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Morning Briefing

Summaries of health policy coverage from major news organizations

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Thursday, Jul 13 2017

Full Issue

GOP Poised To Unveil New Plan In Hopes Of Securing 50 Votes And There's No Margin For Error

Sen. Rand Paul (R-Ky.) says he won't vote for the legislation, and Sen. Susan Collins (R-Maine) has also voiced strong opposition to the measure. That means Senate Majority Leader Mitch McConnell (R-Ky.) needs the vote of every single one of the rest of the 50 Republicans to pass the bill. The revised draft will be out today.

The Associated Press: McConnell Rolling Out New GOP Health Bill To Uncertain Fate

Senate Republican leaders are trotting out their new, but reeling, health care bill and angling toward a showdown vote next week amid signs that they have lots of work ahead to win over GOP lawmakers or face a resounding failure. (Fram, 7/13)

The New York Times: Senate Republicans, Preparing New Health Bill, Have No Votes To Spare

The likely defection of two Senate Republicans has left their leaders no margin for error as they move on Thursday to unveil another version of their bill to repeal much of the Affordable Care Act — without an assurance that they have the votes even to begin debate next week. Senator Rand Paul of Kentucky flatly declared on Wednesday that he would not vote to take up the bill, which he said left too much of President Barack Obama’s health law in place. Senator Susan Collins of Maine has gone almost as far, saying that the bill cuts too much and that only major revisions could win her over. (Pear and Kaplan, 7/12)

Los Angeles Times: Divided Senate Republicans Will Take Another Crack At An Obamacare Repeal Bill Today

Sen. Ted Cruz (R-Texas), who has demanded that the bill further loosen requirements on health plans, remained optimistic of passage, even though he indicated he would not support opening the debate unless his proposed revision was included in the new text. “I believe we can get to yes and we can bring together 50 senators behind Obamcare repeal,” Cruz said. (Mascaro and Levey, 7/12)

The Wall Street Journal: McConnell Faces Increasing Pressure Over Health Bill As Timetable Tightens

The revised bill is expected to include $45 billion more to combat the opioid epidemic, allow people to use funds from their health-savings accounts to pay insurance premiums, and retain the ACA’s two taxes on high-income households. Mr. McConnell responded Wednesday by warning Republicans about the perils of not coming together to pass a bill. “If we sit on our hands, families will continue to suffer,” he said on the Senate floor. (Armour, Peterson and Radnofsky, 7/12)

Politico: Senate Moderates Sidelined In New Obamacare Repeal Bill

In a closed-door meeting of Senate Republican chairmen Wednesday, Lisa Murkowski ripped GOP leaders’ attempt to scale back Medicaid spending in their Obamacare repeal bill. The two matters were unrelated, she argued, because the Affordable Care Act did not change Medicaid spending levels across the entire program. The independent-minded Alaska senator was backed up by Sen. John Hoeven of North Dakota, a Republican generally aligned with leadership, according to senators and people familiar with the conversations. (Everett and Pradhan, 7/12)

The Wall Street Journal: Will The GOP Health Bill Pass? Watch These Senators For Clues

Many Republican senators, from all wings of the party, are taking issue with the Senate GOP bill to replace most of the Affordable Care Act. The 12 below have been most outspoken, and each is flanked by like-minded senators behind the scenes. (McGill, Radnofsky and Zitner, 7/12)

The Hill: Rand Paul: Senate Bill 'Does Not Repeal Obamacare' 

Sen. Rand Paul (R-Ky.) in a new op-ed blasts the Senate GOP's healthcare bill, saying it doesn't repeal ObamaCare. In the piece published Wednesday on Breitbart News, Paul criticized ObamaCare and targeted those in the GOP who he said are not upholding their commitment to repeal the former president's signature healthcare legislation. (Savransky, 7/12)

McClatchy: GOP Badly Needs Jerry Moran On Health Care. Will He Be There?

Senate Republicans are desperately trying to craft health care legislation that can win 50 votes, and to do that they badly need skeptics like Jerry Moran. But the Kansas senator skipped a high-level GOP caucus this week, and there’s little evidence he’s about to change his mind. (Wise, 7/12)

Bloomberg: McConnell Seeks To Win Over GOP Holdouts With New Health Bill 

“I want to see how funds are used to help ensure that people can get access to affordable coverage, and that’s the key,” said Senator Rob Portman of Ohio, who objected to McConnell’s original bill. “But we don’t have the specifics." (Litvan and Dennis, 7/13)

CQ Roll Call: Health Care Negotiations Continue As GOP Preps For Revised Bill

The Congressional Budget Office is analyzing versions of the revised bill that include and don’t include Cruz’s proposal. That analysis is still expected to be released early next week. “People who are really making a lot of the comments are fully invested in their point of view. There is an effort to get to compromise,” said Sen. David Perdue, R-Ga. “We really are down to one or two issues.” (McIntire, 7/12)

The Hill: White House Analysis Of Health Bill Seeks To Discredit CBO 

The White House on Wednesday released its own internal analysis of the Senate’s ObamaCare repeal and replace bill in an attempt to push back against the Congressional Budget Office’s (CBO) findings. In a statement, the White House said the CBO estimates about the Better Care Reconciliation Act’s (BCRA) Medicaid impact “should be discounted because of the large errors made by the agency in estimating the toll of the Affordable Care Act (ACA).” (Weixel, 7/12)

The Hill: McConnell Warns Senate: Don't Block ObamaCare Repeal Debate 

Senate Majority Leader Mitch McConnell (R-Ky.) is warning his colleagues to not block the chamber from taking up a bill to repeal and replace ObamaCare as leadership struggles to shore up support for the legislation. "I'm sure members will have other good ideas ... and I hope they will offer them. ... But if the Senate is prevented from even proceeding to the bill, none of us will have an opportunity — not Republicans, not Democrats, not anyone," McConnell said from the Senate floor Wednesday. (Carney, 7/12)

Roll Call: Senate Parliamentarian Backs Republicans On Health Law Question

After hearing arguments weeks ago from Democratic and Republican aides, Parliamentarian Elizabeth MacDonough issued her opinion that the House bill (HR 1628) complies with jurisdictional requirements within Senate reconciliation instructions. The development is significant because it means the hotly debated health care repeal written by the House can move more smoothly through the Senate without procedural problems. There still may be other challenges under the Senate's Byrd rule, which bars extraneous matter, once the bill is under debate. (Krawzak, 7/12)

Meanwhile, hospital employees, doctors and members of the public are pleading with Republicans to reject the legislation —

The Washington Post: From Hospitals, Doctors And Patients, A Last Gasp Of Opposition To The Senate Health-Care Bill

Just four days after Senate GOP leaders revealed their health-care bill this summer, Tucson Medical Center hosted a town hall thousands of miles away drawing roughly 700 people in person and 1,900 online. In its aftermath, hospital employees, doctors and members of the public sent nearly 2,900 emails to the state’s two senators, Republicans John ­McCain and Jeff Flake, urging them to reject any legislation that would jeopardize patient health care. The move was like nothing the hospital had done before, said Julia Strange, the center’s vice president for community benefit. (Eilperin and Cunningham, 7/12)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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