We are defederalizing an entitlement, block granting it back to the states and capping its growth rate. That’s never been done before.
On the evening of March 20, Speaker Paul Ryan introduced a Manager’s Amendment to the American Health Care Act or Trumpcare, trying to draw in on-the-fence Republicans just days before the bills scheduled vote on Thursday. The revisions include a $75B reserve to fund tax credits for older Americans, state-controlled block grants for Medicaid and allowing for states to introduce work requirements for those seeking government assistance.
Kevin Brady (R-Texas) the Committee Chairman of the Ways and Means Committee promised an updated CBO score before a floor vote of the bill. An update report is expect on the evening of March 22, just under the nose of the vote the following day.
After widespread backlash to the CBO report, co-authored by Joint Sub-Committee on Taxation including Speaker Paul Ryan, showed that the bill would strip insurance from 14M enrollees by 2018 and 24M by 2026, in order to save the Federal Government $337B over 10 years.
21 Republican votes are all that stands in the way of the bills fate, alarmed President Donald Trump warned House Republicans on Thursday that:
“Many of you will lose you seats in 2018 if you don’t get this done.”
-Donald Trump CNBC interview 3/21/2017