Paul, an ophthalmologist, said the obvious next step for Republicans would be to bring up a bill that includes provisions that he believes have support in the GOP cloakroom: capping taxpayers' expenditures on Medicaid spending and giving states control, curbing regulations and allowing people to join health associations where they could purchase out-of-state insurance plans.
The statement recalls McCain's dramatic return to Washington in July after a brain-cancer diagnosis, when he cast the decisive "no" vote to send a health plan by Senate Majority Leader Mitch McConnell down to a stunning 49-51 defeat. Susan Collins, R-Maine, and McCain. Bill Cassidy of Louisiana, Lindsey Graham of SC and Dean Heller of Nevada. John Cornyn, R-Texas, Sen.
Paul said the Graham-Cassidy measure "basically keeps most of the Obamacare spending, nearly all of the spending, and just reshuffles it".
September 30 is the last date on which the Republicans could pass the healthcare bill under reconciliation procedures, which only need 50 votes, instead of 60 in the event of a filibuster, to pass. White House legislative affairs director Marc Short predicted a Wednesday vote while a McConnell spokesman declined to publicly embrace that timeline.
President Donald Trump lashed out at Sen. He said all the bill does is set up a "perpetual food fight" over how that money is distributed to states. The bill's chief authors, Sens. "I have a number of serious reservations about it". At least one other Republican, Senator Rand Paul (KY), has said he would vote against it, and two other Republican Senators, Susan Collins (R-Maine) and Lisa Murkowski (R-Alaska), who voted alongside McCain against the so-called "skinny repeal" (the American Health Care Act of 2017) on July 28 are expected to vote against it. "They know if they want me, they're going to have to make the bill more of a repeal bill and less of a "we're going to divvy up the pie to Republicans" bill".
"It's a little tougher without McCain's vote, I'll be honest".
The other swing votes are Sens.
"We're all in", one senior GOP aide said. She has not indicated which way she plans to vote, but her state's independent governor has come out against the bill.
"It was sad", the president said.
Collins said the bill has been rushed too fast for a thorough study of its full impact. "I won't be bribed or bullied". "So it may be hard for the CBO to do the kind of in-depth analysis that it usually does, but that's what I would like to see before making a formal decision". States could loosen coverage requirements under the law's mandates, including prohibiting insurers from charging seriously ill people higher premiums and letting them sell policies covering fewer services.
"They're pleasant conversations", Paul said.
McCain said he would consider supporting a proposal similar to the Graham-Cassidy bill if it were "the product of extensive hearings, debate and amendment". I hope they will resume their work should this last attempt at a partisan solution fail.
Graham and Cassidy appeared on ABC's "This Week with George Stephanopoulos", where they defended their plan and vowed to keep up their efforts to shepherd it to passage.
Arizona Gov. Doug Ducey came out in support of Graham-Cassidy on Monday, saying in a statement it "is the best path forward to repeal and replace Obamacare".
Collins cited the bill's cuts in the Medicaid program for low-income people and the likelihood that it would result in many losing health coverage and paying higher premiums.
The Louisiana Republican sponsored the legislation with South Carolina GOP Sen.