White House expects vote on healthcare bill this week

Donald Trump

Top aides to President Donald Trump on Monday said they expect the House of Representatives will vote this week to overhaul the USA healthcare system, but it was unclear when a vote would be scheduled, and moderate Republican lawmakers remained skeptical.

"This is going to be a great week", Cohn told "CBS This Morning". "This bill doesn't get all the way there but it's a good step and is ... the best we can get out of the House right now", Jordan told CNN. "This will be. one of the fastest pieces of signature legislation to go through for a president--since Roosevelt, I believe", putting a fairly rosy spin on history for the Trump administration's benefit. The House of Representatives just passed a bill you may want to know about.

More than 52 million Americans - roughly 27 percent of adults under 65 years old - have a pre-existing condition that would make them un-insurable before Obamacare, according to a December 2016 study from the Kaiser Family Foundation.

Confronted by about 70 people at a town hall meeting in Johnstown, New York Monday Rep. Elise Stefanik, who represents the area around Plattsburgh, said she'd push to protect coverage for people with medical conditions and maternity health.

Trump told CBS News in an interview over the weekend that pre-existing conditions would be covered in the bill, but said healthcare decisions should rest with states.

"Pre-existing conditions are in the bill and I mandate it".

As for how it would affect the deficit, Cohn said the administration doesn't know yet how it will score, but he said if Congress is able to "eliminate as numerous deductions as we can...if we get them all out, I'm pretty sure it's going to score quite favorably". It would also make coverage for people with pre-existing conditions much more expensive.

Most Republicans in the conservative House Freedom Caucus faction have gotten on board with the new bill, which Democrats are vowing to oppose. Under the new bill, called ACHA, insurers had to cover pre-existing conditions, but they could have charged more for people who are recently uninsured.

Asked to explain Trump's statements, spokesman Sean Spicer said Sunday that under the current version people with pre-existing conditions who maintain coverage will not be impacted. We want to have a situation where people have a choice of health insurers.

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"We will schedule a vote when we have the needed votes", she said. But moderate Republicans are wary of what the bill might mean for people with pre-existing conditions back home.

States that apply for this waiver would have to set up high-risk pools or other programs aimed at minimizing insurers' exposure to costly policyholders.

At this point, the only way to stop the bill is President Trump's veto power.

The legislation would lose if 22 Republicans vote no, assuming all Democrats vote against it.

SIEGEL: This bill is an update of the American Health Care Act that was proposed by Speaker Ryan and the White House a few weeks ago.

Republicans contend that former Democratic President Barack Obama's signature 2010 healthcare law, which allowed some 20 million Americans to gain medical insurance, is too intrusive and expensive. The official signaled that the White House would pin the blame for falling short on GOP leaders, saying "Let's see if the hill can deliver". Health care ranked ahead of lawyers, labor and agribusiness. But with that marker now past, the White House is less, well, pushy. That's a way of keeping healthy people in. It also requires people to keep their coverage constantly, and if they drop their coverage, they'll have to pay a big penalty to buy into the insurance system again.

The White House forcefully pushed for a health care vote before Trump's 100-day mark in office last week. "And it's not going to get my "yes vote" the way it is".

His community of 4,000 people is the terminus of the Trans-Alaska pipeline. The costs would inevitably be higher and the outcomes often worse. But if they were to do that, then the states would have to come up with another plan that would cover those people.