The Senate has delivered to President Donald Trump the first significant legislation of his presidency, a bipartisan $1.1 trillion spending bill that would keep the government running through September - putting off, for now, battles over Trump's U.S. -Mexico border wall and his promised military buildup. Had just two additional Republicans voted "no", the measure would have lost because bills need majorities to pass.
Ryan canceled a March vote on the health care bill because disgruntled conservatives said the measure was too meek while GOP moderates said its cuts were too deep.
Democrats say the American Health Care Act will leave millions uninsured. Tom has worked closely hard with Energy and Commerce Chairman Greg Walden and the committee to make sure that what we do is keeping in line with repealing and replacing Obamacare and drives down premiums and keeps pre-existing conditions.
If Republicans remained divided on the merits of the legislation, by Wednesday they at least appeared to agree on one thing: It was time to move on from this health care bill, one way or the other.
While the bill will benefit the rich, a majority of older and poorer people, ironically the segment which voted in large numbers for President Donald Trump in last year's election, will be the big losers.
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"Many of us are here because we pledged to cast this very vote", Mr Ryan said.
But the skeptical Republican lawmakers got behind the bill after meeting with Trump to float a compromise proposal that is still expected to face unanimous Democratic opposition.
Just as the vote hit the magic 216 number, signifying passage, House Democrats began singing "Na Na Na Na, Hey, Hey, Hey, Goodbye", waving to their Republican colleagues. While the CBO report points to a range of cost changes, based largely on age, it also found millions of Americans would pay higher deductibles. "You will glow in the dark" from the vote's toxic effect.
It would also significantly curtail federal support for Medicaid and allow states to require able-bodied adults to work. Numerous 31 states that accepted Obama's expansion of that program are led by GOP governors, and senators have no interest in cutting their states' funds and taking coverage away from voters. The bill allows insurers to offer health plans with higher deductibles, which is likely to lower premiums.
Wavering moderate Republicans had anxious that the legislation to overhaul President Barack Obama's 2010 signature healthcare law would leave too many people with pre-existing medical conditions unable to afford health coverage.
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President Donald Trump as they pose together with their wives for photographers before dinner at Mar-a-Lago in Palm Beach, Fla. North Korea shelled Yeongpyeong Island in November 2010, leaving four people, including two civilians, dead.
In particular, they are alarmed by the ability it gives to insurance companies to ramp up premiums for people with pre-existing conditions. Pat Leahy of Vermont, who called the bill "a good deal for the American people". In fact, it takes us backwards on making prescription drugs affordable and addressing the opioid epidemic.
Several Democrats - who warn that the measure cuts taxes by some $800 billion over a decade with most savings going to the wealthy - insisted the bill was dead on arrival in the Senate.
GOP Senator Orrin Hatch explained that Republicans are looking to engineer a new bill that can snag 51 votes to pass in the Senate.
Putting a spotlight on the concerns about pre-existing conditions, late-night talk show host Jimmy Kimmel made a tearful plea for retaining that provision in Obamacare as he recounted a medical emergency that arose with his newborn son. The office estimates how many people would lose coverage and how much the bill would cost. The measure would delete language in the health care measure entitling members of Congress and their staffs to Obama's coverage requirements, even if their home states annul them.
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