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Senate Majority Leader Mitch McConnell, R-Kentucky, said he hopes to bring the GOP bill to a vote before Congress breaks for its Fourth of July recess. That will price more people out of the health insurance market.

Early reaction from Republicans finds many saying they need to read the bill's text before making a decision. But he said "it's going to be very hard to get me to a "yes" on the bill.

In an interview with Fox News Channel, Trump was asked about the four conservatives opposing the bill. (See the exchange-implosion map here.) In short, the GOP Senate bill leaves in place what is arguably Obamacare's worst feature. But a defeat would be a bitter and damaging blow to Trump and his party. McConnell was "basically writing it by himself behind closed doors and nobody is ever doing anything good behind closed doors", Meyers said.

"I think it is a big deal", said Neil Kraus, UW-River Falls Political Science professor.

For the past seven years, Republicans have worked to repeal the landmark health reforms of Trump's Democratic predecessor Barack Obama. He says it's a draft until the congressional budget office scores the bill.

But Cassidy said he remained "undecided" about the bill.

Top Senate Democrat Chuck Schumer said the new bill was "heartless", warning it would eventually cut Medicaid even more steeply than the House legislation, which slashes it by US$800 billion over a decade.

The bill would restructure Medicaid, narrow the program's eligibility and likely decrease its funding.

Medical groups are beginning to weigh in on the Senate Republican health care bill, and they have problems with the proposal. States would also be able to impose, within certain limits, work requirements on Medicaid recipients. Unlimited federal dollars now flow to each state for the program, covering all eligible beneficiaries and services.

KODJAK: But Caroline Pearson of the consulting firm Avalere Health says the bill bases its tax credits on lower-quality insurance.

But it repeals the individual mandate requiring people to buy health insurance without creating incentives for Americans to stay in their plans. Like the House bill, the Senate plan would repeal or delay many of those tax boosts.

"There isn't anything in this bill that would lower premiums", he said. It also prompted an outcry from centrist senators and medical organizations anxious that it takes on the law, known as Obamacare, too aggressively and would lead to millions losing their health care or receiving fewer benefits... 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 treatment efforts.


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