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Republican leadership is aiming to have a vote on the bill next week before senators leave Washington, DC for the Fourth of July recess.

Nevada, like most states, expanded Medicaid under the Affordable Care Act.

Pass or fail, there will be one man singularly responsible for the fate of health care legislation in the Senate: Majority Leader Mitch McConnell. "These cuts and caps on Medicaid have the potential to hurt every American family". The letter was signed by Sununu, New Hampshire Senate President Chuck Morse and New Hampshire House Speaker Shawn Jasper.

McConnell drafted the measure after spending weeks seeking middle ground between conservatives seeking an aggressive repeal of Obama's statute and centrists warning about going too far. But a defeat would be a bitter and damaging blow to Trump and his party. But I can't help feel that I and many of my aged friends who have scrimped to save part of our modest incomes - taking low-cost vacations, eating "early-bird specials" at restaurants, and, generally, pinching our pennies - are being penalized for our prudence. "In this form, I will not support it".

Ed Gillespie, the GOP nominee for governor, said in a statement that he looks forward to "thoroughly reviewing" the proposal's effect on Virginia.

And McConnell made the decision to release the bill this week and push toward a vote next week, ignoring pleas from some lawmakers for more time.

The letter is dated Thursday (June 22) and does not directly comment on the plan unveiled by McConnell also on Thursday.

"It's going to be very hard to get me to a yes", Heller said. "That might take some time and compromise between Democrats and Republicans".

At a campaign-style rally in Cedar Rapids, Iowa, on Wednesday, Trump declared that "Obamacare is a disaster" and added that "if we went and got the single greatest health care plan in the history of the world, we would not get one Democrat vote because they're obstructionists".

It's not the opposition itself that has caught political analysts' attention, but the fact that is coming from both moderate and some conservative Republicans.

US Senators Rand Paul, Ted Cruz, Ron Johnson and Mike Lee said in a statement on Thursday they oppose the Senate Republicans' healthcare bill.

Several Republican senators have already said they oppose the bill, at least as of now.

"To me, the most important thing is the Medicaid expansion portion of it, and to make sure that Nevadans continue to have insurance", Heller, R-Nevada said. We see exactly what you're doing - and you should expect to be held fully accountable.

Sens. Dean Heller of Nevada, facing a competitive 2018 re-election battle, Rob Portman of OH and Shelley Moore Capito of West Virginia expressed concerns about the bill's cuts to Medicaid and drug addiction efforts. The bill eliminates most of the taxes imposed by the Affordable Care Act, and it bars people from using tax credits to buy policies that pay for abortion and blocks Planned Parenthood from getting any money from Medicaid.

Obama is "obligated" to weigh in, Rosenberg said. He said amendments during the upcoming debate "cannot change the fundamental meanness at the core of this legislation".

The way that Medicaid is restructured under the Senate and House bill, states will likely not be able to front the Medicaid costs, and the program will likely shrink due to inadequate funds. The House passed a bill that even President Trump reportedly described as "mean". States would be left to make up the difference.

The Congressional Budget Office has yet to release estimates on the Senate health care bill.

The Senate bill would phase out extra money Obama's law provides to 31 states that agreed to expand coverage under the federal-state Medicaid program. "Millions of families will lose coverage entirely". Cassidy is right in that credits under the Senate are more generous than the House, which is based exclusively on age.