Republicans unveiled the fourth version of Trumpcare on Thursday with changes meant to entice the Republicans who refused to support Senate Majority Leader Mitch McConnell's last bill three weeks ago.
Paul says that in order to gain the conservative vote for the bill, Senate Republicans need to "strip away all of the extra big government spending and put that in another bill". In a press conference shortly after the bill debuted, Heller said he would not support it because of those Medicaid cuts. Doing that may drive away conservative lawmakers, though.
The current version of the bill repeals a 3.8 percent tax on investment income and a 0.9 percent payroll tax for high-income households, a change that would result in a large tax cut for the wealthiest Americans.
McConnell previously delayed the Senate healthcare bill to allow more time for Senate Republicans to hash out their differences. Bill Cassidy, R-Louisiana, are working with their GOP colleagues on an alternative approach to replacing Obamacare: keeping much of the federal taxes in place and sending that money to the states to control.
Where that money will go - and some of it could go to deficit reduction - is a key question for moderates after the nonpartisan Congressional Budget Office said the earlier GOP health bill would cause 22 million fewer Americans to have health insurance by 2026. "I believe we can get there".
A small but vocal group of Senate Republicans had been calling on McConnell to cancel all or a portion of their recess. "South Carolina, on the other hand, would likely go in a different direction and use the federal funding to make private health care more affordable and available". Collins said that the Cruz amendment is problematic to her because it decreases protections for those with preexisting conditions.
A number of insurance companies have said they aren't going to offer health care plans in the individual marketplace because President Donald Trump's administration is wavering on whether his administration would fund these subsidies.
If just one more senator - in addition to Paul and Collins - opposes the motion to proceed, it will kill the bill.
But while the suggestion could win over right-leaning holdouts before a planned vote on the legislation next week, it has alienated more moderate Republican senators like West Virginia's Shelley Moore Capito and Iowa's Chuck Grassley.
"You get supportive governors, the next thing you'll know you'll have supportive senators", said Sen.
It remains to be seen whether the new bill will be able to bridge the divide. Ted Cruz, R-Texas, that's been endorsed by the White House and one that excludes it, according to Sen.
"A state like Vermont has expressed interest in a state-government run and financed single-payer system like they have in Canada".
Heading into the meeting Thursday, Sen.
"We'll be on health care next week".