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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?utm_source=MSNbanner

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):

The starting point for Senate debate is the House health care bill passed in May. Eventually, Senate Republicans will swap the House bill for either the partial repeal bill or the repeal-and-replace plan — if they get that far.

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.

Now for millions of people, access to health care is now at stake. The bill still needs to pass the Senate . Any way you slice it though, today marks a giant step in the wrong direction for the American healthcare system.

Republicans should get used to it. Their agony on health care is just beginning. For the past seven years, the party benefited from its powerlessness, which usefully maximized its ability to criticize Obamacare and minimized its responsibility to do anything about it.

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.

The Senate Health - Care Bill Is a Step in the Right Direction. Congressional Republicans should stop calling their health - care bills a repeal of Obamacare. The House bill is not one — it keeps Obamacare’s regulatory heart — and the Senate bill is even less of one now that it has been

The Obamacare repeal debate has begun in the Senate . That’s about all we know for sure. A slim vote, 51 to 50 with two Republican senators dissenting, to open debate was a huge victory for Republicans ’ hopes of passing some kind of health care bill

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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.

Overnight Health Care : Senators unveil bipartisan opioid bill | DOJ to seek Senate Republicans had vowed to not change the ObamaCare protections for people from being charged more based on their health in their bill , which is why the debate over the Cruz-Lee amendment has been heated.

But the Senate ’s failure to pass any health care bill prevents it from moving forward with conference negotiations. With the “skinny” bill now dead, congressional Republicans will have to start over.

  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).

The Senate health care reform bill , meant to improve on the American Health Care Act passed by the House last month, contains many Related: The Missing Detail That Could Kill the Senate Republican Health Care Plan. Related: Why Some GOP Senators Are Balking at Their New Health Care Plan.

With 52 Republicans in the Senate , Republicans could only afford two defections on the motion to proceed to a debate, and that’s what they had. Step 1: Begin Debate. As expected, the Senate voted to proceed with a debate on health care legislation Tuesday afternoon, as shouts of “kill the bill , don’t

  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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