Sean Sullivan and Lenny Bernstein, reporting for the Washington Post:
Two more Senate Republicans have declared their opposition to the latest plan to overhaul the nation’s health-care system, potentially ending a months-long effort to make good on a GOP promise that has defined the party for nearly a decade and been a top priority for President Trump.
Sens. Mike Lee (Utah) and Jerry Moran (Kan.) issued statements declaring that they would not vote for the revamped measure. The sudden breaks by Lee, a staunch conservative, and Moran, an ally of Senate Majority Leader Mitch McConnell (R-Ky.), rocked the GOP leadership and effectively closed what already had been an increasingly narrow path to passage for the bill.
They joined Sens. Rand Paul (Ky.) and Susan Collins (Maine), who also oppose it. With just 52 seats, Republicans can afford to lose only two votes to pass their proposed rewrite of the Affordable Care Act. All 46 Democrats and two independents are expected to vote against it.
In a pair of tweets Tuesday morning, Trump decried the defections, called for letting the Affordable Care Act “fail” and vowed to keep pushing for a GOP plan.
“We were let down by all of the Democrats and a few Republicans. Most Republicans were loyal, terrific & worked really hard. We will return!” he wrote in the first tweet.
He followed that with: “As I have always said, let ObamaCare fail and then come together and do a great healthcare plan. Stay tuned!”
Republicans, who have made rallying cries against President Barack Obama’s 2010 health-care law a pillar of the party’s identity, may be forced to grapple with the law’s shift from a perennial GOP target to an accepted, even popular, provider of services and funding in many states, which could make further repeal revivals difficult.
Meanwhile, Trump and other Republicans will confront a Republican base that, despite fervent support for the president, still seeks a smaller federal government and fewer regulations.
All of these forces remained vexing factors Monday as senators bailed on the bill. And no evident solution was offered by the White House — which has been limited in its sale of the GOP plan — or from McConnell, for how to bring together a party in which moderates and conservatives are still deeply divided over the scope of federal health-care funding and regulations.
McConnell did announce late Monday that he plans to push for a vote in the coming days anyway, but with a catch: senators would be voting to start debate on the unpopular House-passed bill. McConnell has promised to amend the bill to a pure repeal, but with no guarantee that such an amendment would pass.
“In addition to not repealing all of the Obamacare taxes, it doesn’t go far enough in lowering premiums for middle class families; nor does it create enough free space from the most costly Obamacare regulations,” Lee said in a statement.
Moran said the bill “fails to repeal the Affordable Care Act or address healthcare’s rising costs.”
The two senators timed the release of their statements and made clear that modest tinkering around the edges of the legislation drafted by McConnell would not be enough to meet their demands.
They joined a pair of GOP colleagues in calling for a complete redrawing of the legislation that would take many months, short-circuiting McConnell’s wish to end the debate this month.
The news threw the effort to pass the legislation into turmoil, with additional Republicans weighing in on Twitter about a flawed process that must take a new direction. Trump tweeted that “Republicans should just REPEAL failing ObamaCare now & work on a new Healthcare Plan.”
Sen. Lindsey O. Graham (S.C.) called for a “new approach” while Rep. Mark Meadows (N.C.) tweeted, “Time for full repeal.” White House aides, meanwhile, said they still plan to press ahead.
Much more here.