Dean Heller becomes fifth Senate Republican to oppose GOP health care bill

Both the House and Senate would have to vote again on a final version before sending it to President Donald Trump for signature. Also pictured is Iowa Gov. Terry Branstad, second from right, and Alabama Gov. Kay Ivey, right.

Thirty percent support stopping Medicaid payments to Planned Parenthood for a year - another change included in the Senate bill and seen by many as a way to win conservative backing. The House Republican bill allowed states to raise this ratio.

Obamacare has been credited with expanding health coverage to many more Americans.

WASHINGTON (AP) - Republican Sen.

Obamacare, in the meantime, provided tax subsidies to help people with a certain level of income; the Senate Bill being largely in line with it. Obamacare also aided young people to get insured by allowing them to stay on their parent's insurance until they turn 26. Medicaid covers some 70 million people, from newborns to elderly nursing home residents.

Sen. Ted Cruz (R, Texas) said, "This current draft doesn't get the job done".

Heller is up for reelection in 2018 in a state won by Hillary Clinton in last year's presidential election. That dropped to 55 percent in June.

The expansion has provided coverage to 11 million people in the 31 states that accepted it.

Hoff, who studies healthcare implementation, noted that the Senate measure is a "bit softer" than the House bill. The House calls for doing it by 2020.

More news: Indiana's ACA health insurance providers propose rate hikes

The four holdouts, among the Senate's most conservative members, said the plan failed to rein in the federal government's role, highlighting Republicans' struggle to craft legislation to revamp a sector that accounts for one-sixth of the world's largest economy.

— The Senate bill differs from the House health care measure, so the legislation would have to be reconciled in a House-Senate conference committee. Currently, there is no limit on how much the program will pay for care for those enrolled. "They have lots of work to do".

Trump publicly celebrated the House bill's passage, only to later criticize it in private as "mean". "I hope that President Trump delivers on his promise to provide more Americans with better health care for less money". Heller appears to be large steps away from that position, and explicitly said, "It's going to be very hard to get me to a yes". In other words, death by billions of cuts.

Charlie Baker, the Republican governor in heavily Democratic Massachusetts, and Tom Wolf, a Democratic governor in Pennsylvania, had similar concerns. The cuts have also spurred criticism from industry groups - particularly hospitals and medical associations - along with organizations treating mental illness and drug addiction, which often rely on Medicaid dollars.

He was preceded by introduction by Sandoval, who praised the expansion for dramatically lowering the uninsured rate in Nevada. Cost-sharing subsidies are explicitly extended through 2019, an important detail that should help calm insurance markets.

"We have to act", McConnell said on the Senate floor. "There's still an opportunity to make this bill better", he said.

Senate Republicans would cut Medicaid, end penalties for people not buying insurance and erase a raft of tax increases as part of their long-awaited plan to scuttle President Barack Obama's health care law, congressional aides and lobbyists say.

Nearly immediately, the pro-Trump group America First Policies made a decision to launch what a source with the group says will be a major television, radio and digital ad buy against Heller - a remarkable attack on a member of Trump's own party whose seat is endangered in 2018.

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