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"Moderate Republicans are in a tough spot no matter how Republican leaders try to dress up the bill", said Claire McAndrew, director of campaign strategy for FamiliesUSA, which has been pushing hard against the bill. "It's not the first time we've had to take the tough votes and here we are again".

We think the MacArthur amendment is a great way to lower premiums, give states more flexibility while protecting people with pre-existing conditions.

Both cited fears that the new bill would leave people with serious illnesses unprotected.

What infuriated GOP leaders, as well as Trump, was that in last month's negotiations, they made several tweaks to the bill that were created to bring on conservative support. These are the not-yet-addressed concerns that will come back to haunt them.

The House Freedom Caucus, whose lack of support blocked the first Republican plan from going to a vote, now says it's on board with the bill, thanks to a recent amendment.

Rep. DesJarlais (TN-04) is a physician, who since election in 2010, has made repealing Obamacare's most harmful regulations his focus. Insurance companies have to make agreements with hospitals and providers within their region, and these agreements are based on numerous factors including services provided, payment history, demographics etc.

Despite MacArthur's work on the proposal, which included adding language to ensure people with pre-existing conditions would not be denied coverage, many moderates who had previously opposed the measure appear unready to budge. McCarthy said there were no plans yet for a vote Friday but he didn't explicitly rule it out.

On the separate health care bill, House Republican leaders are still scrounging for votes from their own rank-and-file to rescue it. Still, the bill has over the past few weeks made life more precarious for the millions of people in this category.

Allowing states to remove protections for pre-existing conditions would break Trump's long-standing promise to keep the popular provision.

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"We're a very heavily Medicaid dependent state".

JORDAN: I do think we're going to get the votes in the House and get it over to the Senate. But they remained shy of the support they'd need to fully rouse the measure back to life, and it was uncertain when the vote would occur.

This was a major issue for Rep. Mark Amodei (R-NV), who like Dent hails from a Medicaid expansion state and is not supporting the bill.

"I would be shocked that they'd (Democrats) want to see a government shutdown", Ryan said during a news conference when asked about Hoyer's comments. "I want the information before I vote".

Waiver approval is conditioned on the state offering just one of the following justifications: That it would reduce average premiums, increase overall insurance enrollment, stabilize the state market, stabilize premiums for those with pre-existing conditions, or increase the number of insurance plan offerings.

There was a clear upsurge in conservative support for the bill, with even Sen. "So to suggest that I can worry about what motivates or doesn't motivate some of the more moderate members is well beyond my bandwidth". We've always had community rating. If the essential health benefits are scrapped, be prepared for this abusive, hodge-podge system to return quickly.

In Tennessee, Julie Mix McPeak, the state's insurance commissioner, is trying to recruit new companies to sell ACA insurance in the Knoxville area after Humana announced it was pulling out of Obamacare exchanges in that part of the state.

Collins did not mention, however, that the bill would hit New Yorkers in a different way.

The American Medical Association said it opposed the newly reshaped bill, as it did the original legislation. At some point the anti-abortion movement is going to emulate a passenger in a fast-moving auto whose driver has fallen asleep at the wheel by taking over the vehicle and demanding the GOP expedite its journey to the Oval Office without the excess baggage of a politically unviable health-care bill.