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eviltastic
Feb 8, 2004

Fan of Britches
The full text of the letter from Portman, Murkowski, Gardner, and Capito was a little hard to google among the news stories. Here's a link, in case it saves someone some time: http://www.portman.senate.gov/public/index.cfm?p=press-releases&id=C6D96A68-A891-4BA1-8AD2-1CE166E0F8EB

Leon Trotsky 2012 posted:

There is no CBO score out yet for an "official" estimate.

Will that be happening? I thought the ACA bill was specifically exempted from them looking at it.

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eviltastic
Feb 8, 2004

Fan of Britches

eviltastic posted:

I thought the ACA bill was specifically exempted from them looking at it.

If anyone else was thinking the same thing, here is a politifact page explaining why this is wrong.

eviltastic
Feb 8, 2004

Fan of Britches

Zerilan posted:

"The new plan allows up to 5x higher premiums for age and 2x higher cap for pre-existing conditions."

What pages in the bill specify this?

The age thing is on page 65. I'm not sure what the bit about a cap for pre-existing conditions is about, I don't see where it alters the language barring premium increases for pre-existing conditions (42 USC §300gg(A)(1)(B) and 300gg–4(b)).

eviltastic fucked around with this message at 07:08 on Mar 7, 2017

eviltastic
Feb 8, 2004

Fan of Britches
I've been looking and have not seen an explanation: why isn't the selling across state lines thing in the bill? Were there House members pushing back against that?

eviltastic
Feb 8, 2004

Fan of Britches

Bueno Papi posted:

It would require statutory changes and reconciliation can't do that.

Derp, yeah, makes sense. Thanks.

eviltastic
Feb 8, 2004

Fan of Britches
Speaking of the Senate:

https://twitter.com/costareports/status/839242378435313665
https://twitter.com/costareports/status/839242744539283456

eviltastic
Feb 8, 2004

Fan of Britches
The Hill has a list of House and Senate members who are or might be opposed. Annoyingly, there's no "yes" section; I doubt Ryan's position is that much in doubt. If anyone's got a better source counting noses, please post.

As I was typing this up:

https://twitter.com/PeterSullivan4/status/839514149961011201

eviltastic
Feb 8, 2004

Fan of Britches
Ted Cruz, noted student of Senate parliamentary rules, would like to play Calvinball with Mike Pence.

The Hill posted:

Sen. Ted Cruz (R-Texas), emerging as a key player in negotiations to repeal and replace ObamaCare, says Vice President Pence should exert his power over the Senate to significantly expand the scope of the House healthcare reform bill.
...
Cruz argues that Pence, as the person likely to preside over the chamber at the most important moments of the healthcare debate, can decide what and what isn’t eligible for the so-called reconciliation process. He says the Senate parliamentarian’s role is to advise, not to rule.
...
Cruz says that repealing the insurance mandate, which bars insurance companies from discriminating against people with pre-existing conditions, and allowing people to buy plans across state lines will reduce the cost of health insurance and have a clear budgetary impact.

Medical malpractice tort reform, another idea popular with conservatives, could then also be included in the healthcare reform bill, Cruz said.
http://thehill.com/homenews/senate/323272-cruz-lets-overrule-senate-officer-to-expand-obamacare-bill

eviltastic
Feb 8, 2004

Fan of Britches
To expand a bit on what evilweasel said, there are disparate interests here that are making it really hard for the GOP to maintain party discipline. Some of the Republicans really want the ACA totally gone, or gone but keeping the spending cuts it implemented. Some are aware of just how badly their states need things like the Medicaid expansion, and don't want to lose that. Some would like to see it gone, but understand just how ugly the consequences of the bill could be and don't want to be holding the bag. There's just no way to satisfy them all, but the GOP margins are slim enough (and the Dems are so far from breaking ranks) that they need every vote they can get. This is why the Republicans haven't had any actual ACA replacement proposal until now and the conservatives are in an uproar, they ran on 'repeal and replace' with the understanding they wouldn't ever have to actually agree to a replacement.

Compounding this is the political gamesmanship. Nobody wants to be blamed for the bill failing, but House members also don't want to cast an unpopular vote that will be held against them for a bill they don't believe will clear the Senate. Conservatives are incentivized to break party discipline and dig in their heels, because running against something that still looks kinda like Obamacare is easier. And moderates, particularly those in the Senate, can hem and haw about how this is going too fast or needs changes they know won't fly with the House, making it ever more likely that it dies in the other chamber and Ryan or Trump takes the blame.

Ryan's scrambling for leverage because none of the conservatives are going to be called a RINO for voting against this, and moderates are terrified of the price they'll pay if it actually does pass and they, not Obama, have to own all the voter frustration with an unpopular system that will get significantly worse.

edit: A competent presidential administration could be a real asset in whipping the votes. Ryan doesn't have that. Trump still doesn't really have a grasp on how the levers of power actually work, and that's crippling his ability to be the dealmaker he thinks that he is.

eviltastic fucked around with this message at 23:21 on Mar 16, 2017

eviltastic
Feb 8, 2004

Fan of Britches

The Maroon Hawk posted:

Right, but if they were dumb enough to force a floor vote on it without knowing 100% that they had the votes and it failed, they couldn't use reconciliation again until next year?

That's an interesting question. I'm dumb about this stuff but I think it works like this:

Reconciliation begins with a budget measure passing directing committees in each chamber to come up with spending changes and submit them to their budget committee, by some date. That happened, the deadline was Jan 27, but was non binding. Neither chamber came up with anything. The House committees have since generated legislation and kicked it up to the House Budget Committee. Today, that Committee okayed the measure to go to the floor for a vote. Presumably it's that floor vote that we're talking about failing.

Supposing it had succeeded, the Senate Committees would presumably suggest measures to adopt the something like the House bill to the Senate Budget Committee, which would kick it out to the Senate for a vote. I think (big grain of salt here) that it is that recommendation of the Senate Budget Committee involving spending/debt limit/revenues which is privileged and not subject to usual cloture debate, and limited to being taken up for consideration once per year. It's those requirements we're concerned with.

So no, I don't think the House vote would completely kill things if it failed, as a technical matter, because the Senate could still act. As a practical matter, this thing doesn't get out of the House, it's dead, because the Senate will let it stay that way and let someone else take the blame. If it was the Senate vote we're talking about failing, I think (again, big grain of salt) they've blown their shot for the year.

All that said, it would be fantastic political theater, but I'd be stunned if either chamber hosed up the whip count and let it go to a failed floor vote.

eviltastic fucked around with this message at 01:35 on Mar 17, 2017

eviltastic
Feb 8, 2004

Fan of Britches

Zikan posted:

Shot

and chaser


This article from The Hill explains what he's talking about and confirms that Politico Thursday date.

e: eh, bit much to quote there. They're looking at tinkering with work requirements, block grants, and tax credits. Work stuff to appease the loons, tax credit alterations because some realize totally loving over young-olds is not good politics.

eviltastic fucked around with this message at 17:28 on Mar 17, 2017

eviltastic
Feb 8, 2004

Fan of Britches
The Hill's whip count thing has been updated with 'yes' votes.
http://thehill.com/homenews/house/322903-the-hills-whip-list-where-republicans-stand-on-obamacare-repeal-plan

eviltastic
Feb 8, 2004

Fan of Britches
New Costa/Weigel piece in WaPo that has too much to quote. Lot of tea leaves (har har) to read. https://www.washingtonpost.com/powe...m=.b1cf30ac6f7e

In short, it's looking like evilweasel was right, and the plan was to leave the Freedom Caucus loons out on their own, and both sides are still presenting themselves as having enough votes. Meanwhile Trump is trying to bluster and threaten while having just come back from a campaign rally in...Kentucky, presumably targeting Rand Paul and Rep. Tom Massie, two of the least likely people involved to feel any heat from that. It doesn't sound like Ryan is ready to offer much in the way of further concessions to the crazies, and is confident of his support among the moderates.

The Hill's whip count, which appears to have been updated to reflect the comments in that story, still has 18 House members at a 'no' and 9 at a likely no vote. Gonna be hilarious if I was wrong and Ryan pushes this to a floor vote that manages to fail.

eviltastic
Feb 8, 2004

Fan of Britches
More potential hints at who is or isn't up for grabs:

quote:

The Club for Growth is encouraged by changes in the bill that have been proposed by the Trump Administration, but House leadership has not gone far enough with those changes.

A sample of the Club’s new ad can be seen here and will run on TV and digital platforms March 20-22, with a total ad buy of at least $500,000. It will run in the districts of the following House members:

Leonard Lance (NJ-7)
Tom MacArthur (NJ-3)
*John Katko (NY-24)
Brian Fitzpatrick (PA-8)
Rob Wittman (VA-1)
*Ileana Ros-Lehtinen (FL-27)
Peter King (NY-2)
Charlie Dent (PA-15)
Darrell Issa (CA-49)
Don Bacon (NE-2)
...
*Congressman Katko and Congresswoman Ron Lehtinen have since come out as firmly opposed to Ryancare and Club for Growth is discontinuing airing this ad.
http://www.clubforgrowth.org/press-...are/#more-32362

eviltastic
Feb 8, 2004

Fan of Britches
https://twitter.com/costareports/status/844282098575966208
https://twitter.com/costareports/status/844282420472037376

...parsing that, it's gonna be very close either way. "at least 20-25 hard 'no' votes" means they aren't certain they've got enough votes.

eviltastic
Feb 8, 2004

Fan of Britches
The Hill's "no" count (as in, not including leaners) is up to 22. That said, the leadership seems to have at least some idea of who to target at the last minute to flip.

eviltastic
Feb 8, 2004

Fan of Britches
Pete Sessions was saying earlier today that a new CBO score would drop tonight. That's been confirmed by Kevin Brady, the chair of the House Ways and Means committee.
http://thehill.com/policy/healthcare/324861-new-cbo-score-coming-before-obamacare-vote-chairman-says

eviltastic
Feb 8, 2004

Fan of Britches
Here is the Brookings institute discussing what they expect from the CBO:

Brookings posted:

On net, CBO is likely to put the reduction in insurance coverage under the amended version of the AHCA at level similar to or even somewhat higher than its prior estimate that 24 million people would lose insurance coverage in 2026.

HappyHippo posted:

What changes did they make?

-$75 billion handed to the Senate to figure out how to spend on young-olds, who really get screwed by this bill (not actually in there, but people are talking about it)
-State option to block grant medicaid instead of a per capita cap
-Imposing work requirements on medicaid
-faster repeal of ACA taxes
-expanded medical expense deduction (this may be a placeholder for the Senate deal)
-increased growth rate (+1%) for medicaid caps for elderly and disabled
-the tweak that New York fence-sitters wanted to reimbursement of funds raised by county governments
-states blocked from expanding medicaid before the caps hit
-"Cadillac tax" further delayed
-excess refundable credits can't go into HSAs, because maybe a federal dollar somehow pays for an abortion
-one billion appropriated for a fund created to implement the changes

edit: The $75 billion thing is not actually in there, so can't be scored by the CBO.

eviltastic fucked around with this message at 23:28 on Mar 22, 2017

eviltastic
Feb 8, 2004

Fan of Britches
I dug up the press release on that $75 billion thing, and this is pretty funny:

Energy & Commerce press release posted:

To further ensure older Americans have the help they need to access the care that’s right for them, the amendment to AHCA would provide the financing for additional support for those with high health care costs before the bill goes to the Senate. Under current law, Americans can deduct from their taxes the cost of medical expenses that exceed 10 percent of their income. Our proposed amendment reduces this threshold to 5.8 percent of income.

This change provides the Senate flexibility to potentially enhance the tax credit for those ages 50 to 64 who may need additional assistance. Combined with the current age-based tax credit and the Patient and State Stability Fund, which provides $100 billion to states to help targeted populations, our amendment to AHCA will provide meaningful support for the individuals and families who need it most.
https://energycommerce.house.gov/news-center/press-releases/house-republicans-announce-updates-strengthen-american-health-care-act

Pretty apparent what happened here, when they saw the impact to young-olds the not-crazy and vulnerable members poo poo a brick, but Ryan had no time to draft a fix that would gain them more votes than it lost. This way, moderates get to say they voted for it because of some deal that the Senate would fix costs for that group. Crazies don't have to explain being on board with an even bigger expansion of Obamacare-lite or whatever.

eviltastic fucked around with this message at 23:52 on Mar 22, 2017

eviltastic
Feb 8, 2004

Fan of Britches
Might not have threaded the needle here.

https://twitter.com/mikedebonis/status/844705010927767552
https://twitter.com/mikedebonis/status/844706367982223360

e:per NBC:

quote:

House Speaker Paul Ryan is spending a large portion of his evening meeting with undecided members or those who leadership think are persuadable. He's focusing on the more moderate members of the House and leaving the conservatives to the White House.
I don't think any of those people have come out against the bill.

eviltastic fucked around with this message at 02:12 on Mar 23, 2017

eviltastic
Feb 8, 2004

Fan of Britches

eviltastic posted:

Might not have threaded the needle here.

quote:

The leader of a centrist group of House Republicans said late Wednesday that he will oppose the GOP healthcare legislation.

Rep. Charlie Dent (R-Pa.), a co-chairman of the centrist Tuesday Group, said in a statement that the bill to repeal and replace the 2010 healthcare law "misses the mark."
...
"After careful deliberation, I cannot support the bill and will oppose it. I believe this bill, in its current form, will lead to the loss of coverage and make insurance unaffordable for too many Americans, particularly for low-to-moderate income and older individuals," Dent said.

Dent's announcement came as a meeting between GOP leaders and members of the Tuesday Group stretched late into Wednesday night.
http://thehill.com/homenews/house/325357-gop-centrist-leader-to-oppose-healthcare-plan

Looks like they may have offered the conservatives too much.

The other co-chair of that bunch is a yes (Tom MacArthur), so this isn't a big moderate revolt. But Ryan badly needs every vote.

eviltastic fucked around with this message at 04:14 on Mar 23, 2017

eviltastic
Feb 8, 2004

Fan of Britches

Ogmius815 posted:

Prediction: the bill will pass the house tomorrow.

Looking quite possible. The plan seems to be to bend over for the loons and scramble to get the deal done before the moderate support can evaporate.

On the other hand, CNN is reporting as of twenty minutes ago that they still don't have enough votes.

eviltastic
Feb 8, 2004

Fan of Britches

Rhesus Pieces posted:

What's the logic here? Is he taking a harder position knowing full well it won't be met just as cover to vote down what's being offered?

Might just be being loony, Yoho was one of the guys talking about how great a default on the national debt would be. But right now both sides are still posturing to pressure the other. Compare
https://twitter.com/costareports/status/844932889313759232
https://twitter.com/costareports/status/844933109493776385
with this
https://twitter.com/mikedebonis/status/844929646613401602

eviltastic
Feb 8, 2004

Fan of Britches

Shimrra Jamaane posted:

Any chance of reporting of the meeting while its in progress or at least some leaks?

It's not the meeting, but there's some reporting on the people who aren't in the meeting:
https://twitter.com/LisaMascaro/status/844951862386343937

eviltastic
Feb 8, 2004

Fan of Britches
shots fired
https://twitter.com/AP/status/844964519847841793

eviltastic
Feb 8, 2004

Fan of Britches
lol, chaos reigns

evilweasel posted:

i would pay good money to watch this meeting:

Interesting. Pearce was leaning 'no'.

eviltastic
Feb 8, 2004

Fan of Britches
Ryan must have also badly miscalculated how far he can push moderates, then.

e: Or, they're getting enough cover from the effort to blame the Freedom Caucus that they're feeling more safe than before in defying Ryan.

eviltastic
Feb 8, 2004

Fan of Britches
re: Mulvaney
https://twitter.com/sahilkapur/status/845060562539237376
https://twitter.com/sahilkapur/status/845060998851706881

sounds like :fork:

eviltastic
Feb 8, 2004

Fan of Britches
In a twist that will surprise no one, the Ways & Means chair has confirmed there will be no CBO score on the final bill.

eviltastic
Feb 8, 2004

Fan of Britches

evilweasel posted:

House leadership is trying to cut side deals so the whole "negotiations are over" thing is not exactly true. Still possible they can get this.

Got a link?

eviltastic
Feb 8, 2004

Fan of Britches
yup, still trying to twist arms at an individual level
https://twitter.com/CNN/status/845080709870075904
Ain't over until it's over.

eviltastic
Feb 8, 2004

Fan of Britches

Mokelumne Trekka posted:

So Trump is playing hardball and threatening that this will be last opportunity he gives to repeal ACA. Freakout causes yes votes. I wonder if this will work.
Both sides still posturing.
https://twitter.com/MEPFuller/status/845089540708687872
https://twitter.com/daveweigel/status/845090040128684033

Guess we find out tomorrow.

eviltastic
Feb 8, 2004

Fan of Britches

Ogmius815 posted:

Well I was wrong last night, but I bet it'll pass tomorrow. Always expect the worst thing to happen.
At this point, I'm guessing it narrowly fails with more votes piling on once that's clear, but who the hell knows. Maybe enough of the wingnuts were all bluster, maybe enough of the moderates buy in to assurances from the Senate in spite of the earlier noise about parliamentary rulings. I'm eating crow anyway, I was sure Ryan wouldn't bring it to the floor with an unclear whip count.

Either way, this wasn't the worst thing. That would've been strongarming enough of the loons into going along with something the Senate started to make positive noises about. Top notch political theater regardless, plenty of own goals and exposed fault lines that will make the upcoming tax/budget fight entertaining in addition to horrifying.

eviltastic fucked around with this message at 06:20 on Mar 24, 2017

eviltastic
Feb 8, 2004

Fan of Britches
The schedule:
https://twitter.com/davecatanese/status/845266698806661121

eviltastic
Feb 8, 2004

Fan of Britches

evilweasel posted:

I feel relatively confident Meadows is folding, along with part of the HFC:

Interesting. I wonder if the meeting last night they had was about divvying up who they thought they could afford to lose.

eviltastic
Feb 8, 2004

Fan of Britches
Kinda weakens the likely threats about shakeups in appointments and committee seats if the dang appropriations chair is ready to go against.

eviltastic fucked around with this message at 16:24 on Mar 24, 2017

eviltastic
Feb 8, 2004

Fan of Britches

On Terra Firma posted:

Dave Brat is my congressman so calling him is pointless.

He's a Freedom Caucus no vote. That's the group where everyone is speculating about people folding. Calling him is totally not pointless.

I mean, yeah, he's a markets-fix-everything guy who is not going to actually care about your situation, but talking about costs and huge deductibles and how this bill does nothing to fix them is what he's been basing his opposition on.

edit: Brat is also one of the set that's been feeling a lot of heat at town hall meetings.

eviltastic fucked around with this message at 16:20 on Mar 24, 2017

eviltastic
Feb 8, 2004

Fan of Britches

BarbarianElephant posted:

If Brat thinks his voters are all with him on "Full repeal" then he will act less cautiously than if he gets the impression there's a lot of people who are going to be rioting outside his office if it gets completely repealed.

He probably already has that impression, fwiw.

eviltastic
Feb 8, 2004

Fan of Britches

evilweasel posted:

Also useful: these are the "definitely hard no" HFC members (voted against even having the bill voted on today):
Massie and Gohmert are loons, but not HFC members. We need a descriptor other than 'moderate' to describe non-HFC no votes.

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eviltastic
Feb 8, 2004

Fan of Britches

Quorum posted:

The Vulnerable Caucus.

Eh....those two won their districts with over 70% of the vote.

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