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At stake in the passage of the bill is, more than anything else, Trump's own reputation as a leader, a deal-maker, and his ability to deliver on a a key issue - to repeal and replace Obamacare, as the healthcare law is called - that has agitated Republicans for years.

The independent Congressional Budget Office last week concluded that 24 million Americans would lose their health care coverage over the next decade if the Republican plan is approved. "I believe that I'm representing them in opposing this bill because it won't lower premiums, and until it does, I'm going to be a no even if it sends me home". She's been pulling money out of her retirement to pay for her current plan, but the lifelong Republican said it's having political implications for her.

"As far as I'm concerned, I'm representing a majority of people in my district who do not think this is the right direction to go as it relates to health care".

The measure is largely financed through cuts to the Medicaid program, which the bill would move from an open-ended entitlement program to one with capped funding based on the number of enrollees.

Since passed by Democrats in 2009 with no Republican votes, King has repeatedly pushed for votes to fully repeal Obamacare. The earlier version of the bill would have phased out these taxes at a slower pace.

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They cannot lose more than 21 of the 237 Republican votes for the overhaul to pass before the measure is sent to the Senate.

U.S. Sen. Tammy Baldwin, D-Wis., says the GOP plan would unfairly benefit health care executives.

"If we don't keep our promise, it will be very hard to manage this". They wanted to see a change. But many conservatives are yet unsatisfied that the legislation leaves several of Obamacare's regulations, including mandates on insurance companies that the members say drive up costs, untouched.

For decades, the National Federation of Independent Business (NFIB) has asked small business owners to rank the top challenges. "It's written by people who don't know what the hell they're talking about". The 2009 law requires insurers to cover specified services like maternity care for all policy holders, which are sharply driving up premiums, King argued. "As we work to craft solutions, however, we want to hear from you", he wrote.

Pence praised conservatives for their "engagement" in the process and said the American people will owe them a debt of gratitude for their efforts to improve the legislation.