Mitch McConnell

The ‘Wait and See’ Caucus vs. the ‘Not Yet’ Quartet
Republicans show wide range of reaction to health care draft

Kentucky Sen. Rand Paul was one of four Republican senators who said he wouldn’t support the current Senate health care bill. (Bill Clark/CQ Roll Call file photo)

The divisions among Senate Republicans on their health care bill to change the U.S. health insurance system can be summed up as the interests of the “Wait and See” caucus versus the “Not Yet” quartet.

Four members on Thursday, just hours after the text of the draft was posted online, said they are “not yet ready” to vote for the proposal that would make significant changes to the Medicaid program and alter some aspects of the current health care law.

Trump Is ‘Very Supportive’ of Senate Health Care Bill
President breaks silence after spokeswoman signaled hands-off approach

President Donald Trump threw his support behind the Senate GOP’s health care bill on Thursday evening. (Win McNamee/Getty Images file photo)

President Donald Trump tweeted Thursday evening that he is “very supportive” of the health care bill crafted by Senate Republican leadership, departing from an earlier more cautious approach by his White House communications team.

The president’s support for the bill — which proposes Medicaid cuts, and an end to the 2010 health care law’s individual mandate — comes as Senate leaders must win over several conservative senators who on Thursday announced they have concerns with the measure. It is unclear whether Trump’s support will help bring those conservatives on board.

Now vs. Then: Senate Republicans on Health Care Overhaul
Some singing same song, others flip flop

A group of 13 Senate Republicans worked on the health care overhaul bill released Thursday. From left, Sens. Cory Gardner, R-Colo., John Barrasso, R-Wyo., Roy Blunt, R-Mo., Senate Majority Leader Mitch McConnell, R-Ky., and Majority Whip John Cornyn, R-Texas on June 6, 2017. (Tom Williams/CQ Roll Call)

Prior to the release of Senate legislation to overhaul U.S. health care Thursday, Democrats took aim at Republican leadership for crafting a bill largely behind closed doors.

Seven years ago, roles were reversed as Senate Republicans railed against Democrats for a lack of transparency in the passage of President Barack Obama’s signature health care law. 

Senate Health Care Bill Gets Lukewarm White House Reaction
Tepid response follows cheerleading from Mike Pence

President Donald Trump will not take a position on any provision in Senate GOP leadership’s health care bill, his spokeswoman said Thursday. (Chip Somodevilla/Getty Images)

President Donald Trump and his top aides responded to the health care overhaul bill crafted by Senate Republican leaders with striking silence, even after Vice President Mike Pence said a final vote must happen in the next few weeks.

The White House did not issue any paper statement about the bill, either under Trump’s name or that of any senior official. And when Principal Deputy Press Secretary Sarah Huckabee Sanders briefed reporters a few hours after the bill was made public, she declined to discuss any of its contents.

Senate Republicans Raise Questions About Health Care Bill
‘My concern is this doesn’t repeal Obamacare,’ Rand Paul says

Louisiana Sen. Bill Cassidy talks with reporters Thursday after a meeting in the Capitol on the Senate Republicans’ health care draft. (Tom Williams/CQ Roll Call)

A few key Senate Republicans are already raising concerns with the discussion draft of a health care bill unveiled Thursday, which could threaten its passage if the measure comes up for a vote next week.

Multiple senators raised concerns with the draft they were briefed on Thursday morning, although many said they needed to review the proposal in full. Senate GOP leaders can only lose two Republican votes on the measure for it to pass with Vice President Mike Pence casting the tie-breaking vote as no Democrats are expected to vote for the measure. GOP leaders hope to bring the legislation to the floor for a vote next week.

Senate Obamacare Repeal Bill Largely an Entitlement Overhaul
Proposal would maintain key aspects of the 2010 health care law

From left, South Dakota Sen. John Thune, Senate Majority Leader Mitch McConnell, and Wyoming Sen. John Barrasso conduct a news conference after the Senate policy luncheons in the Capitol last week. (Tom Williams/CQ Roll Call)

A draft of the Senate counterpart legislation to overhaul the U.S. health insurance system unveiled Thursday would make drastic changes to the Medicaid program, but largely retain the existing federal tax credit structure from the 2010 health care law that helps individuals afford insurance, among other provisions. 

The proposal is part of the Republicans’ seven-year effort to gut former President Barack Obama’s signature domestic achievement. Senate GOP leadership, which has crafted the bill largely behind closed doors with virtually no public input, has faced difficulty in bridging the gap between moderate and conservative demands.

Health Care Politics Serve as Senate Bill Text Prelude
Wednesday’s campaign fodder a preview of Thursday’s discussion draft

Senate Majority Leader Mitch McConnell is preparing to release a draft bill to rework the U.S. health insurance system he has assembled in secret. (Tom Williams/CQ Roll Call)

Senate procedural wonks huddled Wednesday with the parliamentarian’s office, making their case for whether Republican legislation to rework the health insurance system complies with the chamber’s rules, even as Washington braced for the release of the draft GOP measure. 

Over the next week, though, the debate will play out on both the procedural and political fields.

Capitol Ink | Magic Act

Rural Areas Brace for Health Care Bill Impact
Senate GOP bill could undermine health insurance coverage

Sen. Lisa Murkowski, R-Alaska, is concerned her state's residents could lose out on health insurance safeguards. (Bill Clark/CQ Roll Call File Photo)

The Senate historically has paid special attention to the needs of rural areas, but as the chamber readies its health care bill, there are concerns that the bill would undermine coverage in those places more than anywhere else.

While the exact text of the Senate bill is not yet posted publicly, all signs point to somewhat similar language to the House bill (HR 1628), which would reduce funding for Medicaid compared to current law and impose caps on Medicaid funding. Under the House bill, older people also would face higher premiums — and rural areas tend to be home to a large number of older Americans.

Activists Applaud Senate Democrats’ Harder Line on GOP Health Care Bill
In the days before the bill's expected unveiling, Senate Democrats seem to be listening

Senate Democrats rally against Medicaid cuts in front of the Capitol two weeks ago. (Bill Clark/CQ Roll Call file photo)

As Senate Republicans prepare to release a draft of their health care bill and attempt to pass it before the July 4 recess, activists are applauding Senate Democrats for pulling out all the stops to derail it.

At a Wednesday rally against the bill hosted by Senate Democrats, activist groups and unions including Ultraviolet, Moms Rising, MoveOn, the Service Employees International Union and the American Federation of Teachers, Sen. Debbie Stabenow said, “We have a very simple message: ‘No hearing, no vote.’”