Republicans demand another vote to repeal the Affordable Care Act

Sen. Bill Cassidy of Louisiana.   Chip Somodevilla  Getty Images

"If you believe repealing and replacing Obamacare is a good idea, this is your best and only hope", said Graham at a press conference today.

"I think most things would be better than Obamacare", McMaster told reporters Monday.

McMaster confirmed he has had several conversations with Graham and Vice President Mike Pence along with "a few others". Lindsey Graham of SC and Bill Cassidy of Louisiana, say their drive is gaining momentum. Bill Cassidy and Lindsay Graham, the plan would take the money being spent on ObamaCare's insurance subsidies and Medicaid expansion, and give it to states in the form of fixed block grants. Dean Heller, R-Nev. (second from left), and Sen. Ron Johnson (R-WI).

States would have sweeping new discretion over how to use the money, and they could receive federal block grant funds without putting up state money.

Sen. Rand Paul (R-Ky.) has consistently butted heads with his Republican colleagues over their attempts at writing health-care legislation.

"The GOP's latest attempt to cut backroom deals that strip health care away from millions of Americans should be a red-siren for families across the country that their health care is on the line", Schumer said in a statement Monday.

Republicans have been trying to repeal the ACA as part of reconciliation, which means they need only 50 votes to pass the bill.

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[L] ike BCRA, the proposal would allow states to elect to run a portion of their traditional Medicaid programs as a block grant, with more freedom to eliminate eligibility groups whose coverage is now mandatory, eliminate mandatory benefits, and make other changes that reduce Medicaid spending by withdrawing assistance. Graham and Cassidy would give each state a fixed amount of federal money for health care and health insurance each year from 2020-2026.

Two Republicans who did not support earlier efforts to repeal and replace the Affordable Care Act, Sen. "If I could just say again, the way to do this is have a bill, put it through committee". And if that happens, get ready for Medicaid cuts at both the federal and state level as far as the eye can see. But a number of Republican senators have yet to get on board, including the three who defeated McConnell's plan - Susan Collins of Maine, Lisa Murkowski of Alaska and John McCain of Arizona.

Assuming Republicans, desperate to fulfill a campaign promise, can rally behind the effort, they will be sending legislation to the president's desk to dramatically reshape the American health care system without much - if any - time for debate or chance to offer amendments.

McCain spokeswoman Julie Tarallo said the senator is continuing to "review" the text Cassidy introduced last week.

McMaster, an early Trump supporter during the 2016 presidential election, would not indicate on Monday if he will endorse the bill before the September 30 deadline. States would have flexibility to determine whether to cover costs associated with some conditions, and older persons could end up paying up to five times as much as at present for health insurance.

The simple fact is that all the major elements of the ACA - prohibiting discrimination by insurers based on medical history, requiring that people buy insurance even if they're now healthy, premium subsidies and Medicaid expansion that make insurance affordable even for those with lower incomes - are there because they're necessary.

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