While Ryan said he felt "very good" about the health bill's prospects in the House, a leading conservative lawmaker, Representative Mark Meadows, told the C-Span "Newsmakers" program that there were now 40 Republican "no" votes in the House. The details are still unclear, but it is an effort to calm anxious GOP lawmakers who fear that the GOP health care bill would result in a spike of premiums for their constituents in their 50s and early 60s. "He's helping us make sure that we bridge differences with members who are bringing constructive ideas and solutions for how to make this bill better", Ryan said.
"Later today, we will release some technical and policy changes that further strengthen the bill", Brady said of planned changes to treatment of Obamacare taxes, optional work requirements for Medicaid and an option for states to accept Medicaid funding as a block grant. "There's five or 10 that wants less subsidies That's why I say it's a conundrum, and maybe we get to an impasse, and then when we reach impasse, maybe we separate repeal from replace".
Trump told reporters in a brief conversation aboard Air Force One that he had meetings about healthcare reform in Florida at the weekend and that the effort to sell the proposal was going well.
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Meadows and two other Republican opponents of the bill, Senators Mike Lee of Utah and Ted Cruz of Texas, met at Trump's Mar-a-Lago estate in Florida on Saturday "negotiating with the president's team, trying to fix this bill", Cruz told CBS' "Face the Nation". The moderates could put forward a more robust government plan, an Obamacare-lite plan.
Despite the Congressional Budget Office's foreboding numbers about the number of people who would "lose coverage" under the House bill, the American Health Care Act, millions of people would lose coverage next year if legislative action is not taken. States will also be allowed to alter the entire federal-state program for poorer people so states would receive a lump sum federal payment to cover some costs - not an amount that's pegged to the number of beneficiaries in the state, as the current bill provides. As a result, he said there will be some "fine-tuning improvements" to the law that will help assuage some members' "concerns". But it is highly unusual to do so for a piece of legislation ahead of a congressional vote.
Another change that's being worked on: Expanding tax credits to older Americans.