Republican lawmakers have said the new push on healthcare would maintain Obamacare's essential health benefits clause listing services and care that insurers must cover. Originally, the new White House plan called for eliminating almost all the so-called Title 1 insurance regulations under the ACA. The South Carolina congressman also walked away from the discussions with Trump administration officials thinking the "guarantee issue"-a promise of coverage for people with pre-existing conditions-was on the chopping block".
"It's hard for me to believe that any state would take us back. when it comes to the protections that consumers have for pre-existing conditions", Laszewski said.
According to many Republican congressmen instead of trying to strike a (perhaps impossible) compromise that would please both moderates and conservatives, White House officials may have simply tried to sell them different versions of the same bill.
Republican Study Committee Chairman Mark Walker said the focus when talks resumed would be on sticking points such as whether to allow states to opt out of Obamacare mandates that insurers must cover a minimum tier of services and can not charge more to those with pre-existing conditions - a popular provision of the law that Trump has promised to protect.
He said the hard-line conservative House Freedom Caucus was "moving the goal posts" for negotiations, risking potential support from moderate Republicans.
Reports from Washington are frustratingly incomplete, but it appears that the Trump administration is renewing its effort to repeal Obamacare.
The legislation has not yet emerged, despite talks with Republican lawmakers led by Vice President Mike Pence.
The standardized rates are made possible by a concept known as "community rating", in which everyone in a pool of enrollees pays the same premium so that the costs of sicker, more expensive plan members are spread across all those who buy coverage.
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"I'm afraid that the Freedom Caucus continues to play Lucy with the football and keeps moving the goal posts and I believe, from what I've heard, they're less than genuine in trying to get to 'yes, '" Rep. Chris Collins, a NY moderate, said.
But Ryan conceded that "we have more work to do". Gallup, for example, found "Obamacare" gained majority approval for the first time. Ryansaid he's unsure if his party can draft a new Trumpcare bill and hold a vote before Friday.
Freedom Caucus chairman Mark Meadows said the majority of Freedom Caucus members will support a new draft of the bill if it contains the changes that Pence has discussed with the organization in meetings over the past several days.
But some high-risk pools operating before passage of the Affordable Care Act were not financially viable, and Avalere Health President Dan Mendelson warned the same thing could happen again, given this group's extremely high medical expenses.
The high-risk pool amendment seems to have consensus among Republicans.
The White House, as well as a number of House members, reportedly pushed for members to delay recess until they finished their work on health care, but with a number of sticking points still unresolved, lawmakers left to head back home.
"If we don't do that, we will have failed", said Meadows. The real choice is between fulfilling campaign promises to repeal and replace the bill, and reneging on those promises by leaving it in place.
Rep. Tim Murphy, a Republican from Pennsylvania and "the only practicing psychologist in elected federal office" put his GOP colleagues on the couch Thursday.
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