Ryan says health law proposal winning support

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The White House and House Republican are also hoping to show progress in their troubled effort to repeal and replace Obama's health law. Passage would give President Donald Trump a key legislative success ahead of his 100-day mark this weekend, though Speaker Paul Ryan, R-Wis., wouldn't speculate on timing.

Asked in an interview on CNN if Trump would back putting the Obamacare payments in the legislation to the keep the government open past Friday, Mulvaney said: "No".

One group left out of the political horse-trading, however, is the United Nations, which has warned that any measures that would cause millions of Americans to lose coverage would be a violation of global law.

At issue is a section of a newly proposed amendment to the Republican bill that would allow insurers to charge higher premiums to people with pre-existing conditions in states that get a waiver, under certain circumstances.

In short, insurance companies would still be required to cover people older people and those with pre-existing conditions, but the companies will have the ability to charge them more through waivers. He is also concerned that the bill retains deep cuts to Medicaid.

- For individual or small business coverage starting in 2020, states could seek waivers of the ACA's "essential health benefits" requirements.

The conservative House Freedom Caucus is backing the latest health care proposal as the White House tries to revive efforts to repeal Democrat Barack Obama's law. After the loss, Trump targeted the Freedom Caucus on Twitter.

Dent is a leader of the moderate House Tuesday Group, which has about 50 members.

"While the revised version still does not fully repeal Obamacare, we are prepared to support it to keep our promise to the American people to lower healthcare costs", HFC said in a statement.

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GOP Speaker Paul Ryan and top House Democrat Nancy Pelosi are at odds over a demand by Democrats to use the must-do measure to guarantee that payments continue to flow under the health care law to help low-income beneficiaries with out-of-pocket costs.

Democrats say the White House has signaled that the cost-sharing reduction subsidy payments from Obamacare will continue even if language guaranteeing them is not included in the government funding bill.

"Let me be clear: the only thing standing in the way of a landmark defense and border security bill is a handful of Democrats who are insisting on an 11th-hour bailout of Obamacare".

Ryan said he expects the amendment to get the fractured Republican caucus closer to consensus, but he would not say when he expects the bill to get another full vote in the House. "There is no excuse not to", Mulvaney said through a spokesman, according to Politico.

"We think it's very constructive" Ryan said of the proposed revisions. "That is not in an appropriation bill - that's something separate that the administration does".

Despite the hiccups, Ryan expressed optimism that Congress would reach an agreement and avoid a government shutdown before funding expires at midnight Friday.

"This administration has made CSR payments in the past, and the only reason some are raising this now is to hold the government hostage and find an excuse to oppose a bipartisan agreement", he said. John McCain, R-Ariz., said that failing to do so is the GOP's fault. This would allow the Trump administration to decide how rigorous the process would be for states. The five-page letter provides no legal obligation but provides moral support for Obamacare proponents.

That is, except when that greater state control might apply to health coverage for the lawmakers themselves and their staff. States wouldn't have the additional leeway for some groups of people whose health premiums might otherwise get costlier under the Republican plan - including lawmakers and their staffs.

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