His presentation on Thursday of the Senate's health care measure to Republican colleagues - after the White House and key lobbyists got a peek the night before - was met with something other than unbridled enthusiasm.

Ohioans are reacting to the long-awaited Republican Affordable Care Act repeal bill released Thursday.

It is highly unlikely that any of the 48 members of the Senate Democratic Caucus will support this bill, which means that Senate Majority Leader Mitch McConnell (R-KY) can only afford to lose two Republicans or the bill will fail.

Bob Casey made an appearance at the state Capitol to join state officials in condemning the latest healthcare bill. "This bill ... is not the answer".

"I am very supportive of the Senate #HealthcareBill".

"The public at large is deeply skeptical about the repeal-and-replace plan, with support among the Republican base hanging in but slipping and in danger of falling further", says Drew Altman, president of the Kaiser Family Foundation.

Molina Healthcare Inc, which has more than 1 million customers in Obamacare plans, said in a statement that dropping the individual mandate with no replacement provision will lead healthy people to forgo coverage and thus drive up premium rates.

The clock is ticking, as they say. "There's still an opportunity to make this bill better", he said.

Five Republican senators have announced they will not support the bill, which is created to repeal and replace Obamacare, in its current form.

President Trump, a self-described deal-maker doesn't seem concerned.

"We know the current system needs to be fixed, but the proposals that are being considered in Congress do not work for Maryland", Hogan spokeswoman Amelia Chasse said in a statement - the strongest the governor's office has issued on the issue.

That means at least 50 of the 52 Republican Senators have to get on board.

That makes him the fifth senator to say so, the other four being Texas Sen.

The end to funding for Obamacare's expansion of Medicaid and a move to cap how much the federal government spends on the state-federal health program for the poor could harm state budgets and program beneficiaries, according to America's Health Insurance Plans.

With a third of the Senate coming up for re-election in 2018, many will have to weigh the state-wide implications before voting for the bill.

Remember what Trump promised the American people.

As Democrats immediately took to the Senate floor to excoriate the bill and the secretive process in which it was put together, few Republicans, even those involved in crafting it, came to defend it.