Two Republican holdouts on the House GOP health care plan say they have a compromise plan that may unite the splintered caucus around a bill to repeal and replace Obamacare.
Reps. Billy Long, R-Mo., and Fred Upton, R-Mich., are proposing an amendment to add $8 billion over five years to help subsidize high-risk insurance pools in states that opt out of Obamacare rules in a way that could allow insurers to raise rates on people with pre-existing conditions.
Health insurance coverage for people with pre-existing conditions has been the main sticking point during extended negotiations among Republicans.
Conservative Republicans have insisted on a proposal that would allow states to receive a waiver for Obamacare's protections for people with pre-existing conditions and instead create a separate high-risk pool. Some moderate Republicans, like Upton, insist that the plan maintain similar protections provided in the Obamacare law.
"I support the bill with this amendment. We'll consider it likely tomorrow," Upton said. "I sat down at length with Walden and [Texas Rep. Michael] Burgess earlier this week Monday and we talked about how we could add protections for those with pre-existing conditions."
Rep. Greg Walden, who chairs the committee that drafted the original legislation, says the latest tweaks have been "embraced by all sides and endorsed by the president," who has gotten personally involved in the negotiations.
Upton said he expects the House Rules Committee to act on the amendment Thursday, paving the way for a vote as soon as then.
Three aides with the House Freedom Caucus members told ABC News today that the amendment would not put the caucus's support of the bill on the whole at risk. Still, an ABC News whip count shows Republicans are on the brink of losing too many votes to pass their health care overhaul bill.
A previous attempt to repeal Obamacare failed in late-March when House Republicans could not come to a consensus on a replacement plan. Nineteen Republicans oppose the latest plan and more than a dozen are undecided. Twenty-two Republican “no” votes would kill the bill and there are still over a dozen undecided.
Democratic leaders have blasted the GOP plan and Upton's amendment, with House Minority Leader Nancy Pelosi of California saying that "no Band-Aid amendment will fix" the bill.
The latest developments come after Trump spoke to 15 GOP House members Tuesday who have either said they are opposed to the bill or are still undecided, according to a senior White House official involved in the effort.
Long described his two 15- to 20-minute calls with Trump, trying to explain to the president repeatedly why he couldn't support the bill without a fix. "They need to be covered. Period," he said he told the president of people with pre-existing conditions.
Upton said he read back to Trump verbatim the promise he made publicly on protections for people with pre-existing conditions. "I read him back his statement," Upton said. "I want him to keep that pledge."
Director of the Office of Management and Budget Mick Mulvaney said he expects a vote on health care "as early as Saturday." House Majority Leader Kevin McCarthy, R-Calif., said a vote on health care could come "soon" and House Speaker Paul Ryan, R-Wis., said Tuesday that they're "making very good progress with our members, and our president has been instrumental in that."
The White House still hopes the bill will pass this week, although a senior official acknowledged that it is close and that if it passes, it will be by a “razor-thin” margin. House Republicans have two days left to put this bill to a vote before they head back to their districts for an 11-day recess.
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