I/II.
https://www.usatoday.com/story/news/politics/2017/06/22/senate-health-care-bill-medicaid-and-taxes-would-slashed/103098556/

Senate health care bill already under fire from GOP members

Erin Kelly and Eliza Collins, USA TODAY

Published 10:49 a.m. ET June 22, 2017 | Updated 14 hours ago

[Video: Senate Republicans have unveiled their latest health care
legislation, which aims to repeal and replace Obamacare. As expected,
both side voiced bold and passionate reactions to the measure. USA
TODAY]

WASHINGTON — After weeks of closed-door meetings, Senate Republican
leaders Thursday unveiled a health care bill that would largely scrap
Obamacare by making deep cuts in Medicaid, ending the mandate that
everyone buy insurance, repealing taxes on wealthy Americans and
insurance companies, and stripping funding from Planned Parenthood for
a year.

However, four conservative Republican senators — Rand Paul of
Kentucky, Ted Cruz of Texas, Ron Johnson of Wisconsin and Mike Lee of
Utah— said they "are not ready to vote for this bill" because it does
not go far enough in repealing Obamacare. Separately, moderate GOP
Sen. Dean Heller of Nevada said he has "serious concerns" about the
bill's impact on Medicaid patients.

"Currently, for a variety of reasons, we are not ready to vote for
this bill, but we are open to negotiation and obtaining more
information before it is brought to the floor," Paul, Cruz, Johnson
and Lee said in a joint statement. "There are provisions in this draft
that represent an improvement to our current health care system, but
it does not appear this draft as written will accomplish the most
important promise that we made to Americans: to repeal Obamacare and
lower their health care costs."

Senate Majority Leader Mitch McConnell, R-Ky., expects the 142-page
bill — which he called a "discussion draft" — to come to the floor for
a vote as early as next week, after the non-partisan Congressional
Budget Office has estimated its cost and impact. Democrats are united
against it, meaning that McConnell can afford to lose only two GOP
votes.

Majority Whip John Cornyn, R-Texas, said senators will be able to
offer an unlimited number of amendments on the Senate floor. The CBO
said it expects to have its analysis of the bill done early next week.

"Now that it is known that there are not 50 votes for this, I hope
that those who are writing the bill — have written the bill — will
negotiate with us,” Paul said.

GOP leaders said the bill represents Republicans' best chance to
deliver on their campaign promise to repeal and replace the Affordable
Care Act — President Obama's signature health care law. Republican
lawmakers and President Trump have railed against the law, charging
that it has raised insurance premiums and driven insurers out of the
marketplace. Democrats say Republican lawmakers and President Trump
have undermined Obamacare by creating uncertainty among insurers and
threatening to withhold the federal payments they receive for offering
lower-cost insurance to struggling Americans.

"We agree on the need to free Americans from Obamacare’s mandates, and
policies contained in the discussion draft will repeal the individual
mandate, so Americans are no longer forced to buy insurance they don’t
need or can’t afford," McConnell said on the Senate floor after
briefing his GOP colleagues about the bill.

McConnell said the bill will "eliminate costly Obamacare taxes that
are passed on to consumers, so we can put downward pressure on
premiums; expand tax-free health savings accounts and deploy targeted
tax credits, so we can help defray out-of-pocket costs; and shift
power from Washington to the states, so they have more flexibility to
provide more Americans with the kind of affordable insurance options
they actually want."

Read more:

Senate health care bill: Here's how it would affect you
Senate health care bill analysis: Despite risk, Republicans don't have a choice
Senate Democrats launch tactics to slow work on health care bill
Trump, speaking at the White House on Thursday, indicated the Senate
bill is not a final product. "Obamacare is dead, and we're putting a
plan out today that is going to be negotiated."

Senate Minority Leader Charles Schumer, D-N.Y., said the bill "would
end Medicaid as we know it."

"This is a bill designed to strip away health care benefits and
protections from Americans who need it most in order to give a tax
break to the folks who need it least," Schumer said. "This is a bill
that would end Medicaid as we know it, rolling back Medicaid
expansion, cutting federal support for the program even more than the
House bill."

"Simply put, this bill will result in higher costs, less care, and
millions of Americans will lose their health insurance, particularly
through Medicaid," he said. "It's every bit as bad as the House bill,
in some ways even worse."

The House passed a different version of the bill on May 4, but
senators immediately rejected it and said they would start from
scratch on their own proposal. Like the House bill, the Senate measure
allows insurers to raise premiums on older policy-holders and would
make make it harder than current law for people to qualify for
income-based subsidies to help pay for coverage.

The Senate plan does not include a House provision that would let
states get waivers to allow insurance companies to raise premiums on
some Americans with pre-existing medical conditions. Both the House
and Senate bill would phase out the expansion of Medicaid eligibility,
but the Senate bill does it more slowly.

Heller, a vulnerable Republican who is up for re-election next year in
his swing state, said Thursday he has "serious concerns" about the
bill's impact on Medicaid patients in Nevada.

"Throughout the health care debate, I have made clear that I want to
make sure the rug is not pulled out from ... the more than 200,000
Nevadans who received insurance for the first time under Medicaid
expansion," Heller said in a statement. "At first glance, I have
serious concerns about the bill’s impact on the Nevadans who depend on
Medicaid. I will read it, share it with Gov. Sandoval, and continue to
listen to Nevadans to determine the bill’s impact on our state. ... As
I have consistently stated, if the bill is good for Nevada, I’ll vote
for it and if it’s not — I won’t."

The bill includes $2 billion for opioid addiction treatment in 2018.
Sen. Shelley Moore Capito, R-W.Va., a key moderate, said that was not
nearly enough.

"They did say there was some opioid funding, but it’s not nearly the
amount we had asked for," Capito said. "I need to look at it and read
it to make that final determination (on whether it's a deal breaker).
I’m not going to do that right now."

Sen. Lamar Alexander, R-Tenn., chairman of the Health, Education,
Labor and Pensions Committee, said the $2 billion would be the largest
amount of money Congress has allocated in one year to fight opioid
addiction. He said he expects some senators to push to add more money
when the bill comes to the Senate floor.

Democrats said the opioid funding will not make up for the cuts to
Medicaid, which provides health care for many addicts.

Sen. Bill Cassidy, R-La., said he remained undecided about the bill
after the GOP briefing Thursday. He said he wanted to read the bill
carefully before making up his mind.

"I will study the bill to determine whether it fulfills President
Trump's campaign promises to lower premiums, maintain coverage and
protect those with pre-existing conditions without mandates," he said.

Sen. Bill Cassidy leaves a closed meeting with Senate
Sen. Bill Cassidy leaves a closed meeting with Senate Republicans on
Capitol Hill on June 22, 2017. (Photo: Mark Wilson, Getty Images)
Trump was already lobbying senators to support the bill even before
the Senate proposal was unveiled. Paul got a call from the president,
his office confirmed Thursday. Paul told Trump he could not commit to
how he would vote and joked that he and Trump may have to golf
together again to discuss the legislation, according to Paul spokesman
Sergio Gor.

The Senate bill would cut Medicaid funds from organizations that
provide abortions for one year. It does not mention Planned Parenthood
by name, but the legislation is clearly targeting the organization,
which Republican leaders have promised to defund.

Sens. Susan Collins, R-Maine, and Lisa Murkowski, R-Alaska, have both
expressed concerns about any legislation that defunds Planned
Parenthood. Murkowski and Collins said Thursday they were still
reviewing the bill's provisions.

"It makes no sense to single out Planned Parenthood from all the
Medicaid providers and say that it can’t be a Medicaid provider,"
Collins said. "There’s already a ban against using federal funds for
abortion so there’s absolutely no need for that."

The legislation would also bar low-income women from using federal
subsidies for abortions. There was some question as to whether that
provision might run afoul of Senate rules about what can be included
in the bill in order for it to be passed by a simple majority vote of
51 rather than the 60-vote super-majority needed to approve most major
legislation. Republicans are trying to use a procedure known as budget
reconciliation to speed passage of the bill without the need for any
Democratic support.

Many Republicans said they still had a lot of questions after they
were briefed on the bill by their leaders.

"I don't think any of us can walk out and really speak clearly" about
the bill's contents, said Sen. Bob Corker, R-Tenn.

"It's a significant piece of legislation and people have a lot of
questions," he said.

Finance Committee Chairman Orrin Hatch, R-Utah, disputed criticism
from Democrats and some Republican that there is not enough time to
review the bill before a vote next week.

"You’ve got a lot of time; you’ve got tomorrow, and the next day, and
the next day after that and then next after that. It doesn’t get any
better than that,” Hatch said.

Contributing: Deirdre Shesgreen, Michael Collins

II.
http://www.politico.com/story/2017/06/22/gop-health-care-bill-barack-obama-reaction-239870

[Photo: Former President Barack Obama defended his signature
legislative achievement in a lengthy Facebook post on Thursday |
Getty]

Obama says Senate health care bill has 'fundamental meanness'

By MADELINE CONWAY 06/22/2017 04:24 PM EDT

Former President Barack Obama on Thursday denounced the Senate
proposal to repeal and replace parts of the Affordable Care Act on
Thursday, calling the Republican bill a massive transfer of wealth to
the richest people in America with a “fundamental meanness” at its
core.

Obama, who has largely stayed out of the political fray and refrained
from publicly criticizing President Donald Trump since leaving office,
defended his signature legislative achievement in a lengthy Facebook
post on Thursday, hours after Senate leaders unveiled the bill. And he
accused Republicans of promoting legislation that will harm Americans.

“The Senate bill, unveiled today, is not a health care bill,” Obama
wrote. “It’s a massive transfer of wealth from middle-class and poor
families to the richest people in America. It hands enormous tax cuts
to the rich and to the drug and insurance industries, paid for by
cutting health care for everybody else.”

“Simply put, if there’s a chance you might get sick, get old, or start
a family — this bill will do you harm,” he added. “And small tweaks
over the course of the next couple weeks, under the guise of making
these bills easier to stomach, cannot change the fundamental meanness
at the core of this legislation.”

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In the post, Obama acknowledged that Republicans have run on a
platform of repealing Obamacare for years, but called on them to work
with Democrats to offer fixes to the health care system rather than
support the proposed overhaul.

He also argued, as he has previously, that his 2010 legislation is
imperfect but has helped many people.

“I still hope that there are enough Republicans in Congress who
remember that public service is not about sport or notching a
political win, that there’s a reason we all chose to serve in the
first place, and that hopefully, it’s to make people’s lives better,
not worse,” Obama wrote.

“But right now, after eight years, the legislation rushed through the
House and the Senate without public hearings or debate would do the
opposite,” he added.

Obama also called on his supporters to call lawmakers and voice their
opposition to the proposal.


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