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The Journal Gazette

Saturday, May 06, 2017 1:00 am

In Senate, health bill shapes up different

Associated Press

WASHINGTON – Senate Republicans wasted no time Friday showing they have little use for the House bill to repeal and replace Barack Obama's Affordable Care Act amid fears among Americans that people already sick won't be able to get affordable insurance.

“I'm going to read the House bill, find out what it costs and where I find good ideas there, why we'll borrow them. But basically we're writing our own bill,” Sen. Lamar Alexander, R-Tenn., chairman of the Senate health committee, said in an interview.

“At this point, there seem to be more questions than answers about its consequences,” said moderate GOP Sen. Susan Collins of Maine, whose vote may prove one of the hardest to get for President Donald Trump and Majority Leader Mitch McConnell, R-Ky.

And Sen. Lindsey Graham, R-S.C., said over Twitter: “A bill – finalized yesterday, has not been scored, amendments not allowed, and 3 hours final debate – should be viewed with caution.”

The outspoken and immediate skepticism pointed to a long road ahead in the Senate. And for a president who's already expressed disappointment in Congress' slow-moving ways, more frustration seemed assured.

“I don't think anyone in the Senate is going to be bullied into artificial benchmarks or timelines,” said Josh Holmes, a GOP consultant and former chief of staff to McConnell. “It will be a very different process that will look very different from the one that we just saw unfolding in the House.”

McConnell plans to move forward under special procedures that allow legislation to pass with a simple majority vote, instead of the 60 votes usually required for major bills in the Senate. That means he will only need Republican votes, which is all he can rely on anyway since Democrats are refusing to participate in dismantling Obama's law. But under complicated Senate rules, it also limits what can go into the legislation.

And with only a slim 52-48 majority, McConnell can lose only two senators from his sometimes fractious caucus, which runs the gamut from moderates like Collins to conservatives like Rand Paul of Kentucky and Ted Cruz of Texas.

At the “IAmAPreexistingCondition” hashtag on Friday, Twitter users including actress Alyssa Milano described how the proposed House law could affect them or family members dealing with serious illnesses. Some describe suffering from cancer, hereditary diseases or post-traumatic stress disorder brought on by combat.

On the other side, a GOP group allied with House leadership announced plans to run TV ads thanking Republicans who voted for the repeal bill in key districts.

The House bill, passed 217-213, would end the health care law's fines on people who don't purchase policies and erase its taxes on health industry businesses and higher-earning people. It would dilute consumer-friendly insurance coverage requirements, like letting states permit insurers to charge higher premiums for customers with pre-existing medical conditions.

The measure would also water down the subsidies that help consumers afford health insurance, and it would cut Medicaid, the health insurance program for the poor and disabled, including ending extra federal payments to 31 states that expanded Medicaid to cover more people.

The provision was of particular concern to a number of Senate Republicans who represent states that expanded Medicaid, including Nevada's Dean Heller and Arizona's Jeff Flake, who may face tough re-election challenges next year.

Hinting at the attacks to come as next year's elections draw nearer, the Democratic House and Senate campaign committees both released digital ads lambasting supporters of the legislation. Major Democratic Super PAC American Bridge also released a digital ad declaring: “Tell Senate Republicans this is their mess now, and we are watching.”

Senators have set up a working group of about a dozen lawmakers to examine how to craft the Senate's health bill: with members ranging from Sen. Lamar Alexander of Tennessee, who chairs the health committee, to Cornyn, Cruz and McConnell himself.