticized a provision letting states make it easier for insurers to raise premiums on people with pre-existing medical conditions.
“It’s very difficult for me to envision a scenario where I would end up voting for this bill,” said Collins.
The conservative Cruz also voiced opposition, underscoring the bill’s problems with both ends of the GOP political spectrum.
“Right now, they don’t have my vote,” Cruz said at a festival in Austin, Texas. He suggested the measure doesn’t do enough to reduce premiums by allowing insurers to sell less comprehensive coverage than Obama’s law allows.
“You want more choices, more options, more competition and prices fall,” he said
Cruz said he doesn’t think fellow conservative Sen. Mike Lee, R-Utah, backs the GOP bill. Lee spokesman Conn Carroll said Lee wants “technical changes” but hasn’t finalized his position.
Lobbying opponents
The growing opposition leaves the White House and party leaders desperate to rescue their promise to repeal Obama’s law with one immediate option: trying to change opponents’ minds.
Republicans have said they’re still reshaping the bill in hopes of winning over skeptics. Collins said sponsors were making last-minute adjustments in the measure’s formulas used to distribute federal money to the states.
“So yes, we’re moving forward and we’ll see what happens next week,” Graham said.
Paul said even though the bill transforms federal health care dollars into block grants states would control, the GOP bill left too much of that spending intact.
“Block granting Obamacare doesn’t make it go away,” Paul said.
McCain has complained that Republicans should have worked with Democrats in reshaping the country’s $3 trillion-a-year health care system and cited uncertainty over the bill’s impact on consumers.
Republican targets
A chief target of GOP leaders is Sen. Lisa Murkowski, R-Alaska, whose state has unusually high health care costs because of its many remote communities. Collins and Murkowski were the only Republicans who voted “no” on four pivotal votes on earlier versions of the GOP legislation in July.
Murkowski has remained uncommitted, saying she’s studying the bill’s impact on Alaska. Her state’s officials released a report Friday citing “unique challenges” and deep cuts the measure would impose on the state.
Senate Majority Leader Mitch McConnell, R-Ky., has said he intends to have a vote this week but has stopped short of firmly committing to it. If party leaders expected to lose, they would have to choose between conservatives demanding no surrender and others seeing no point in another demoralizing defeat.
The White House’s Short said he expects a vote Wednesday.
Organizations including America’s Health Insurance Plans representing insurers, the American Hospital Association and the American Medical Association released a statement Saturday urging rejection of the legislation. They said it would leave the individual health insurance market “drastically weakened and “undermine safeguards” for people with pre-existing conditions.
Recent polls have also shown a public preference for retaining Obama’s law over scrapping it.
This summer’s setback infuriated the GOP’s core conservative voters and prompted President Donald Trump to unleash a series of tweets blaming McConnell for the failure. In recent days, Trump tweeted that any GOP senator opposing the bill would be known as “the Republican who saved ObamaCare.”
The bill would repeal much of the 2010 law, including its tax penalties on people who don’t buy insurance and on larger employers not offering coverage to workers. States could loosen coverage requirements under the law’s mandates, including prohibiting insurers from charging seriously ill people higher premiums and letting them sell policies with fewer services.
It would eliminate Obama’s expansion of Medicaid and the subsidies the law provides millions of people to reduce their premiums and costs, substituting block grants to states.
