WASHINGTON — From both sides of the Atlantic, President Donald Trump and other administration officials lobbied Republicans Friday to support the Senate GOP's reworked health care bill, with the president saying wavering senators "must come through" to keep the measure from collapsing.
But the bill, repealing much of President Barack Obama's health care overhaul, hovered near failure as Senate Majority Leader Mitch McConnell strained to keep more Republicans from deserting. Complicating the effort, Ohio GOP Gov. John Kasich called the revised measure "still unacceptable," largely because of its cuts to Medicaid, the same concern that's been voiced by holdout Ohio Republican Sen. Rob Portman.
McConnell, R-Ky., released the measure Thursday, a plan that caps seven years of his party's promises to obliterate Obama's 2010 law.
But two GOP senators immediately said they'd vote "no" on a crucial vote planned for next week. Facing uniform Democratic opposition, a third Republican defection would sink it — a reality not lost on Trump.
"After all of these years of suffering thru ObamaCare, Republican Senators must come through as they have promised!" the president tweeted from Paris, where he was attending Bastille Day ceremonies.
Sen. Dean Heller, R-Nev., was also targeted as top administration officials were talking to his state's GOP Gov. Brian Sandoval. Republicans consider winning over the popular Sandoval a key to gaining Heller's vote.
In an interview Friday, Sandoval said his initial understanding of McConnell's new bill was that it "really doesn't change the dynamic" about its Medicaid cuts, and "that's a big concern for me." Nevada added 200,000 new beneficiaries under Obama's expansion of the health insurance program for the poor, disabled and nursing home patients.
Heller, who faces a tough re-election next year, has stood arm-in-arm with Sandoval in criticizing the proposed Medicaid cuts. Heller has said he would have opposed McConnell's original legislation, which the leader withdrew last month because it faced certain defeat.
Sandoval said he expected to meet privately with Vice President Mike Pence and Health Secretary Tom Price at governors' meetings he is attending in Providence, Rhode Island. He said he had already heard from both men.
The nation's largest doctors' group dealt another blow Friday, saying the plan falls short on coverage and access, particularly for low-income people on Medicaid. The American Medical Association said Medicaid cuts and "inadequate subsidies" will lead to "millions of Americans losing health insurance coverage."
The AMA said GOP leaders took a "positive step" by adding $45 billion for treatment to help victims of the opioid epidemic. But it pointed out that people dealing with addiction also need regular health insurance, and that many would lose it if Republicans succeed in rolling back Medicaid financing.
McConnell's reworked bill aims to win conservatives' support by letting insurers sell low-cost, skimpy policies. At the same time, he seeks to placate hesitant moderates by adding billions to combat opioid abuse and help consumers with skyrocketing insurance costs.
Moderate Republican Sen. Susan Collins of Maine told reporters she had informed McConnell she would be voting against beginning debate on the bill, citing in part cuts in the Medicaid health program for the poor and disabled. Sen. Rand Paul of Kentucky, who has repeatedly complained that McConnell's efforts don't amount to a full-blown repeal of Obama's law, also announced he was a "no."
Texas Sen. John Cornyn, the No. 2 Senate GOP leader, said in an interview he is hoping for the climactic vote Tuesday or Wednesday. "I'm optimistic we'll get there," he said of prevailing.