Five senators to watch in healthcare fight – The Hill
The Houseâs passage of legislation to repeal and replace ObamaCare moves the issue to the Senate, where its future is far from certain.
GOP senators have said they will overhaul the House bill, and that legislation wonât reach the floor until it has 51 votes.
Here are the five key players to watch.
Sen. Lamar AlexanderLamar AlexanderFive senators to watch in healthcare fight Collins on all-male healthcare working group: ‘The leaders obviously chose the people they want’ Feinstein slams all-male group of senators working on ObamaCare repeal MORE (R-Tenn.)Â
Alexander is the chairman of the Health, Education, Labor and Pensionâs Committee. Heâs also in a working groupÂ created to hash out a compromise among Republicans on healthcare.The veteran senator, who left leadership in 2011 because he wanted to focus more on policy, has been working for weeks on a reform bill that could pass the Senate on a GOP vote through special budget rules that would prevent a Democratic filibuster.
He laid out his priorities in a floor speech on Thursday.
They include helping people living in counties slated to have zero insurers on the exchanges next year; lowering premiums; âgraduallyâ transferring to states more flexibility in the administrations of their Medicaid programs â without pulling the rug out from people who got coverage through ObamaCareâs expansion; and making sure people with pre-existing conditions have access to health insurance.Â
Alexander has a vetted interested in pushing reform through the upper chamber: 16 counties in his home state currently have no insurers on the exchanges for 2018.
That means people living there will have no way to use their subsidies unless Congress acts or another insurer steps in.
Sen. Susan CollinsSusan CollinsFive senators to watch in healthcare fight Republicans tout GOP healthcare bill on Sunday shows Collins on all-male healthcare working group: ‘The leaders obviously chose the people they want’ MORE (R-Maine)
Collins, perhaps the most centrist GOP member of the Senate, says she wonât support a bill that defunds Planned Parenthood.
âI donât think it makes sense to have the defunding of Planned Parenthood linked to this issue at all,â CollinsÂ toldÂ reporters earlier this year.Â
Sen. Lisa MurkowskiLisa MurkowskiFive senators to watch in healthcare fight Trumpâs Army pick faces tough confirmation fight Republican Sen. Collins considering run for Maine governor in 2018 MORE of Maine is the other Republican who has taken this position.
Other Republicans are likely to demand that Planned Parenthood funding be cut, creating a difficult issue for GOP leaders.
Senate Majority Leader Mitch McConnellMitch McConnellFive senators to watch in healthcare fight McConnell: Senate healthcare âwill be a simple majority vote situationâ Collins on all-male healthcare working group: ‘The leaders obviously chose the people they want’ MORE (R-Ky.) can only afford two defections on the bill, with Vice President Pence then breaking a 50-50 tie.
Collins has written her own replacement plan with Sen. Bill Cassidy (R-La.).
It would give states the option to keep ObamaCareâs subsidies, mandates and protections for people with pre-existing conditions- or opt into an alternative plan that would provide a uniform tax credit linked to a health savings account to help people afford basic, less comprehensive health insurance plans. Expect her (and Cassidy) to push for some of those changes.
Collins has Â also expressed concerns about the tax credits not being enough and how preexisting conditions will be handled.
Sen. Ted CruzTed CruzFive senators to watch in healthcare fight Collins on all-male healthcare working group: ‘The leaders obviously chose the people they want’ Feinstein slams all-male group of senators working on ObamaCare repeal MORE (Texas)
Cruz, like Paul, is a big opponent of ObamaCare and wants nothing more than to see it fully repealed.Â
He assembled the working groupÂ compromised of conservative and moderate members to hash out a compromise.
âWeâre going to try to do it in the Senate and I hope we can get it done. My view is failure is not an option,â Cruz said in an interview with a Texas radio station this week.
âWeâve been promising the voters weâd repeal Obamacare for seven years, and I think if we fail to deliver on that I think the consequences would be catastrophic.â
Cruz has called for the Senate to repeal all of ObamaCareâs insurance regulations, which might not be allowed under the Senateâs budget rules preventing a Democratic filibuster.
It would also be a non-starter for many of his colleagues.
Heâs also supported block granting Medicaid, which is an option in the House bill, as well as expanding health savings accounts and requiring continuous coverage.Â
Cruz was also critical of the House billâs refundable tax credits.Â
Sen. Rand PaulRand PaulFive senators to watch in healthcare fight House healthcare bill faces upheaval in Senate Kushner, Trump and Congress need to put an end to federal ‘no-bid’ contracts MORE (R-Ky)Â
Rand Paul hates ObamaCare, but his vote could be a tough one to pick up for McConnell.
Paul wants to get rid of all of ObamaCareâs regulations, like guaranteed coverage for people with preexisting conditions.
His dislikes the House billâs refundable tax credits to help people buy insurance, which he calls a âsubsidy by another name.âÂ
âItâs going to take little bit of work to get me to a âyesâ vote,â PaulÂ saidÂ on Fox NewsÂ Thursday.
âI really want to repeal it. I just donât want to replace it with ObamaCare lite or another federal program. The programs they put in place will be there forever,â he said, adding that âplussing it up with more federal subsidies â thatâs going to make it much more difficult for me.â
Itâs unlikely the Senate would pass a bill that doesnât help people buy insurance, however.Â
Many senators think that credits are needed, and that the ones in the House bill arenât enough for older and low-income individuals.Â
This suggests that if Paul sticks to his guns, it will be very hard to win his vote.
Which would making winning over Collins and Murkowski more critical.
Sen. Rob PortmanRob PortmanFive senators to watch in healthcare fight Collins on all-male healthcare working group: ‘The leaders obviously chose the people they want’ Feinstein slams all-male group of senators working on ObamaCare repeal MORE (Ohio)
Portman is from a state that expanded Medicaid, and his governor, John Kasich, is an ardent supporter of the expansion.Â
In March, Portman and Sens. Shelley Moore CapitoShelley Moore CapitoFive senators to watch in healthcare fight Dem introduces bill to make government websites mobile-friendly Senate GOP vows big changes for ObamaCare bill MORE (W.V.), Cory GardnerCory GardnerFive senators to watch in healthcare fight Collins on all-male healthcare working group: ‘The leaders obviously chose the people they want’ Feinstein slams all-male group of senators working on ObamaCare repeal MORE (Colo.) and Murkowski wrote in aÂ letterÂ to McConnell that they wouldnât support the Houseâs treatment of the expansion.Â
âWe are concerned that any poorly implemented or poorly timed change in the current funding structure in Medicaid could result in a reduction in access to life-saving health care services,â they wrote.
The House bill would freeze the expansion in 2020.
Portman toldÂ The HillÂ this week heâd like to see a âlonger runwayâ for reforming Medicaid instead of abruptly capping the programÂ two years from now.Â
In Portmanâs state, at least 700,000 people gained coverage through the expansion.Â