Trump warns GOP of political
costs of rejecting health bill
WASHINGTON
(AP) — President Donald Trump on Tuesday warned House Republicans they could
lose their seats in next year's midterm elections if they failed to back the
GOP health care overhaul and fulfill a long-promised goal to undo Barack
Obama's Affordable Care Act.
In a rare trip to the Capitol, the
president met behind closed doors with rank-and-file Republicans, some wavering
on the legislation two days before a climactic vote. Top House Republicans
unveiled revisions to their bill Monday night in hopes of nailing down support.
Trump's message to Republicans: "If
you don't pass the bill there could be political costs," said Rep. Walter
Jones, R-N.C.
The lawmaker said Trump said House GOP
seats could be at risk if the bill fails and "the danger of your not
voting for the bill is people could lose their seats."
Speaker Paul Ryan, R-Wis., told reporters
Trump was "all-in" on repeal-and-replace, and attending the meeting
"to do what he does best: to close the deal."
At a rally Monday night in Louisville,
Kentucky, Trump underscored what he called "the crucial House vote."
"This is our long-awaited chance to
finally get rid of Obamacare," he said of repealing former Obama's
landmark law, a GOP goal since its 2010 enactment. "We're going to do
it."
Trump's closed-door meeting with House
Republicans was coming as party leaders released 43 pages worth of changes to a
bill whose prospects remain dicey. Their proposals were largely aimed at
addressing dissent that their measure would leave many older people with higher
costs.
Included was an unusual approach: language
paving the way for the Senate, if it chooses, to make the bill's tax credit
more generous for people age 50-64. Details in the documents released were
initially unclear, but one GOP lawmaker and an aide said the plan sets aside
$85 billion over 10 years for that purpose.
The leaders' proposals would accelerate the
repeal of tax increases Obama imposed on higher earners, the medical industry
and others to this year instead of 2018. It would be easier for some people to
deduct medical expenses from their taxes.
Older and disabled Medicaid beneficiaries
would get larger benefits. But it would also curb future growth of the overall
Medicaid program, which helps low earners afford medical coverage, and let
states impose work requirements on some recipients. Additional states could not
join the 31 that opted to expand Medicaid to more beneficiaries under Obama's
law, the Affordable Care Act.
In a bid to cement support from upstate New
Yorkers, the revisions would also stop that state from passing on over $2
billion a year in Medicaid costs to counties. The change was pushed by Rep.
Chris Collins, R-N.Y., one of Trump's first congressional supporters. Local
officials have complained the practice overburdens their budgets.
The GOP bill would dismantle Obama's
requirements that most people buy policies and that larger companies cover
workers. Federal subsidies based largely on peoples' incomes and insurance
premiums would end, and a Medicaid expansion to 11 million more low-income
people would disappear.
The Republican legislation would provide
tax credits to help people pay medical bills based chiefly on age, and
open-ended federal payments to help states cover Medicaid costs would be cut.
Insurers could charge older consumers five times the premiums they charge
younger people instead of Obama's 3-1 limit, and would boost premiums 30
percent for those who let coverage lapse.
Republican support teetered last week when
a nonpartisan congressional analysis projected the measure would strip 24
million people of coverage in a decade. The Congressional Budget Office also
said the bill would cause huge out-of-pocket increases for many lower earners
and people aged 50 to 64.
Democrats have opposed the GOP repeal
effort. They tout Obama's expansion of coverage to 20 million additional people
and consumer-friendly coverage requirements it imposed on insurers, including abolishing
annual and lifetime coverage limits and forcing them to insure seriously ill
people.
House approval would give the legislation
much-needed momentum as it moves to the Senate, which Republicans control 52-48
but where five Republicans have expressed opposition. Trump used Monday's trip
to single out perhaps the measure's most vociferous foe — Kentucky GOP Sen.
Rand Paul.
"He's a good guy," Trump said of
one 2016 rival for the GOP presidential nomination. "And I look forward to
working with him so we can get this bill passed, in some form, so that we can
pass massive tax reform, which we can't do till this happens."
Enactment of the health care bill would
clear the way for Congress to move to revamping the tax code and other GOP
priorities. Defeat would wound Trump two months into his administration and
raise questions about his ability to win support from his own party moving
forward.
Among the disgruntled were GOP lawmakers in
the hard-right House Freedom Caucus, though the strength of their opposition
was unclear. The group has seemed to have around 40 members, but that number
may be lower now and some have expressed support or an open mind for the bill.
