Lindsey McPherson

House GOP Passes Closed Rule for Health Care Bill

Continuing a weeks-long process of decisions regarding legislation to partially repeal the 2010 health care law that fly in the face of their repeated calls for “regular order,” House Republicans passed a same-day, closed rule to govern debate on the legislation. 

The 230-194 passage of the rule vote in no way indicates that the legislation itself will pass when the House votes on the bill later Friday. It simply means that opponents of the bill aren’t frustrated enough with the process to vote down the rule.

House GOP Heads Into Health Care Vote ‘Between a Rock and a Hard Place’
Regardless of outcome, Republicans will walk away with losses

The outcome of Friday’s House vote to partially repeal and replace the 2010 health care law is not certain, but one thing is: All parties to the Republican negotiations will walk away with some losses.

After a marathon few weeks of debate over the health care measure, President Donald Trump decided he was done dealing and urged the House to vote on the measure and let the chips fall where they may.

Trump’s Health Care Ultimatum Channeling ‘The Art of the Deal’?
But president may not be the only one willing to walk away

By LINDSEY McPHERSON and REMA RAHMAN
CQ Roll Call

A lesson from “The Art of the Deal,” President Donald Trump’s 1987 bestseller, may play out in the House on Friday.

GOP Struggles to Salvage Health Care Reform
Meadows trying to get 30 to 40 members to switch from ‘no’ to ‘yes’

Republicans struggled to work out a deal to salvage the troubled health care reform legislation ahead of a House Republican Conference meeting Thursday evening.

Negotiations over how to repeal and replace the 2010 health care law were moving along two parallel tracks: conservatives in the Freedom Caucus were dealing with President Donald Trump and his staff, and moderates in the Tuesday Group were talking to Speaker Paul D. Ryan and his leadership team.

No Deal on Health Care Bill
Freedom Caucus chairman says talks continue: ‘We’re trying to get creative’

House conservatives left a meeting with President Donald Trump on Thursday without a deal on changes to the Republican health care bill that would repeal and replace the 2010 health care law, putting a vote later in the day in doubt.

The apparent offer on the table is something the House Freedom Caucus, the bloc of hard-line conservatives that has held its ground against Republican leadership, has deemed a nonstarter.

Little Agreement Among GOP Members on Health Care Bill Next Steps
Regular conference meeting canceled ahead of Freedom Caucus meeting with Trump

House Republicans had hoped to vote on a bill to partially repeal and replace the landmark 2010 health care law on Thursday, seven years to the day after President Barack Obama signed it. Instead, they find themselves without the votes to do so and little agreement on their next move.

The House GOP conference’s weekly Thursday planning meeting, at which lawmakers might have decided on next steps, was canceled Thursday morning. Members of the conservative Freedom Caucus, which opposed the bill, are scheduled to meet with President Donald Trump at 11:30 a.m., so progress on the bill may not be made until midday Thursday or later.

Republican Members Opposed to GOP Health Care Bill
If the tally stands, it's enough to sink bill on House floor

CQ Roll Call has confirmed the following members as “no” votes on the American Health Care Act, absent further changes. If this tally stands on the floor, the bill will fail.

Late Wednesday, members of the House Freedom Caucus suggested negotiations with the White House were under way to make changes to the bill that would appease its members. No details of any deal were discussed by members leaving a meeting.

Chris Collins Advocates Retribution for Recalcitrant Republicans
Trump ally says those voting against health plan should lose plum assignments, cash

If House Freedom Caucus members sink the GOP leadership’s health care bill Thursday, they should be stripped of plum committee assignments and denied access to campaign committee resources, Rep. Chris Collins told reporters Wednesday.

“If this goes down, they’re not on our team,” the New York Republican said.

Battle of Wills Over Health Care Bill
Absent a deal, Trump and GOP leaders or Freedom Caucus will lose face in Thursday’s vote

The GOP health care debate has quickly become a battle of wills between the House Freedom Caucus and Republican leadership in the House and White House. And if the vote proceeds as planned on Thursday without changes to the bill, it will be a battle over reputations.

Absent a compromise between the conservative caucus and House leadership and/or the President Donald Trump and his administration, one of the two sides will emerge from Thursday’s vote significantly scathed.

House Health Care Bill Teetering on the Brink of Failing
Nearly enough firm Republican ‘no’ votes to sink it

By LINDSEY McPHERSON and REMA RAHMAN/CQ ROLL CALL

The GOP health care bill appears poised for failure with at least 19 Republicans committed to voting “no,” absent additional substantial changes, and several more likely to join them in opposition. 

Trump Warns GOP Members of Political, Policy Pitfalls of Killing Health Bill
President calls out Freedom Caucus Chairman Meadows in closed-door meeting

By LINDSEY MCPHERSON, JOHN T. BENNETT AND REMA RAHMAN, CQ ROLL CALL

President Donald Trump came to the Capitol Tuesday morning to make a closing pitch to House Republicans preparing to vote on health care legislation that will define the beginning of his presidency. And he did it with the confidence, jest and bravado that only he can deliver.

Calm and Steady Opposition From Freedom Caucus
No formal position, but plenty of expected no votes on GOP health plan

The House Freedom Caucus will not take a formal position against the House GOP health care bill before the chamber votes on it Thursday, but the group’s chairman said he believes enough conservatives will vote “no” to sink it.

“I’ve been on the record that we have had enough votes to make sure that this does not pass, and nothing has changed,” Freedom Caucus Chairman Mark Meadows said Monday. “And so to take just another formal position, I’m not wanting to poke someone in the eye. Our positions haven’t changed.” 

Timing for House Vote on GOP Health Plan Could be Fluid
New Congressional Budget Office score could determine fate

The House is still scheduled to vote Thursday on the GOP health plan, but timing could be fluid with senior Republicans saying they to expect to have an updated evaluation on the bill’s cost and effect on insurance coverage before it lands on the floor.

Ways and Means Chairman Kevin Brady said Monday that GOP leaders expect to have an updated Congressional Budget Office estimate to reflect changes expected to made to their health care legislation before it goes to the House floor.

Trump to Traipse to Capitol for Tuesday GOP Conference
Visit comes ahead of Thursday vote on GOP Health Plan

President Donald Trump will speak to House Republicans Tuesday morning at their weekly conference meeting about the health care bill the chamber is scheduled to vote on Thursday, according to a House Republican aide.

The president’s trip to the Capitol comes as several House Republicans, particularly conservatives in the House Freedom Caucus and some moderates in the Tuesday Group, remain uneasy about GOP leadership’s legislation to repeal and partially replace the 2010 health care law.

Ryan Hasn’t ‘Given Thought’ to Members’ Health Care Coverage
Speaker says GOP health care plan is ‘on track and on schedule’

Speaker Paul D. Ryan has put a lot of thought into the health care bill moving through the House, but one thing that hasn’t crossed his mind is how members of Congress will get their health care.

The 2010 health care overhaul required lawmakers and their staff to enroll in health care programs created by the law as a means to have them understand the effects of it. But after questions arose, the Office of Personnel Management ruled that members and staff could enroll in the District of Columbia’s small business exchange to maintain the employers’ contribution toward health care costs.

Road to House GOP Health Plan Passage Still Uncertain
Budget Committee considers measure, but changes await

By LINDSEY McPHERSON and REMA RAHMAN CQ Roll Call

Two of the strongest proponents for the House Republican plan to remake the health care system, Vice President Mike Pence and Speaker Paul D. Ryan, R-Wis., said Wednesday they were open to changes to secure floor passage.

CBO: Lower Deficit, More Uninsured Under House Health Plan
Nonpartisan budget scorekeepers predict savings, uninsured would grow

Updated 8:37 p.m. | The House Republican leadership’s legislation to partially repeal and replace the 2010 health care law would reduce the deficit by $337 billion over a decade while increasing the number of uninsured by 24 million people by 2026, the Congressional Budget Office estimated Monday.

The nonpartisan budget scorekeepers predicted that under the House GOP plan — which was scheduled for consideration by the House Budget Committee on Thursday to be packaged as a reconciliation bill that would only require a majority to pass in the Senate —  the biggest savings would come as a result of decreased funding to Medicaid and cutting off subsidies for individuals to purchase insurance on the health care exchanges. It would also lower average premiums enough to stabilize the individual health insurance market, according to the “score” of the legislation.

Paul Ryan Returns to ‘Binary Choice’ Rhetoric
Speaker used same phrase to argue for Trump presidency

House Speaker Paul D. Ryan is selling the Republicans’ health care bill the same way he did the presidential candidacy of Donald Trump. But on the health front, his pitch is falling flat with conservatives.

“Binary choice” is the phrase the Wisconsin Republican used during the presidential election to describe his reason for supporting Trump over Democratic nominee Hillary Clinton. Ryan acknowledged throughout the campaign that both candidates were flawed but Trump was the better of two options, the only one who would help Republicans advance their legislative agenda.

Conservatives Outline Wishlist for GOP Health Plan Changes
Among asks is an accelerated freeze on Medicaid enrollment

House conservatives have outlined changes they’d like to see in the health care measure currently moving through the chamber, including an accelerated freeze of Medicaid expansion enrollment and at least a partial reduction in the refundable portion of the tax credits proposed to help individuals buy health insurance.

Republican Study Committee Chairman Mark Walker said his group is asking for the enrollment freeze for the Medicaid expansion program to begin sometime in the current 115th Congress. The bill currently proposes that the enrollment freeze begin in 2020, halfway through the 116th Congress.

Ryan Says He’ll Match What Members Raise for NRCC
Speaker previously transferred $4.4 million to GOP campaign group

Speaker Paul D. Ryan told House Republicans that he would match what members collectively raise for National Republican Campaign Committee in March.

According to a source in the room, Ryan made the pledge during a conference at the Republican National Committee on Wednesday.