Ryan, Johnson react to House's health care b... 10:55 pm Thursday

The US House of Representatives on Thursday passed a legislation to repeal and replace Obamacare, handing down a major victory to Trump. The bill would then face a final vote in the House.

"Obamacare "essentially dead" & would die immediately if we don't pay ransom payments to insurance companies", CNN quoted Trump as saying. A defeat would have been politically devastating for President Trump and Speaker Paul Ryan, R-Wis. "Because the bill has an amendment that allows states to opt out - opting out, very popular provision with numerous states who already fly the traditional opt-out flag". Republicans had been working to piece together a GOP-only coalition of votes ever since their attempt to repeal and replace much of the Affordable Care Act failed almost two months ago. Over the past few weeks, the measure was revamped to attract most hard-line conservatives and some GOP centrists.

It's not a stretch to argue that California's Republican congressional delegation pushed the House GOP health care bill over the top.

Wavering moderate Republicans had anxious that the legislation to overhaul President Barack Obama's 2010 signature healthcare law would leave too many people with pre-existing medical conditions unable to afford health coverage.

"How can you do this to the American people, how can you do this to the people you represent?" asked Rep. Jim McGovern, D-Mass.

"Repealing the ACA turns back the clock on health care progress, and will hurt the health, security and economy of our city", Lee said. With just a 52-48 advantage over Democrats, Senate Republicans have a smaller margin for error than their House counterparts.

The vote of 217-213 could hardly have been closer in the Republican-controlled chamber, highlighting the concerns of many in Trump's party who fear the bill could strip millions of Americans of their coverage and send costs skyrocketing. Many others were undecided.

Although it's focused mostly on the minority of Americans who buy health coverage in the individual market, the GOP bill could also significantly impact the many who are covered by large employer plans.

"Instead they've created a Frankenstein legislative proposal that will wreak havoc on our health care system". But Democrats, who are labelling the measure as "Trumpcare", said the new Bill would raise premiums and force millions of USA citizens to lose health insurance. It would cut the Medicaid program for low-income people and let states impose work requirements on Medicaid recipients. The measure would retain Obama's requirement that family policies cover grown children until age 26.

- High risk pools: The bill provides $130 billion to states over ten years for high risk insurance pools to cover the most expensive to insure.

Ms Pelosi said the measure was worse than the Bill that the Republicans attempted, but failed, to pass in March in what was a humiliating defeat for Mr Trump on Capitol Hill.

The nonpartisan Congressional Budget Office estimated in March that the GOP bill would end coverage for 24 million people over a decade.

There are now more than 3 million Illinoisans who depend on Medicaid, including 1.5 million children, more than 300,000 seniors and person with disabilities.

The Senate on Thursday voted to pass an omnibus spending bill worth $1.1 trillion to avert a potential government shutdown.

The latest effort comes after earlier pushes by Trump collapsed twice, underscoring the difficulty in uniting the various factions of the Republican party. But leaders gradually rebuilt support, nailing down conservatives with provisions establishing the coverage waivers. If they don't, the higher premiums they are charged would revert back to standard rates after 12 months, assuming the customer could afford to keep paying. Do you support or oppose them?

The bill anticipates states establishing "high-risk pools" for the sickest people.

Senators are already talking about preventing some of the House bill's Medicaid cuts.

"The bill that Republicans passed today is an absolute disaster".

Obamacare requires insurers to provide an array of health care benefits, including maternity, mental health, prescription drugs and substance abuse.

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