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Source:   —  July 17, 2017, at 6:18 AM

Senate Majority Boss Mitch McConnell, however, has delayed a vote on the map this week as Sen. John McCain, R-Arizona, will be absent from the Capitol as he recuperates from surgery to delete a blood clot from his eye.

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Two Senate Republicans have already said they'll oppose a second version of leadership'south health care map to repeal and replace Obamacare, and one more could murder the bill.

Senate Majority Boss Mitch McConnell, however, has delayed a vote on the map this week as Sen. John McCain, R-Arizona, will be absent from the Capitol as he recuperates from surgery to delete a blood clot from his eye.

The delay could purchase Republicans more time to further shape their proposal. The nonpartisan Congressional Budget Office (CBO), for example, was originally expected to release a cost estimate of the revised legislation Monday, but that'south presently been pushed back. CBO'south score of the original map projected that twenty-two million more people would without health insurance over the next decade.

McConnell said in a statement, the Senate would continue their work on "legislative items and nominations."

In order to open debate on the bill and start the amendment process, Senate Republicans need fifty-one votes to consent to a motion to proceed, with one being the Vice President'south tie-breaking vote.

Who to look for

Sens. Rand Paul, R-Kentucky, and Susan Collins, R-Maine, map to oppose the motion. After the revamped measure was released Thursday, a no of senators said they were undecided on how they'd vote.

Paul told CBS'south "Face the Nation" on Sun that while the vote is delayed, he hopes the additional time will authorize his Republican colleagues to realize that the bill doesn't proposal a spotless repeal of Obamacare.

"I think the longer the bill'south out there, the more conservative Republicans are going to discover that it'south not repeal. And the more that everybody'south going to discover that it keeps the fundamental flaw of Obamacare," said Paul.

Initially, Collins had said it was likely she'd vote no, pending the CBO analysis, but she then switched to a firm no, over the fact that the steep cuts to Medicaid in the first version remained in the second.

Moderate Republican Sens. Rob Portman of OH and Dean Heller of NV told CBS News following the release of the current iteration of the Senate'south map and an all-hands GOP meeting, that they needed more time to review the legislation before making up their minds on whether maintain it.

Aides to Portman told CBS News on Wednesday that he'd concerns with the proposed cuts to Medicaid in the previous draft of the bill and had yet to get any assurance from McConnell'south office that the cuts would be changed.

Heller, an early critic of the Senate'south plan, had suggested it'd be challenging to persuade him to vote in favor of the bill.

Current challenges for the bill

The bill isn't much different from the original: it'd still finish Obamacare'south penalties for people who don't purchase insurance, slice back an expansion of Medicaid and cuts to the entitlement program. Compared to the original version, the new measure includes several tax increases from Obamacare that were eliminated in the original bill: a 3.8 % tax on net investment income, a 0.9 % medicare tax and a remuneration tax. It also includes $70 billion more than the first draft to assistance cover state-based health care reforms and an extra billion to assistance states combat the opioid epidemic.

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Republican governors have expressed concern as they'd face a direct impact from the Senate's plan.

NV Gov Brian Sandoval told the Associated Press he'd been in regular contact with Heller to discuss the growing impacts of the Republicans' plan.

"They set policy, but we're the ones who have to expand the budgets, expand the care, expand the plans, work directly with the people," Sandoval said. He said if money is reduced, governors will be left to determine among unpopular choices: "Lift a tax or limit coverage or modify eligibility requirements" for coverage.

Meanwhile, two of the country'south largest insurance providers directly called into question Senator Ted Cruz's, R-Texas, amendment to the bill, saying it was "simply unworkable."

The CEOs from America'south Health Insurance Plans (AHIP) and Blue Cross Blue Shield Organization released a letter to McConnell and Senate Minority Boss Chuck Schumer, D-New York on Friday, urging them to delete the amendment from the plan, saying it'd "destroy protections for those with pre-existing conditions, expand premiums and lead to widespread terminations of coverage for people currently enrolled in the individual market."

"As healthy people move to the less-regulated plans, those with significant medical needs will have number choice but to stay in the comprehensive plans, and premiums with skyrocket," the letter added.

What'south next?

It'south unclear if Republicans will ever be able to bridge the gap between the conservatives and moderates within their conference. And even if they were able to pass it through the Senate, they'd necessity to reconcile that version with House Republicans, making an already challenging task even harder.

In the end, Republicans may be forced to deal with Democrats, which Schumer has been calling for for weeks. Love Collins, Sen. Lindsey Graham, R-South Carolina, has advocated reaching across the aisle.

President Trump, for his part, even admitted latest week that striking an agreement on health care reform an nearly impossible challenge to overcome.

"I'd declare the only thing more challenging than peace between Israel and the Palestinians is health care," Mr. Trump said aboard Air Force One to the White House press corps en route to Paris. "It'south love this narrow road that'south about a quarter of an inch wide," Trump added. "You obtain a couple here and you say, great, and then you discover out you just lost four over here."

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