With the Republican attempts to repeal and replaceÂ the Affordable Care Act on ice for now, two senators from either side of the aisle are trying to shore up the law’s insurance exchanges in the meantime. Resistance from leading Republicans, however, could sink the attempt.
The bill from GOP Sen. Lamar Alexander and Democratic Sen. Patty Murray â€” the leaders of the Health, Education, Labor, and Pensions (HELP) Committee â€” would help pump some funding back into the exchanges to ensure costs for consumers stay low while also allowing states more flexibility to try their own fixes for exchanges.
Here’s a rundown of some major pushbackÂ the package, or some part of it, received so far:
- President Donald Trump: Trump specifically took issue with the inclusion of cost-sharing reduction (CSR) payments, which he calls “bailouts” for insurers. The Alexander-Murray dealÂ would fundÂ these payments, which offset insurer lossesÂ incurred byÂ providing plans with low out-of-pocket costs for poorer Americans. Trump said he did support Alexander’s work more broadly, however.
- House Speaker Paul Ryan:Â Ryan previously said of a stabilization package, before this version was finalized, that he would not bring such a bill to the House floor. A spokesperson reiterated that Wednesday. “The speaker does not see anything that changes his view that the Senate should keep its focus on repeal and replace of Obamacare,” Ryan’s office said.
- Republican Study Committee chair Mark Walker: The head of the roughly 150-member group in the House also came out against the package on Tuesday. “The GOP should focus on repealing & replacing Obamacare, not trying to save it,” Walker said via Twitter. “This bailout is unacceptable.”
- Conservative action groups:Â FreedomWorks, Heritage Action, and Club for Growth all disavowed the package, painting it as a betrayal of the Republican promise to repeal and replace Obamacare.
Other Republicans, like SenateÂ Finance Committee Chair Orrin Hatch, previously expressed opposition to such a bill but have not weighed in on the specific proposal yet.
Republican Sen. John Kennedy said Trump’s reversalÂ on the bill likely means the pushÂ is dead for now.
“I think that probably kills the effort,” Kennedy told Fox Business Network. “Senator Alexander and Senator Murray have worked very hard. Not sure what all was in their proposal. I understand the money we have to pay. I want to know what the American tax payerâ€™s getting for it. But I think if President Trump has come out against it itâ€™s all an academic question now. My guess is the effort is dead.”
While there could be some push for the bill over the next few weeks, Rick Weissenstein of Cowen Washington Research Group said in a note to clientsÂ that the GOP resistance could put the effort on ice until the year-end negotiation over government funding.