McConnell is working with hardly any margin for error. That's because they've long promised their base they would repeal the health care law on "Day 1" - once they had a Republican president and Republican majorities in Congress. Instead of giving states the chance to opt out of regulations, conservative Utah Sen. Susan Collins, a moderate member of the caucus. Many states also rely on Medicaid for treatment in the opioid crisis.

But even facing those challenges, there was rare optimism among Senate Republicans on Tuesday. "We don't have allocations yet", said Sen. Additionally, U.S. Reps. Kevin Brady of the Woodlands and Michael Burgess of Lewisville, have committee assignments that make them key players on this issue.

Other options that are on the table include how to structure tax credits. "This has been billed 'Infrastructure Week" by the White House, as officials try to drum up interest and support in the President's plans for new roads and bridges.

In other words, leaders are hinting that if Republicans can't get their act together and pass an ObamaCare repeal bill by the summer recess, the effort will be pretty much dead.

"There should be", Republican Sen.

Cassidy said the protections for people with pre-existing conditions were a big factor for him, as well as the slower rollback of the Medicaid expansion, which has helped states like his insure more people nearly entirely on the federal government's dime. McConnell would only say that they plan to bring forward a written bill soon. "Do a real kind of triage and a short-term measure to stabilize the markets then take our time and actually have a health care bill that will restrain the growth of costs in health care", Johnson said. "I am thinking it through", said Sen. Can senators from states that have benefited hugely from the ACA's Medicaid expansion - like West Virginia, where 28 percent of the state population is now enrolled in Medicaid, including 170,000 citizens who got it because of the expansion - come to an agreement with senators like Ted Cruz and Mike Lee who would like to see Medicaid undermined if not utterly destroyed? But the White House kept pressing lawmakers for a solution and, eventually, some inelegant policy fixes were found to send the bill to the Senate. The bill, under an amendment sponsored by Rep. Tom MacArthur, allows states to waive Obamacare rules that ban insurance companies from charging higher premiums to people with pre-existing health conditions. Rank-and-file senators are keeping expectations low, and Senate Majority Whip John Cornyn (R-Texas) said ultimately there will be a vote and the GOP will "let the chips fall where they may".

"Doing nothing is not an option", McConnell said. In sum, the proposal would allow for plans that are less expensive, mainly by allowing people to attain less coverage.Ryan's continued to push for a border adjustment tax as the main revenue source to offset the tax bill faces stiff resistance from many on the right in his party. Plans to defund Planned Parenthood also risk the votes of a pair of pro-choice female Republican senators.

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Anthem Blue Cross and Blue Shield said Tuesday that it's dropping individual exchange coverage in OH next year, citing a "lack of certainty of funding" for cost-sharing subsidies the government pays insurers to help reduce low-income Americans' health costs and "an increasing lack of overall predictability" in the market. "We've already lost Rand Paul, so we're down to 51".

Cassidy, one of the most vocal Republican critics of the American Health Care Act, publicly endorsed the Senate's still-in-development health plan for the first time Tuesday.

There are advantages and drawbacks to both the tax cut and tax reform approaches. He also asked for the public's support.

Other potential swing votes include Sens. Republicans haven't drafted legislative language on the thorniest issues, and there's no consensus on how to proceed on some major sticking points in the bill. If that happens, the odds of Congress passing a health care reform bill at all this year will decline significantly.

Will tax reform meet the same fate as the ObamaCare repeal?

"All of these discussions are intense", Hatch said.

The Republicans had been opposed to changes in pricing of pharmaceuticals, so when Trump won (and more importantly when Republicans maintained control of both the House and the Senate), the likelihood of onerous drug-pricing legislation significantly dropped.