Monday it was announced the Senate didn’t have enough votes to pass their latest TrumpCare bill and in response, Senate Majority Leader Mitch McConnell said he would like to repeal and delay. This means he would fully repeal the ACA without a replacement plan, leaving millions of Americans without health care and increasing premiums. Tuesday it was announced McConnell’s plan would also fail because it didn’t have enough votes to pass. With this news, Trump took to Twitter to say he will just let the ACA fail on its own, clearly unhappy with the lack of progress Congress is making trying to repeal and replace the ACA.
This is the second stinging setback on the issue in three weeks for McConnell, whose reputation as a legislative mastermind has been marred as he’s failed to unite his chamber’s Republicans behind a health overhaul package that highlighted jagged divides between conservatives and moderates. In late June, he abandoned an initial package after he lacked enough GOP support to pass.
The episode has also been jarring for Trump, whose intermittent lobbying and nebulous, often contradictory descriptions of what he’s wanted have shown he has limited clout with senators. That despite a determination by Trump, McConnell and House Speaker Paul Ryan, R-Wis., to demonstrate that a GOP running the White House and Congress can govern effectively.
McConnell’s failed bill would have left 22 million uninsured by 2026, according to the nonpartisan Congressional Budget Office, a number that many Republicans found unpalatable. But the vetoed 2015 measure would be even worse, the budget office said last January, producing 32 million additional uninsured people by 2026 — figures that seemed likely to drive a stake into that bill’s prospects for passing Congress.
That would seem to leave McConnell with an option he described last month — negotiating with Senate Minority Leader Chuck Schumer, D-N.Y. That would likely be on a narrower package aimed more at keeping insurers in difficult marketplaces they’re either abandoning or imposing rapidly growing premiums.
Similar to legislation the House approved in May after its own setbacks, McConnell’s bill would repeal Obama’s tax penalties on people who don’t buy coverage and cut the Medicaid program for the poor, elderly and nursing home residents. It rolled back many of the statute’s requirements for the policies insurers can sell and eliminated many tax increases that raised money for Obama’s expansion to 20 million more people, though it retained the law’s tax boosts on high earners.