President Trump, accompanied by Vice President Pence, shakes hands with Rep. Paul D. Ryan (R-Wis.), the speaker of the House, on Jan. 26 in Philadelphia. (Matt Rourke/AP) By Max Ehrenfreund Republicans announced a set of changes to their proposed health-care overhaul Monday night, and while the revisions make symbolic nods to hard-line GOP conservatives, the most significant changes are social spending boosts aimed at wooing the party's most moderate members. House Speaker Paul D. Ryan conceded last week that the original bill needed changes to rally enough Republicans to move it through the House. But as members of Ryan's party were pulling him in opposite directions, he had a choice: He could work to draw in more centrist GOP lawmakers concerned about the projections that the initial proposal would force millions of Americans to go uninsured, or he could try to win over more of the party's conservative members who said the bill still spent too much — especially on social programs aimed at helping Americans buy health insurance. Those complaints were enough to win the most conservative Republicans a few perks. The revision makes changes to Medicaid, the federal program that provides health insurance to the poor, giving officials in red states modestly more authority to administer the program as they see fit. The new bill also includes more rapid relief from the taxes imposed by Obamacare. But the real concessions went to moderate lawmakers. Read the rest on Wonkblog. Chart of the day The Republican plan to undo the Affordable Care Act would impose severe financial burdens on the communities where President Trump is most popular. Jeff Guo has more. Top policy tweets |
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