Four Republican senators not ready to vote for healthcare bill

Senate Majority Leader Mitch Mc Connell speaks to Reuters during an interview

The Senate bill maintains much of the structure of the House bill but differs in key ways. "Whether we have a hearing or not, this thing needs to be fully vetted", he continued. She said there's still a need for some sort of rule created to push healthy people to buy insurance, to replace Obamacare's individual mandate -which would be eliminated under the Senate proposal.

Assistant Director of the Dayton Access Center for Independent Living, Greg Kramer, says cutting Medicaid would hurt many low-income people with disabilities who rely on the program for health care and services.

"It's simply not the answer", the Nevada Republican said at a news conference alongside Gov. Brian Sandoval in Las Vegas.

Barack Obama has blasted the Republican Party's new healthcare bill as "a massive transfer of wealth from middle-class and poor families to the richest people in America".

In a separate statement, Paul said he would vote against the bill "in its current form, but I remain open to negotiation".

Opponents of Obamacare say it is unfair to require people to buy insurance plans, expensive ones at that.

Back in May, the House narrowly passed the American Health Care Act (AHCA).

States will be allowed to seek waivers from certain Obamacare requirements. Hit hardest, said Hoff, would be people on Medicaid as well as those who purchase individual health insurance plans. However, "as now drafted, this bill does not do almost enough to lower premiums".

The Senate's plan, like one passed by the House of Representatives, rolls back numerous provisions of Obamacare, including taking deep cuts from Medicaid program.

The problem facing GOP leaders is that any changes that moves the bill further to the right has the potential to alienate moderate Republicans.

"Medicaid is a resource for their medical care", Kramer says. And like the House bill, it would restructure Medicaid, imposing per capita spending caps. Heller is the fifth Senate Republican to make that declaration. Republicans also want to change the way the federal government calculates payments to the states starting in 2025, reducing the federal government's contribution to the states.

Heller, who is up for reelection in 2018, has expressed concerns about the way the measure addresses the future of Medicaid. "And we'll see if we can take care of that", Trump said.

"There are lots of frustrated senators saying they didn't like the process of writing this bill, [but] none of them saying they would use their power to do anything about it", says Zwillich.

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