by Countable | 3.20.17
Several hours after Thursday’s decision by House Republican leadership to delay a vote on the repeal and replacement of the Affordable Care Act (commonly known as Obamacare) due to a lack of support, Republican lawmakers and White House officials left a closed door meeting bearing news that they had rescheduled the vote on the American Health Care Act for Friday.
In the meeting, Republicans received word that President Donald Trump felt the time for negotiating had ended, and that a vote needed to be held. Their former House colleague and current Director of the Office of Management and Budget Mick Mulvaney informed the lawmakers that if a vote doesn’t occur or fails then Trump will leave Obamacare in place and focus on other priorities beginning tomorrow. Mulvaney was joined in the White House delegation by Chief of Staff Reince Priebus, and counselors Kellyanne Conway and Steve Bannon.
It’s unclear whether the Trump administration’s ultimatum will cause enough of the Republicans who have wavered on the bill — particularly the conservative members of the Freedom Caucus and the moderates in the Tuesday Group — to support it. Many campaigned on promises to repeal and replace Obamacare and the Trump administration likely hopes that the knowledge that this could be their last opportunity to vote to fulfill it will prove persuasive.
There have also been a few changes made to the bill in order to attract more support.
The repeal of the "Additional Medicare Tax Increase" of 0.9 percent would be delayed through 2022, so the tax increase would remain in effect.
Federal funding channeled to states through the bill’s State Stability Funds would now be available to use to provide maternity and newborn care. It also clarifies that mental health and substance abuse funds would include inpatient and outpatient treatment for addiction and mental illness, and early intervention for children and young adults with serious mental illness. An additional $15 billion would be solely focused on meeting those needs.
States would be required to determine the "essential health benefits" that insurance plans need to cover to be eligible for enrollees to receive premium tax credits beginning in 2018.
The workday in the House will begin at 7:00 a.m. ET in the House Rules Committee, which will have to pass a rule that finalizes the bill’s text and structures the debate around it before it heads to the House floor. The first procedural votes on the House floor will occur after 10 a.m. ET, although final votes will not occur until 4 p.m. at the earliest.
You can learn more about the American Health Care Act and tell your rep how to vote below:
— Eric Revell
(Photo Credit: Office of the Speaker / Public Domain)
Written by Countable
After this attempt to repeal the ACA is foiled, can we please get back to the conversation that really needs to be had? The one where we acknowledge that healthcare is a right, not a commodity? The one where we finally admit we need a single-payer system? If you take Trump at his word and believe that repealing the ACA is off the table if this bill fails, you are being naive. The truth is that they don't need to repeal the ACA; this is all a dog and pony show for appearances. All they have to do is defund various pieces of the ACA in fiscal budgets and that will have the same effect as officially repealing it would. The upcoming debate over the President's proposed budget will be just as important as this one is, if not moreso. All of his tax cuts hinge on cuts to the ACA, and they will still make those cuts whether the ACA is repealed or not. Those of us who are against this assault on our right to healthcare need to stay in the game and get just as vocal about the budget battle and tax cuts as we are about this bill.
How can you be pro life but anti healthcare? Millions of Americans will lose their healthcare and you are still debating which way to vote? Wow
There is no way anyone calling themselves a Christian could vote for this travesty. The rich don't need another tax break. The poor need healthcare.
This health care act is a patched together Frankenstein monster. This proposed act harms everyone except the members of Congress who have no skin in the game as recipients, since their own insurance package is secure. Those of us who live in Wisconsin will remember that Paul Ryan's ego was more important than the health of the populace of the USA. Especially since Mr Ryan benefited from the taxpayers money as a recipient of Social Security when his father died when Mr Ryan was 16 years old. That I do not begrudge him, but since that enabled him to build a successful life for himself, why is he determined to slam the door on others in need? And doing it while he is on the taxpayers payroll. Vote no on this abomination.
The scheduled vote has been cancelled!!! NO VOTE WAS HELD on the repeal of the ACA. 🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉Fantastic!!!!!!! Now we must stand up! Speak out! March on! for single payer healthcare. Free market health care does not work. Every country with universal healthcare employs the single payer formula. Now we must be more vocal and more visible than we were when we defeated the repeal of the Affordable Health Care Act. Stand Up! Speak out! March on!
Do NOT repeal the ACA! You will all be voted out of office in 2018 if you do.
Hello, Tim Ryan: I know you will not vote to repeal the ACA, but if you could take a moment to convince a republican representative that this bill is bad for Americans, that would be much appreciated. Even with employer-provided insurance, I, like millions of others, will pay more for healthcare with the provisions we know about so far. I highly doubt the secret changed being made to the bill are going to be in our best interest, either. Please remind our Other Ohio representatives that we are aware of the tax breaks for the rich and will be fully aware of who made healthcare even more costly if this bill becomes law.
Please VOTE NO! This is not a health care bill, it's a tax break for the wealthiest. Removing Essential Benefits?? How can anyone in good conscience support this? Keep ACA and vote no on ACHA.
Please DO NOT pass the American Health Care Act. It needs more work! You have been working in it for 7 years! Surely you can come up with something better not worse than the ACA. DO NOT get rid of the essential benefits! Thank you. We are watching how you vote! Remember who you work for.
Trumpcare is dead and Obamacare is the law of the land! Thank you President Obama!
Vote against this reprehensible bill. No repeal and no replace. Fix the ACA, relabel it to something more Republican friendly, or switch to a single-payer system.
Please convince your Republican colleagues how a yes vote is a disaster for their constituents (except for those with 200K incomes) and their state's economy. Vote NO on this terrible excuse for healthcare!
Do not vote for the ACHA today....this bill will hurt working class Americans! If you do, we will not forget or ever forgive you.
We are watching.You will not be elected again.Do your job and represent the people who put you where you are .Vote No
Please do not vote for this new healthcare bill. It does not have the best interests of all Americans in it.
Dear Congressman McGovern, thank you for standing strong for us today as you fight AHCA. I am absolutely outraged that the GOP is eliminating maternity care as mandatory health care. The impact on maternal and infant health care will be abysmal. In Texas where there has been a significant decrease in access to healthcare for women, maternal mortality has doubled.
If the president "demands" a vote, please vote no. The president is not the boss, he's not the CEO and he doesn't get to demand anything from the American people or its representatives. Work on making a strong replacement to the bill or a strong fix to the current system. Don't be bullied by this guy who thinks he's in charge. Do what's right for south Florida and the people in your district. Do what's right for the taxpayers involved. Last night I sat with friends who now have Obamacare - they are paying $1400 per month with a $6000 deductible for 5 healthy people. Repealing it saves them their money, replacing it could cost them over $2000 per month under current bill. People need real choice - managed care for those who want it, catastrophic care for those want that and basic care which should provide the ability to step up in a time of need. Not everyone needs managed care. You want to bring the price down - work with hospitals and providers - insurance companies are in the business of making returns for investors and let me tell you with all the major stocks trading at above $160 they are making a boat load of cash. Let's be sensible and rational and give people real choice. That's what freedom is about.
This leaves America worse off. A single payer system is the way to go.
This bill is not appropriate for our district. Kicking up to 50,000 people off coverage is not OK!
The content of the proposed replacement health care plan will increase premiums for large numbers of Americans and make it impossible for many who would prefer to have health care afford insurance. I urge you to vote no. If you want to replace the ACA, do it with something that will actually benefit the American people.