Politics The 7 steps ahead for Senate Republicans to pass their health care bill

16:50  17 july  2017
16:50  17 july  2017 Source:   Vox.com

The Latest: McConnell to unveil revised health bill Thursday

  The Latest: McConnell to unveil revised health bill Thursday <p>Leading Senate Republican says revised GOP health care bill will likely retain Obama tax boosts on wealthier Americans.</p>EARLIER: WASHINGTON — The Latest on the Republican effort to repeal and replace the Obama health law (all times local):

Senate Republicans can afford to lose only two of their members to pass the bill , assuming Democrats remain united in their opposition. Republicans acknowledge tough road ahead for bill . As members left a meeting about the bill

Mazie Hirono is decrying the Republican health care bill as "mean, ugly" a day ahead of her own surgery. Speaking on the Senate floor Monday, Hirono says people typically figure health insurance is a concern for someone else until they get sick.

In this July 13, 2017 file photo, Senate Majority Leader Mitch McConnell of Ky. walks to his office on Capitol Hill in Washington. Republicans’ latest health care plan would create winners and losers among Americans up and down the income ladder, and across age groups.© AP Photo/Pablo Martinez Monsivais, File In this July 13, 2017 file photo, Senate Majority Leader Mitch McConnell of Ky. walks to his office on Capitol Hill in Washington. Republicans’ latest health care plan would create winners and losers among Americans up and down the income ladder, and across age groups.

Senate Republican leaders are pushing ahead for a vote soon on their contentious plan to repeal and replace Obamacare.

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The bill already looks to be in grave danger: Senate Majority Leader Mitch McConnell needs 50 of the 52 Senate Republicans to back the plan, under the special procedural rules Republicans are using to pass the bill with a bare majority and avoid a Democratic filibuster. Two Republican senators, Susan Collins of Maine and Rand Paul of Kentucky, have said they’ll block the vote to start debate on the bill. One more defector would kill it.

Major insurance groups call part of health bill 'unworkable'

  Major insurance groups call part of health bill 'unworkable' Two of the insurance industry's most powerful organizations say a crucial provision is "unworkable in any form."&nbsp;The criticism was lodged in an unusual joint statement by America's Health Care Plans and the BlueCross BlueShield Association.

Senate Republican leaders are threatening to put their health care bill on the floor next week and dare their members to oppose it. Senate Republican leaders really might need Paul to pass the bill . Three Senate Republicans can kill the bill .

The Senate Health - Care Bill Is a Step in the Right Direction. Republicans applaud as U.S. President Donald Trump addresses the U.S. Congress (Reuters: Kevin Lamarque). Republicans have failed to make good on their promises.

Leadership’s plans for a vote this week were thwarted when Sen. John McCain (R-AZ) had emergency surgery to remove a blood clot. McConnell has delayed the health care vote until McCain returns, because without him, they don’t have the votes to advance the legislation.

McConnell has already put the House health care bill on the Senate’s calendar, so he can move fast once he decides to. Under the “budget reconciliation” rules Senate Republicans are employing to advance the bill with just 50 votes, they will start on the House bill before eventually swapping it out for the Senate bill they have been working on for the past two months.

Here’s what will happen.

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1) McConnell will make a motion to start debate on the House bill. That step — known as the motion to proceed — will require 51 votes. Vice President Mike Pence can break a 50-50 tie.

McCain’s Surgery Will Delay Senate Votes on Health Care Bill

  McCain’s Surgery Will Delay Senate Votes on Health Care Bill With John McCain’s absence, Republicans would have only 49 votes to move ahead with the legislation; all Democrats and the two independent senators oppose it. Two Republican senators, Susan Collins of Maine and Rand Paul of Kentucky, have said they oppose the bill in its current form, for very different reasons, and will not vote even to begin debate.Mr. McCain, 80, announced Saturday night that he had the surgery at Mayo Clinic Hospital in Phoenix. He is at home with his family and, “on the advice of his doctors,” will be recovering in Arizona this week, a spokeswoman said.

Senate Republican leaders are threatening to put their health care bill on the floor next week and dare their members to oppose it.

Senate Majority Leader Mitch McConnell, R-Ky., plans to release an updated Republican health care bill on Thursday and is delaying the body's annual August recess by two weeks in an effort to generate momentum for There are currently 52 Republicans in the Senate and 50 need to support it to pass .

  The 7 steps ahead for Senate Republicans to pass their health care bill © Provided by Vox.com

2) The Senate will debate the House legislation on the floor for 20 hours, with that time divided evenly between Republicans and Democrats. That’s 20 hours of debate time, not real time, so the debate could last a couple of days.

  The 7 steps ahead for Senate Republicans to pass their health care bill © Provided by Vox.com

3) At the end of the debate, there will be a “vote-a-rama,” during which senators can offer an unlimited number of amendments to the bill. Amendments that are considered “germane” to the health care legislation need 51 votes to be added to the bill.

  The 7 steps ahead for Senate Republicans to pass their health care bill © Provided by Vox.com

4) At some point, either during debate or after the vote-a-rama, McConnell will offer his own Senate bill as a substitute for the House bill. The timing will depend on whether McConnell wants the amendments brought up during vote-a-rama to be added to the final bill or not. This will be a key decision: If McConnell waits until the end to introduce his substitute, then none of the amendments that were added during vote-a-rama will actually be part of the final legislation.

No new CBO score Monday as Senate delays health care vote

  No new CBO score Monday as Senate delays health care vote The shift follows Senate Majority Leader Mitch McConnell's announcement that a vote on the bill will be delayed​ due to John McCain's absenceThe Congressional Budget Office (CBO) will not be releasing its updated score for the Senate health care plan Monday as originally planned, according to a Republican aide on the Senate Budget Committee.

WASHINGTON (CNN) -- It's this week -- or bust -- for the Senate health care bill , as Republicans work to release a new version Monday. Republicans released an updated version of their plan to repeal and replace Obamacare Monday afternoon.

6:05 p.m. A top Senate Republican says a revised version of the party's health care bill will likely retain two tax increases President Barack Senate Majority Leader Mitch McConnell says he plans to unveil a revised health care bill on Thursday with a vote on moving ahead on the measure next week.

  The 7 steps ahead for Senate Republicans to pass their health care bill © Provided by Vox.com

5) The Senate will take a final vote on passage of the Senate bill. That will require 51 votes. Pence can break a 50-50 tie.

Trump is blaming Democrats for the failing health care bill. That makes no sense.

  Trump is blaming Democrats for the failing health care bill. That makes no sense. Two more key Republican defections killed the Senate’s health bill Monday night, and President Donald Trump had a message to his base: Blame the Democrats — well, and a few Republicans too. We were let down by all of the Democrats and a few Republicans. Most Republicans were loyal, terrific &amp; worked really hard. We will return!— Donald J. Trump (@realDonaldTrump) July 18, 2017 To be clear, Democrats have never been part of the Republican majority’s calculus on health care reform. That’s by design. At the beginning of this year, thinking only Senate Democrats — with the power of a filibuster — would stop them from repealing Obamacare and cutting taxes, Republican leadership devised a plan to bypass Democrats altogether: They tied their major agenda items to the budget through “budget reconciliation,” a bill that can impact spending, revenue, or the debt ceiling, with only a party-line vote in the Senate. In other words, Republicans, knowing they wanted to do something Democrats would never sign on to, found a way to circumvent them altogether. It means they have an incredibly small margin of victory (they can only lose two votes) — and only themselves to blame every time their proposals fall apart. On Monday night, everything fell apart. Sens. Mike Lee (R-UT) and Jerry Moran (R-KS) came out against the revised bill, bringing the “no” vote tally to four, alongside Sens. Rand Paul (R-KY) and Susan Collins (R-ME).

Senate Republicans may hold a vote on their health care bill next week before the Congressional Budget Office has a chance to score the full bill , according to multiple reports.

Senate Republicans ’ latest version of their health care bill exempts their own health care from one of it’s most Draconian provisions.

  The 7 steps ahead for Senate Republicans to pass their health care bill © Provided by Vox.com

6) If the Senate passes the bill, the House will probably take it up and pass it as is. The other option would be for the two chambers to negotiate a new plan, but most people in Washington expect the House to simply approve the Senate bill. A bare majority, 218 members, must vote for the bill for it to pass.

  The 7 steps ahead for Senate Republicans to pass their health care bill © Provided by Vox.com

7) Once both chambers pass the health care legislation, President Trump will sign it into law.

  The 7 steps ahead for Senate Republicans to pass their health care bill © Provided by Vox.com

CBO scores modified version of Senate GOP's repeal and replace plan .
This score differs from a cost estimate CBO released Wednesday, which analyzed plan to repeal 2010 health care law now and replace it later . Here's what the CBO said about earlier versions of the Senate bill:Repeal only (CBO estimate: July 19): That estimate projected that 32 million more people would become uninsured over the next decade. It also said that 17 million more people would become uninsured next year, compared to current law.Version 1 of BRCA (CBO estimate, June 26): The original version of BCRA would have left 22 million more people uninsured over the next 10 years.

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