White House, some conservatives agree on health care changes

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Republican leaders have repeatedly said that was their schedule, but opposition mushroomed after a congressional report concluded this week that the measure would strip 24 million people of coverage in a decade.

They knew if a Republican won the White House that they could not only push for a change, but it could possibly be done within the first year of the new President getting into office.

Republicans remain deeply divided over their USA healthcare overhaul, Trump's first major legislative initiative and one that aims to make good on his campaign pledge to repeal and replace the healthcare plan put in place by his Democratic predecessor, Barack Obama.

Without providing any substantive details, Trump said he was able to achieve commitments of support, and declared Obamacare 'dead'. But one shouldn't buy their spin that conservatives are now fully on board with the American Health Care Act. This has been the major problem in Congress since day one of the new GOP bill coming.

Walker's endorsement is better viewed as a signal that much of the rank and file are prepared to vote for this bill, something that's prompted Republican leaders to tentatively schedule a floor vote for next Thursday. "But they also show that President Trump is all-in now", a help in winning converts.

Donald Trump speaks during a meeting with the Republican Study Committee on Friday.

Republicans in the Budget Committee pushed nonbinding proposals to phase out the Medicaid expansion more rapidly, help low-income people more with tax credits and require able-bodied Medicaid recipients to meet work requirements.

MI has enrolled more than 650,000 low-income residents in its unique Medicaid expansion program.

"A new financing structure that limits federal participation in Medicaid will transfer risk from the federal government to the states, so states must be granted meaningful relief from federal regulatory constraints that exist today in order to effectively manage that risk", they wrote. John Kasich, the Governor of the state, even met with President Trump regarding the expansion recently. Dean Heller, R-Nev., who faces re-election next year, became the fourth Republican senator to announce his opposition.

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The House bill would freeze the Medicaid expansion in all states by 2020, gradually shrinking the program's enrollment over time, and cap Medicaid spending on individual enrollees.

House Republican Justin Amash was having none of Trump's strongarm tactics. Trump did not want to alarm those in favor of the original bill, as he claimed...

He said the change "doesn't move the ball more than a couple yards on a very long playing field". That' surpasses the 20 million who've gained Medicaid or insurance coverage under Obama's law. On top of this, the CBO found at least 14 million would be uninsured as soon as next year if the GOP bill passed. Three hardline conservative Republicans on the committee-Reps.

And far more members from the right and left of the GOP conference are already saying they will vote against the bill, as is - or that they remain undecided.

The public outcry from Senate Republicans on both sides of the ideological spectrum has also spooked some.

Rep. Tom McClintock, R-Calif., said he'd been assured by House Speaker Paul Ryan, R-Wis., that the bill's tax credit would be adjusted to focus more benefits on lower-income people.

Instead, he said wished President Donald Trump would "try to get a good deal".

'Every single person sitting in this room is now a yes.' He said he got a dozen commitments, although a list of attendees put out by the White House was more of a 'baker's dozen'.

I voted against the American Health Care Act in the Budget Committee because the promises of changes in the future are insufficient. That's because 216 backers will be needed for passage if all 430 now sitting House members show up and vote on the bill. If by chance things are not changed, the bill won't pass through and we very well could see a lot of changes to the bill on its next march through to the House.

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