He pointed out that whatever bill comes to the floor would be 'fully amendable, ' and that senators have two options, a replacement bill or a repeal bill, with the latter on a 'two year delay'. That number balloons to 22 million more uninsured Americans by 2026.
"Frankly I don't think we should leave town until this is complete, until this bill is on my desk", Trump said at a White House lunch that featured almost all of the GOP conference. And he's found an extremely clever way to do it. "Thus, it has been a challenge to him to learn how to interact with Congress and how to push his agenda forward".
Roughly six months into the Trump presidency, however, little movement on that agenda has started to lead to boiling frustration within the party. Jeff Flake, who has been an outspoken Trump critic and is up for re-election in 2018.
Several Republican moderates have expressed concern that the measure would adversely impact millions of families, particularly people on Medicaid - the federal health insurance program for poorer Americans - and the disabled.
Capito released a statement explaining her decision, saying she does not believe it would be in the best interest of her constituents. Even then, policyholders could end up paying more for health care because of higher deductibles and co-payments. "It's simply not the answer", Heller said at the time.
This bill, unveiled Wednesday afternoon, is meant to be a wake-up call for Republican senators, to serve as a reminder that most of them voted for it just two years ago.
The latest Senate version would reduce Medicaid spending by $756 billion over 10 years, rather than the original $772 billion. In theory, that would give Congress enough time and a hard deadline to craft a replacement. In other words, out-of-pocket expenses from deductibles and co-payments would grow. "I have to get them back".
Senate Majority Leader Mitch McConnell of Kentucky this week pulled the bill from debate after at least two Republican senators withdrew their support.
The announcement by Sens. He was making sure not only Heller but everyone else in that room - the wavering or opposed senators were clustered in and around Trump and Vice President Mike Pence - as well as anyone who saw the clip replayed later knew that he had put all of the GOP senators on notice.
The Republican legislation is a near-identical copy to repeal-only bill vetoed by former U.S. President Barack Obama in 2015.
He's also failed to use his "bully pulpit" to sell the GOP legislation to the public, something he promised senators he would remedy, according to Roberts.
"I'm ready to act", Trump said, putting the responsibility on Republican senators, not himself. "We have no choice". It would also see premiums rise, and likely force private insurers to abandon the individual market. That's, in part, why senators are heading to the White House on Wednesday.