Here's What's In The House-Approved Health Care Bill

Democrats who lost the battle are still convinced they may win the political war.

Senate Republicans are wasting no time showing they have little use for the House bill to repeal and replace Barack Obama's Affordable Care Act.

"We're going to get this passed through the Senate". And the job doesn't get any easier. But polls have shown a public distaste for the repeal effort and a gain in popularity for Obama's statute, and Democrats - solidly opposing the bill - said Republicans would pay a price in next year's congressional elections.

Here are five of the biggest flashpoints that could make trouble for the bill in the upper chamber.

The GOP bill faces an uncertain fate and potentially significant revisions in the U.S. Senate. "If I'm being completely honest, I've thought of ending my life if it comes to that", she said.

But it is not a consensus position in the party. Some moderates support the current program, especially for children and people with disabilities. While insurers could not deny people insurance because of pre-existing conditions, they would be allowed to charge them as much as they want.

"I've already made clear that I don't support the House bill as now constructed because I continue to have concerns that this bill does not do enough to protect Ohio's Medicaid expansion population", said Republican Senator Rob Portman. "You can't sugarcoat it", Cassidy told Fox News when explaining that "it's an terrible score".

As the final gavel came down announcing the bill's passage by a 217-213 vote, the House Democrats belted out for a second time the famous refrain: "Nah Nah Nah Nah, hey hey hey, Goodbye". Most of the attention on the Republican plan was focused on how it could result in 24 million Americans losing insurance, primarily by rolling back expanded Medicaid benefits. According to the Washington Post, North Carolina's 9 District is projected to see the biggest estimated drop in health care coverage among constituents by 2026, the most of any conservative district in the country.

"It is important to know that no matter what happens at the federal level your coverage this year will not change, so long as you continue to pay your premiums", Allison O'Toole said.

That brought a strong rebuke from the powerful AARP, which was an outspoken ACA supporter.

Trump has called Obamacare a "disaster" and congressional Republicans have long targeted the 2010 law, formally known as the Affordable Care Act, calling it government overreach. Ted Cruz, who is of Hispanic descent.

Among his concerns in the removal of a tax credit to help veterans, which will raise the annual premium of a 64-year-old person from $1,700 annually to more than $14,000.

Yet as the 2016 election amply demonstrated, political outcomes can be hard to predict. Republicans argued they would have had a still heavier price to pay if they failed to make good on an endlessly repeated pledge that helped them seize control of the House, the Senate and the White House in the years since the law passed.

State governments and hospitals stand to lose large.

Now she worries that protections under the Affordable Care Act that made sure certain essential health benefits, like insulin prescriptions, could be eliminated.

In March, Portman joined three other GOP senators in opposing Medicaid cuts in an early version of the House legislation.

Indeed, Republicans in the Senate view the legislation "with a mixture of hope and dread", said Rep. Tom Cole, R-Okla.

One of the critical parts of the ACA was prohibiting health insurers from denying coverage or charging more for people with preexisting conditions. No Democratic House members voted for the bill.

Even Rep. Mark Meadows, R-N.C., who negotiated that amendment that won the backing of conservatives, conceded that it could prove problematic in the upper chamber.

One such list is a 2016 report by the nonprofit Kaiser Family Foundation, based on data from the National Health Interview Survey and the behavioral Risk Factor Surveillance System.

  • Leroy Wright