WASHINGTON (AP) - Undaunted by fellow Republicans' defiance, GOP leaders and the White House redoubled their efforts Tuesday to muscle legislation overhauling America's health care system through Congress following a sobering report about millions being shoved off insurance coverage.
President Donald Trump, whose strong Election Day showing in GOP regions makes him the party's ultimate Capitol Hill vote wrangler, discussed the legislation by phone with Congress' two top Republicans. He also dispatched Vice President Mike Pence and Health Secretary Tom Price to hear GOP senators' concerns.
With a crucial House committee voted slated for Thursday, Trump's spokesman acknowledged they were open to making changes to win support.
"This has never been a take it or leave it," Press Secretary Sean Spicer said.
The GOP bill is the party's response to seven years of promising to repeal President Barack Obama's 2010 health care overhaul. It would undo that law's individual mandate, which requires most people to have coverage, by ending the tax penalty on those who don't.
It would also provide age-based tax credits instead of the subsidies geared to income in Obama's statute, end that law's expansion of Medicaid and curb its future spending, and let insurers boost rates for seniors.
On Monday, the Congressional Budget Office said the Republican legislation would reduce the ranks of the insured by 24 million in a decade, largely by cutting Medicaid recipients and people buying individual policies. That would be more than the 20 million who've gained coverage under Obama's overhaul - and attach a big number to a problem haunting GOP governors and members of Congress whose states have benefited from "Obamacare."
"I plan to vote NO" on the GOP bill, Rep. Ileana Ros-Lehtinen, R-Fla., tweeted Tuesday. "As written the plan leaves too many from my #SoFla district uninsured."
The budget office report also said the measure would reduce federal deficits by $337 billion over the next decade, largely by cutting Medicaid, the health insurance program for the poor, and eliminating Obama's subsidies for low- and middle-income people. The report said the bill's changes would result in federal subsidies that would fall to half their current size in a decade and that older, lower-earning people would be hit especially hard.
Those findings further energized Democrats, who already were unanimously opposing the GOP repeal effort and showing no sign of relenting.
"Of course you can have savings if you cut off millions of people from access to health care," House Minority Leader Nancy Pelosi, of California, said. She said the measure's shift of billions of dollars from lower- to higher-earning families actually would effectively transfer money from GOP to Democratic regions, and, seemingly taunting Republicans, she added, "Explain that to your constituents."
Pence and Price discussed the legislation over lunch with GOP senators at the Capitol. Participants said senators suggested targeting the bill's new tax credits more at lower-earning people, improving benefits for seniors and protecting the expansion of Medicaid, the federal-state program that helps lower-income people afford care.
Senate Majority Leader Mitch McConnell, R-Ky., all but acknowledged the widespread assumption the measure will be reshaped, saying, "It will be open to amendment in the Senate." Emerging from the senators' lunch - which included two House committee chairmen as well as Pence and Price - Sen. Pat Roberts, R-Kan., said, "All four of them are open to suggestions and change."