The tricky part was that they needed to find a way to help people immediately upon the bill going into place, but not risk pushing Americans out of insurance plans they could not afford without government aide that the Affordable Care Act helped to provide them. Conservative Republicans, in particular, have demanded changes to the measure in exchange for their support.
As congressional leaders move forward with efforts to undo former President Barack Obama's health care law, conservative activists and GOP lawmakers are slamming the proposal as "Obamacare lite", "Obamacare 2.0" and "RINOcare" - RINO standing for Republicans In Name Only, a term of derision. "There is no good news about Obamacare, ObamaCare is dead", he repeated.
"I want everyone to know I'm 100 percent behind this", Trump said. He said he believes they have not agreed to quickly phase out an expansion of Medicaid, another conservative demand.
The other change imposes optional work requirements for Medicaid recipients. Susan Collins (R-Maine) and hardline conservative Sen. Meadows did not attend the White House meeting.
Thune said "it'd be nice" if House Republicans made the tax credits available in the legislation more generous for older Americans before it comes to the Senate, but said he was already working on a potential amendment.
Trymp said the unspecified changes were "frankly very little". "Putting the financial burden on older Americans is not the way to solve the problems in our health care system", said AARP executive vice president Nancy LeaMond in a statement Monday.
A report from the Kaiser Family Foundation found that Americans at retirement age living on $15,000 annual incomes could lose almost $5,900 in tax credits per year tp help pay for coverage under the proposed health plan.
The four governors said they support "fundamental reform" of Medicaid, outlining an alternative approach that would give states the option to embrace their own reform or stick with the current formula with less federal money.
House GOP leaders plan a floor vote next week, less than a month after the measure was introduced. The first bucket is a fast-track budget bill that needs only a simple majority to pass the Senate.
"I can not sit idly by and let this opportunity pass", she said.
But there was no sign of changes to address a top priority of the hard-line conservative House Freedom Caucus, which wants to bring health insurance premiums down quickly. An analysis by the nonpartisan Congressional Budget Office found 24 million people would lose their health insurance over a decade though the bill would also reduce the deficit. Our members care deeply about their health care and have told us repeatedly that they want to know where their elected officials stand.
Complaints about the bill from several Republican senators suggest that there are more than enough GOP "no" votes in that chamber to block its passage. That's 4 million more than the 20 million who've gained either Medicaid or insurance coverage under Obama's law.
Some GOP governors weighed in Thursday evening in a letter to congressional leaders saying the House bill gives them nearly no new flexibility and lacks sufficient resources to protect the vulnerable. John Kasich of Ohio, Rick Snyder of Michigan, Brian Sandoval of Nevada, and Asa Hutchinson of Arkansas.
Vice President Mike Pence was due in Florida on Saturday to sell the bill to small businesses, the White House said.