The fate of the resurrected American Health Care Act in the House might now rest with Republican moderates.
Forgive them for not celebrating their newfound clout.
Conservative leaders of the House Freedom Caucus have struck a deal with the White House and one leading GOP moderate to back the party’s stalled replacement for the Affordable Care Act in exchange for granting states even more flexibility to wriggle out of the law’s insurance mandates. Under the proposed amendment, states could seek waivers from the federal government, allowing them to eliminate the prohibition on insurers charging higher premiums to people with pre-existing conditions and a requirement that plans cover a range of “essential health benefits,” including maternity care, mental-health treatment, emergency room visits, and hospitalization.
The Freedom Caucus has been targeting those core mandates from the start, arguing that they force insurance companies to increase premiums on all customers to pay for the sickest people. And after weeks of talks, the group’s chairman, Representative Mark Meadows of North Carolina, agreed to a compromise authored by a co-chairman of the moderate Tuesday Group, Representative Tom MacArthur of New Jersey. The Freedom Caucus formally endorsed the new bill on Wednesday. Its backing could bring another 15-20 conservatives aboard and draw the GOP leadership much closer to the 216 votes it needs for passage in the House. Republicans can lose no more than 22 votes, and about a dozen moderates were publicly against the original legislation.
“We think the MacArthur amendment is a great way to lower premiums [and] give states more flexibility while protecting people with pre-existing conditions. Those are the three things we want to achieve,” Speaker Paul Ryan told reporters on Wednesday morning, after a private meeting of the House GOP. “I think it helps us get to consensus.”
Yet the speaker acknowledged …read more
Via:: The Atlantic