WASHINGTON (AP) — Senate Republicans would cut Medicaid, end penalties for people not buying insurance and erase a raft of tax increases as part of their long-awaited plan to scuttle President Barack Obama’s health care law, congressional aides and lobbyists say.
After weeks of closed-door meetings that angered Democrats and some Republicans, Senate Majority Leader Mitch McConnell planned to release the proposal Thursday. The package represents McConnell’s attempt to quell criticism by party moderates and conservatives and win the support he needs in a vote he hopes to stage next week.
In a departure from the version the House approved last month, which President Donald Trump privately called “mean,” the Senate plan would drop the House’s waivers allowing states to let insurers boost premiums on some people with pre-existing conditions. It would also largely retain the subsidies Obama provided to help millions buy insurance, which are pegged mostly to people’s incomes and the premiums they pay.
The House’s tax credits were tied to people’s ages, a change the nonpartisan Congressional Budget Office said would boost out-of-pocket costs to many lower earners. Starting in 2020, the Senate version would begin shifting increasing amounts of tax credits away from higher earners, making more funds available to lower-income recipients, some officials said.
The emerging Senate bill was described by people on condition of anonymity because they were not authorized to discuss it publicly.
Facing uniform Democratic opposition, the Senate plan would fail if just three of the chamber’s 52 Republicans defect. More than half a dozen GOP senators have expressed problems with the measure, and a defeat would be a humiliating setback for Trump and McConnell on one of their party’s top priorities.
“We have a responsibility to move forward, and we are,” said McConnell, R-Ky.
GOP Senate leaders were eager for a seal of approval from Trump, who had urged them to produce a bill more “generous”than the House’s.
“They seem to be enthusiastic about what we’re producing tomorrow,” No. 2 Senate GOP leader John Cornyn of Texas said Wednesday of White House officials. “It’s going to be important to get the president’s support to get us across the finish line.”
Democrats say GOP characterizations of Obama’s law as failing are wrong, while the Republican effort would boot millions off coverage and leave others facing higher out-of-pocket costs. The budget office said the House bill would cause 23 million to lose coverage by 2026.