Future of revamped health care bill remains dubious in House

White House budget director Mick Mulvaney speaks at the White House in Washington

During a news conference Thursday, Trump said "we're doing very well on health care", that the legislative effort is "evolving" and that "there was never a give-up".

Still, Meadows believes the conference will pass the health care bill before April 29. So, we still believe providing waivers at the state level from numerous Obamacare mandates that drive up costs might be a real path forward so I would say that conversations between moderates and conservatives are very constructive and it's been due in no small part to the active involvement of the White House and leadership in trying to make sure we get a good bill-a better bill-going forward over to the Senate. "And whether it's next week or shortly thereafter".

But even as House Republicans and administration officials continue to discuss potential changes to the legislation, there is little evidence GOP leaders are close to getting the votes needed to get the bill out of the House. It would also preserve the health law's ban on insurers rejecting customers with pre-existing medical conditions.

Why? Try to think all the way back to March 7 - it was more than a month ago, I know - when House Republicans introduced their much-ballyhooed American Health Care Act.

In addition, states could obtain waivers to an Obama prohibition against insurers charging sick customers higher premiums than consumers who are healthy - a change critics argue would make insurance unaffordable for many. Which would not solve the problem these rushed negotiations are trying to solve: Trump's massive failure to achieve any of his legislative agenda. They cited the higher priority of passing a spending bill within days to avert a government shutdown, uncertainty over details of the developing health agreement and a need to sell it to lawmakers.

Mulvaney told The Associated Press in an interview that "elections have consequences" and that "we want wall funding" as part of the catchall spending bill, which lawmakers hope to unveil next week.

That was a major embarrassment to Mr Ryan and Mr Trump, and House leaders are loath to bring a revised health care bill on to the floor unless they are convinced it would pass. Donovan, an opponent of the original Republican health care bill, said the proposed amendment "really doesn't address the concerns that I had".

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Fox News is told that leaders have not yet tried tallying support for the document on Capitol Hill. "We've learned a lesson on arbitrary deadlines".

He credited Vice President Mike Pence with coming up with a "great compromise" that has advanced progress on Republicans' plan.

Republicans are once again attempting to reform health care.

The proposal retains numerous popular consumer protections of the Affordable Care Act, including ensuring that people with pre-existing medical conditions can not be refused coverage or charged more.

About 7 million people now qualify for the subsidies. At stake is roughly $10 billion in payments expected to be made to the insurers next year. And yet multiple House Republican sources told Politico that this is unlikely, as the House is now in recess and doesn't return until four days before that deadline. They left that meeting with Seema Verma, the new Medicare head, with no promises. Instead they are working on a bill that could pass with significant Democratic support.

He said the new plan, the text of which has not been written yet, would lower the cost of health insurance and return responsibility to individual states.

Politicians aren't the only ones in the debate who can't be trusted, he said. Insurers say their rates could rise as much as 30 percent.

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