Republicans say time for Senate to move on from health care

While the leaders stopped short of saying they were surrendering on an issue that’s guided the party for seven years, their remarks underscored that Republicans have hit a wall when it comes to resolving internal battles over what their stance should be.

No. 2 Senate GOP leader John Cornyn of Texas signalled pique at White House budget chief Mick Mulvaney, who pushed senators in weekend TV appearances to keep voting on health care until they succeed.

Mulvaney has “got a big job, he ought to do that job and let us do our jobs,” Cornyn said. He also said of the former House member, “I don’t think he’s got much experience in the Senate, as I recall.”

Despite Mulvaney’s prodding and weekend tweets by President Donald Trump insisting senators revisit the issue, even the White House’s focus turned Monday to a new horizon: revamping the tax code.

White House legislative director Marc Short set an October goal for House passage of a tax overhaul that the Senate could approve the following month. Plans envision Trump barnstorming the country to rally support for the tax drive, buttressed by conservative activists and business groups heaping pressure on Congress to act.

On health care last week, Republican defections led to the Senate decisively rejecting one proposal to simply erase much of Obama’s statute. A second amendment was defeated that would have scrapped it and substituted relaxed coverage rules for insurers, less generous tax subsidies for consumers and Medicaid cuts.

Finally, a bare-bones plan by Senate Majority Leader Mitch McConnell, R-Ky., rolling back a few pieces of Obama’s law failed in a nail-biting 51-49 roll call. Three GOP senators joined all Democrats in rejecting McConnell’s proposal, capped by a final thumbs down by Sen. John McCain, R-Ariz.

Republican, Democratic and even bipartisan plans for reshaping parts of the Obama health care law are proliferating in Congress. They have iffy prospects at best.

Republicans can push something through the Senate with 50 votes because Vice-President Mike Pence can cast a tie-breaking vote.

But GOP prospects for reaching 50 seemed to worsen after McCain returned to Arizona for brain cancer treatments. His absence for the next two weeks, before the Senate begins it recess, probably denies leaders their best chance of turning that vote around.

Rather than resuming its health care debate, the Senate began considering a judicial nomination Monday.

In the House, 43 Democratic and Republican moderates proposed a plan that includes continuing federal payments that help insurers contain expenses for lower-earning customers. It would also limit Obama’s requirement that employers offer coverage to workers to companies with at least 500 workers, not just 50.

But movements by House centrists seldom bear fruit in the House, where the rules give the majority party ironclad control, and Speaker Paul Ryan, R-Wis., offered little encouragement.

“While the speaker appreciates members coming together to promote ideas, he remains focused on repealing and replacing Obamacare,” said Ryan spokeswoman AshLee Strong.

Trump has threatened anew in recent days to cut off the payments to insurers, which total $7 billion this year and are helping trim out-of-pocket costs for 7 million people.

Those payments to insurers have some bipartisan support because many experts say failing to continue them — or even the threat of doing so — is prompting insurers to raise prices and abandon some markets.

Obama’s statute requires that insurers reduce those costs for low-earning customers. Kristine Grow, spokeswoman for the insurance industry group America’s Health Insurance Plans, said Monday that halting the federal payments would boost premiums for people buying individual policies by 20 per cent.

“I’m hopeful the administration, president will keep making them,” Thune said. “And if he doesn’t, then I guess we’ll have to figure out from a congressional standpoint what we do.”

Hoping to find some way forward, health secretary Tom Price met with governors and Louisiana Republican Sen. Bill Cassidy. Among those attending was Republican Arizona Gov. Doug Ducey, who’s been trying to defend his state’s expansion of Medicaid, the health insurance program for poor people, against proposed GOP cuts.

Cassidy and Sens. Lindsey Graham, R-S.C., and Dean Heller, R-Nev., have proposed converting the $110 billion they estimate Obama’s law spends yearly for health insurance into broad grants to states.

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Associated Press writer Bob Christie in Phoenix, Arizona, contributed to this report.

Alan Fram, The Associated Press

by Canadian Press

Republicans say time for Senate to move on from health care

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