GOP Obamacare replacement bill moves to Senate, where patient advocacy and health groups vow to press Republicans and Democrats on the American Health Care Act.<\/b>
\nThe pitched battle to kill or fix the GOP\u2019s Obamacare replacement bill now moves to the Senate, where patient advocacy and health care groups are vowing to keep up the pressure on lawmakers while seeking a more substantive debate on the bill\u2019s controversial policies.
While the fight to repeal the Affordable Care Act has centered on the House of Representatives, these advocacy groups have been in discussions with Senate staff all year. Those talks will only intensify as the battle evolves in the upper chamber.
\u201cThe Senate clearly is a different beast than the House, \u201d said Paul Billings, senior vice president for advocacy at the American Lung Association. \u201cThe staff in all the Senate offices have greater knowledge about how health care works.\u201d
For groups like the American lung, heart and diabetes associations, whose complicated missions require complicated advocacy, an informed listener only helps their case.
\u201cWe hope the Senate will move slowly and deliberately, \u201d Billings said. \u201cWe hope there\u2019 ll be an opportunity for organizations to actually engage on substance. We weren\u2019 t afforded that conversation in the House process.\u201d
Senate Majority Leader Mitch McConnell plans to bring the bill to the floor through a budget procedure known as reconciliation that requires a simple majority and would bypass Democratic attempts to filibuster.
But Billings said not much is known after that.
\u201cWe\u2019 re not quite sure at this point what elements of this bill will survive the Senate rules with respect to (budget) reconciliation, so there\u2019s a lot of unknowns, \u201d Billings said. \u201cBut certainly, the Senate is more manageable because of the number of people. But it\u2019s a more complicated place.\u201d
Paul Melmeyer, director of federal policy at the National Organization of Rare Diseases, said his organization wants to be helpful to Senate Republicans as they begin efforts to rewrite or replace the house measure. Two Republican senators must vote against the repeal legislation to defeat it.
Melmeyer said his group wants to work the middle of the debate.
\u201cWe\u2019 re not in the camp that says absolutely nothing needs to be done. Nor are we in the camp that says we should throw it all out entirely, \u201d Melmeyer said. \u201cWe think there\u2019s absolutely a middle ground\u201d for compromise.
But he acknowledged that problems with rising premiums, health plans leaving the marketplace and a lack of younger healthy enrollees must be addressed.
\u201cThere\u2019s plenty in the Affordable Care Act that we\u2019 re supportive of, and we would not want to see a rewrite of those specific sections, \u201d Melmeyer said of provisions that require plans to cover 10 essential benefits and prohibit discrimination against people with pre-existing conditions. \u201cThat said, we still acknowledge that there is plenty within the ACA that is not working right now.\u201d
But just like the House debate, where the politics and policy played nearly equal roles, the Senate debate will also be defined by the polarizing politics of Obamacare.
The evidence was on display just minutes after Thursday\u2019s vote. Ian Silverii, executive director of Progress Colorado, said his organization and other pro-ACA groups will target Sen. Cory Gardner, R-Colo., for a fierce lobbying effort on the legislation.
A similar effort by progressive groups in Colorado helped flip Rep. Mike Coffman, R-Colo., from voting for the GOP bill to voting against it on Thursday, Silverii said.
\u201cCory Gardner is the only U. S. senator in a state won by Hillary Clinton that still has a 100-percent Trump voting record, \u201d Silverii said Thursday. \u201cAt some point, his survival instincts have to kick in and he has to look around and realize that Trump is unpopular. Trumpcare is unpopular. And if he wants to keep his seat in 2020, he has to do the right thing.\u201d
Isaiah Poole, director of communications with the People\u2019s Action Institute, said his organization will be active next week during the congressional recess.
\u201cWe have a list of Senate targets, \u201d Poole said. That list includes Republicans Sens. Susan Collins of Maine and Rob Portman of Ohio, both of whom have voiced concerns with the House proposal.
Portman, Gardner and other Republican senators from states that expanded eligibility for Medicaid under the ACA should expect a heavy dose of pressure from patient and advocacy groups.
Janel George, the director of federal reproductive rights and health with the National Women\u2019s Law Center, said her group, along with many others, will target specific senators as the bill heads to the upper chamber for passage.
\u201cEveryone needs to hear from us, \u201d George said. \u201cWe need to remind people what\u2019s at stake. Everyone needs the education, everyone should get the outreach.\u201d
George said her group will encourage members to call all Republican senators to urge them to vote against the bill if it makes it to the floor.
Alex Daugherty contributed to this report.<\/p>\n

\n

Similarity rank: 23<\/div>\n

Sentiment rank: -1.3<\/div>\n

<\/div>\n

TW posts: 0<\/div>\n

TW reposts: 0<\/div>\n

TW likes: 0<\/div>\n<\/div>\n