Withholding CSR Funds Could Push More Health Plans Out

U.S. Rep. Mike Coffman R-Colo. addresses constituents during a town hall meeting in a hall on the campus of the University of Colorado Medical School late Wednesday

And there are few signs that an emerging plan to get the bill on track is gaining enough votes to succeed.

The goal would be to pressure Democrat leaders to negotiate on overhauling or repealing the Affordable Care Act, he said, but it could have more effect on insurers than politicians.

The leader of the conservative House Freedom Caucus, North Carolina Rep. Mark Meadows, and the head of the moderate Tuesday Group, New Jersey Rep. Tom MacArthur, are working toward a deal that could bring 18 to 20 new "Yes" votes from the conference's conservative wing, according to a source familiar with the talks.

While members had not seen legislative text for the new proposal as of Thursday afternoon, Rep. Dave Brat, R-Va., a member of the far-right House Freedom Caucus that largely opposed the first version of the GOP health care bill, said in an interview that the proposed amendment "looks very promising" to his caucus.

To receive the waiver, though, states must set up a high-risk insurance pool or participate in the federal high-risk pool.

The waiver would effectively undermine Obamacare's pre-existing conditions mandate, according to health care experts, because it would nullify the requirement that insurers offer coverage in a given area at the same price, regardless of health status.

A vote next week-occurring at the same time Congress debates a government spending bill-would give lawmakers little time to read the plan.

"As what I'd like to call a new federalist, I don't think that states should be having to clamor and jump through whatever hoops the federal government insists upon in order to make the decisions for their citizens", Biggs said, referring to the waiver process.

A Republican leadership aide said that no vote is scheduled on the health care bill, an indication that this plan has not yet garnered enough consensus.

The new proposal, which was reported by Politico and The Huffington Post, is an amendment to that bill.

There's increased optimism among the Trump White House and some in the Republican-led Congress that legislation to reform and replace Obamacare might just be coming together, just six weeks after the very-public collapse of the initial healthcare bill.

The proposal comes as Republicans are preparing to return to D.C. after a two-week recess and are hopeful they can finally get a health care deal that would bring at least 216 members of their party on board.

"The plan gets better and better and better, and it's gotten really, really good", Trump continued. "And fortunately for us, I think the appetite to really get this done continues to grow".

Ryan sent a mixed message about the bill's prospects in remarks Wednesday to reporters in London.

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