"I can not in good conscience vote for the Graham-Cassidy proposal", McCain said of the bill proposed by fellow Republican senators Lindsey Graham and Bill Cassidy, adding he believed health reform legislation needed to be a bipartisan effort.
LOUISVILLE, Ky. (AP) - Kentucky U.S. Sen.
That is despite the fact that the bill was tweaked expressly to give Kentucky, Arizona, Maine and Alaska more money than under the prior version of the bill. Paul told reporters after an event in his home state before flying back to Washington.
"It is really an insult to the American people to try to restructure one-sixth of the American economy over a weekend", Stein said, referencing to the economic impct of health care. "Not understanding the implications, I think, has people really nervous". Republicans have a slim 52-48 majority in the Senate. While the sponsors are touting "rosy" financial numbers, the bill provides less money to support health insurance coverage than is available under current law.
All political eyes will be on Alabama where Republican Sen.
Republican senators have until September 30 to pass Graham-Cassidy under the Senate's budget reconciliation rules, which allows leadership to pass a bill with only 50 "yes" votes and bypasses filibusters from Democrats.
They retooled their blueprint over the weekend by bolstering funding for Alaska and ME to court the states' respective GOP senators, Lisa Murkowski and Susan Collins, who each have expressed skepticism about the bill but aren't hard noes yet.
The next 24 hours are critical for the future of Graham-Cassidy, the latest Republican plan to overhaul Obamacare from South Carolina Sen.
Cassidy circulated a table on Sunday showing the state-by-state effect of the revised bill from 2020 to 2026. Some of that federal money would be repackaged as "block grants" for the states. An internal GOP analysis, circulated to Senate offices, shows spending boosts states like Alaska and Kentucky - data that will nearly certainly be used to sell the revised proposal in the days ahead.
However, Medicaid would switch from an open-ended federal-state match to a capped block grant, where states receive a fixed allotment based on enrollment and other factors, a major priority for Republicans like Reed who regularly decry how their state governments spend heavily on such public programs.
The nonpartisan Congressional Budget Office has said it does not have enough time to estimate how the latest GOP bill would impact health coverage. Instead of the ACA's single risk pool, states could create multiple risk pools with the aim of driving down premiums for the healthier customers-a change that insurance companies had opposed in an earlier repeal bill.
The bill was chiefly written by GOP Sens.
"If all we're doing is shifting the money but basically keeping the system, I don't know if we've fundamentally changed anything other than we're reshuffling who gets the money", Paul said. Her standard, set in June, is simple, and appropriate: A Senate bill should not reduce the number of people with health insurance. Paul also wants elimination of requirements that insurers cover specified medical services and other coverage mandates, and establishment of "association" health plans consumers could join to pay lower prices.
"I support a per-capita cap, as long as it recognizes the investments NY has made", Reed said.