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U.S. NEWS A3
                                                                                                                                                                       Thursday 9 March 2017

Ryan pushes for unity as House panels debate GOP health bill 

House Speaker Paul Ryan of Wis. speaks during a news conference at the Republican National                                      Underscoring Trump’s po-      who drop coverage for
Committee Headquarters on Capitol Hill in Washington, Wednesday, March 8, 2017, as the GOP                                      tential impact, Energy        over two months
works on its long-awaited plan to repeal and replace the Affordable Care Act.                                                   and Commerce Chairman         The extra billions Wash-
                                                                                                                                Greg Walden, R-Ore., said     ington has sent states to
                                                                                                (AP Photo/J. Scott Applewhite)  of GOP holdouts, “A lot of    expand the federal-state
                                                                                                                                them, they maybe haven’t      Medicaid program would
                                                                                                                                felt the inertia that comes   begin ending in 2020, and
                                                                                                                                with Air Force One landing    spending on the entire pro-
                                                                                                                                in their district.”           gram would be capped at
                                                                                                                                The legislation would de-     per-patient limits. Around
                                                                                                                                fang Obama’s require-         $600 billion in 10-year tax
                                                                                                                                ment that everyone buy        boosts that Obama’s stat-
                                                                                                                                insurance — a provision       ute imposed on wealthy
                                                                                                                                deeply disliked by Repub-     Americans and others
                                                                                                                                licans — by repealing the     to finance his overhaul
                                                                                                                                tax fines imposed on those    would be repealed. Insur-
                                                                                                                                who don’t. That’s a stick     ers could charge older
                                                                                                                                aimed at pressing healthy     customers five times more
                                                                                                                                people to purchase poli-      than younger ones instead
                                                                                                                                cies. The bill would replace  of the current 3-1 limit, but
                                                                                                                                income-based subsidies        would still be required to
                                                                                                                                Obama provided with tax       include children up to age
                                                                                                                                credits based more on         26 in family policies, and
                                                                                                                                age, and insurers would       they would be barred from
                                                                                                                                charge 30 percent higher      imposing annual or lifetime
                                                                                                                                premiums for customers        benefit caps.q

Associated Press                upheaval should snow-
WASHINGTON (AP) — House         ball and crush the legisla-
Speaker Paul Ryan labored       tion, it would be a shatter-
to rally divided fellow Re-     ing defeat for Trump and
publicans behind their          the GOP, so leaders were
high-stakes drive to over-      hoping passage by both
haul the nation’s health        House committees this
care system Wednesday,          week would bolster them
praising his party’s leg-       with momentum. Just as
islation as “what good,         ominous as GOP unrest
conservative health care        was hostility from three or-
reform looks like” as law-      ganizations instrumental
makers cast Congress’ first     in the 2010 enactment of
votes. Republican leaders       Obama’s overhaul: The
wanted to push their mea-       American Medical As-
sure through two House          sociation, the American
committees by week’s end        Hospital Association and
— Ways and Means, and           AARP, the nation’s largest
Energy and Commerce.            advocacy group for older
But they hit a torrent of re-   people. In words aimed at
sistance from Democrats         his own recalcitrant col-
who oppose the seven-           leagues, Ryan, R-Wis., de-
year GOP effort to unravel      clared the legislation “is
former President Barack         bold and it is long over-
Obama’s health care law.        due. And it is us fulfilling our
Outnumbered Democrats           promises.” The last was a
used the panels’ sessions       nod to campaign pledges
for political messaging         by Trump and many GOP
Wednesday, futilely offer-      congressional candidates.
ing amendments aimed at         There were signs of growing
preventing the bill from rais-  White House engagement.
ing deficits, kicking people    A day after Trump pledged
off coverage or boosting        his backing to House GOP
consumer’s out-of-pocket        vote counters, conserva-
costs. They even tried, un-     tives who’d met late Tues-
successfully, to insert lan-    day with White House bud-
guage pressuring President      get chief Mick Mulvaney
Donald Trump to release his     flashed optimism that the
income tax returns.             bill could be reworked. Rep.
The pivotal challenge for       Trent Franks, R-Ariz., told re-
Republican leaders was          porters that Mulvaney said
coming not from Demo-           that “essentially whatever
crats but from rebellion in     the Congress could do to
their own ranks and po-         improve the bill, that the
tent outside groups. If that    White House was open.”
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