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Some of the key components of the Affordable Care Act have been the individual mandate - which requires most citizens and legal residents to have health insurance and levies a tax penalty for those who don't - and state health-insurance exchanges (including Covered California) for individual and small-business insurance plans.

The ACA expanded Medicaid with extra payments to 31 states to cover more people.

The CBO estimated that the earlier version of the bill from March would result in 24 million Americans losing their coverage.

"If we've decided as a society that we're gonna be sure people with pre-existing conditions should have access to reasonably priced insurance, that cost should be shared among taxpayers", McCormack said. There are several Republican senators who are not on board. Dan Sullivan (R-AK) told TPM, adding that the House bill "needs more work" on the "structural" issues facing rural states like his. "And more importantly, we're keeping our word". "Look, Cathy McMorris (Rodgers) who's chairperson - chairman - of the Republican conference in the House of Representatives, was intimately involved in this process".

Collins believes there are major questions surrounding the House plan, which she said would undergo major surgery in response to House Speaker Paul Ryan's hope that the Senate would improve the bill. "And we know it makes a difference when women aren't in the room, on what is brought up, how it's seen and how it's put together", Murray said. "Of course, we are taking nothing for granted and a lot can change over the next year and a half", Meredith Kelly of the Democratic Congressional Campaign Committee told the Examiner.

Certainly, it has been clear enough for a while that, under ACHA, if you are on Medicaid, you are looking at an $880 billion in overall funding reduction, so million of those depending on Medicaid coverage will lose at least part of that. Senators from some of the 31 states that enlarged their programs want to prevent an abrupt cutoff of that money.

"They're trying to gut Medicaid", he said Friday.

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Ohio Gov. John Kasich, a former Republican candidate for president, has been consistently critical of his own party's attempts to make deep cuts in the Medicaid program.

Before the Affordable Care Act, insurance companies denied coverage or charged more if the person who wanted insurance had any of a long list of conditions - including arthritis, diabetes heart disease, muscular dystrophy, obesity and sleep apnea, according to a list compiled by the Kaiser Family Foundation from insurers' underwriting guidelines.

But that could stir concerns from moderate senators who already fear that the GOP has gone too far to scale down insurance protections for consumers back home.

They are claiming that approximately 15 million will lose coverage over the next ten years. Rooney went on to say that the proposed mock funerals would have the same impact in the 2018 midterm elections as "the ghouls who carry pictures of aborted fetuses". She also said, "I think they are opening up those meetings".

In some of the states that are likely to relax standards and set up the high-risk pools, the choices that lie ahead are being welcomed.

McConnell said that, in addition to the smaller gathering, the discussion in Tuesday's regularly scheduled lunch for all Republican senators was also nearly entirely about health care.

U.S. Democrats on Sunday criticized the lack of women on a working group in the Republican-led Senate that will craft a plan to pass legislation to repeal and replace Obamacare.


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