US Senate poised for healthcare showdown

WASHINGTON (REUTERS) - US Senate Republicans begin another push on Thursday (July 27) to unravel Obamacare, seeking to wrap up their seven-year offensive against former Democratic President Barack Obama's signature healthcare law that extended insurance coverage to millions.

Republicans leaders hope a pared-down "skinny" Bill that repeals several key provisions of Obamacare can gain enough support to pass, after several attempts at broader legislation failed to win approval earlier this week.

The skinny Bill's details will be released at some point on Thursday, before the Senate embarks on a marathon voting session that could extend into Friday morning. The legislation is expected to eliminate requirements that individuals obtain health insurance and employers provide it, and to abolish a tax on medical device manufacturers.

The effort follows a chaotic two-month push by Senate Republicans to pass their version of legislation after the Republican-controlled House of Representatives approved a Bill in May.

President Donald Trump weighed in early on Thursday, tweeting: "Come on Republican Senators, you can do it on Healthcare. After 7 years, this is your chance to shine! Don't let the American people down!

Many Republicans, including Trump, campaigned last year on a pledge to repeal and replace what they view as a failing law that allows the government to intrude in people's healthcare decisions.

Republicans were optimistic about the skinny Bill's chances of receiving at least 50 votes in the Senate, where they hold a 52-48 majority.

Republican US Senator Bill Cassidy, asked if Republicans had the votes to repeal the current law's requirement for people to have health insurance or pay a fine, told MSNBC: "Probably so."

If it gets approval, the Bill will go to a negotiating committee of lawmakers from both chambers that would reconcile the House and Senate versions into a single piece of legislation, said Senator John Cornyn, the chamber's No. 2 Republican.

Republicans face a rift within their party over how to replace Obamacare, with conservatives seeking a bill that thoroughly scraps the law, and moderates unwilling to support measures that could strip tens of millions of their health insurance.

Some 20 million people have gained health insurance since Obama's Affordable Care Act came into law in 2010.

The Senate voted 55-45 on Wednesday against a simple repeal of Obamacare, which would have provided a two-year delay so Congress could work out a replacement. Seven Republicans opposed the Bill. On Tuesday, senators rejected the repeal-and-replace plan Republicans had been working on since May.

Senate Majority Leader Mitch McConnell can lose only two Republican votes to pass healthcare legislation. Even then, he would have to call on Vice President Mike Pence to cast a tie-breaking vote as head of the Senate. Democrats are united in opposition.


A bipartisan group of 10 governors urged senators in a letter on Wednesday to start over and use a drafting process that includes governors from both parties. Governors of Nevada, Ohio, Louisiana, Pennsylvania and Colorado were among those who signed the letter, all of whose states have Republican senators.

The Congressional Budget Office, a nonpartisan research agency, estimated on Wednesday that a combination of provisions that might go into the skinny Bill would lead to 16 million people losing their health coverage by 2026.

It had earlier estimated that the two other Bills rejected by the Senate this week would have led to 22 million to 32 million people losing their health insurance by 2026.

Senate Democratic leader Chuck Schumer criticised Republican leaders for crafting a "yet-to-be-disclosed final Bill" in secret. "We don't know if skinny repeal is going to be their final Bill, but if it is, the CBO says it would cause costs to go up, and millions to lose insurance," Schumer said on the Senate floor.