New blow to GOP health bill: Paul opposes revised measure

Conservative Sen. Rand Paul remained opposed Monday to the Republican bill repealing the Obama health care law despite fresh revisions, darkening White House and GOP leaders’ hopes of staving off defeat in a Senate showdown this week.

Top Republicans had amended their measure overnight, adding billions of extra dollars for states and easing coverage requirements under President Barack Obama’s statute to win over wavering GOP senators. Paul, R-Ky., had opposed the earlier version of the bill, saying it spent too much money.

Asked Monday if Paul’s position had changed, spokesman Sergio Gor provided a document listing three demands. It said the “primary” one was a “significant” reduction in $1 trillion in spending under Obama’s 2010 overhaul. Paul also wants elimination of requirements that insurers cover specified medical services and other coverage mandates, and establishment of “association” health plans consumers could join to pay lower prices.

“That’s the only way he gets to a yes,” Gor said in an email.

Paul’s opposition doused the hopes of White House officials who’d privately expressed optimism Paul might come aboard.

They said Trump and his advisers have been in regular touch with the Kentucky senator. They were also hoping to sway Sen. Lisa Murkowski, R-Alaska, by addressing concerns in her state, where medical costs are high.

Facing solid Democratic opposition and a slender 52-48 Senate majority, Republicans will lose if three GOP senators stray from the bill.

A vote must occur this week for Republicans to have any chance of prevailing with their narrow margin. Next Sunday, protections expire against a Democratic filibuster, bill-killing delays that Republicans lack the votes to overcome.

GOP Sen. John McCain of Arizona has opposed the bill’s initial version and Texas Republican Sen. Ted Cruz said Sunday he was against it. Maine Republican Sen. Susan Collins seems likely to do the same. Murkowski is undecided but had opposed earlier GOP bills dismantling Obama’s statute that the Senate rejected in July.

President Donald Trump blistered McCain for his decisive July vote killing an earlier Republican effort to erase the 2010 law in his latest attack on fellow Republicans over the party’s sputtering health care drive. McCain returned to the Senate from a brain cancer diagnosis and in a dramatic post-midnight roll call cast a stunning, third GOP vote against that measure.

Trump called that “a tremendous slap in the face of the…

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