White House Officials, Craving Progress, Push Revised Health Bill

“I believe that when we first go back, that’s going to be the thing we’ll address immediately and have to get done by Friday,” said Representative Dan Donovan, Republican of New York.

The president himself has not laid down a hard deadline on the health care bill. “We have a good chance of getting it soon,” Mr. Trump said in a news conference Thursday. “I’d like to say next week, but it will be — I believe we will get it. And whether it’s next week or shortly thereafter.”

Republican leaders and the White House have been searching for a health care agreement that could placate enough moderates and hard-line conservatives to win passage in the House.

The latest version of the proposal, published Thursday morning by Politico, would maintain popular benefits in President Barack Obama’s signature domestic achievement, like guaranteed coverage for emergency services and maternity care. It would also preserve the health law’s ban on insurers rejecting customers with pre-existing medical conditions.

But under the this Affordable Care Act replacement, states could seek waivers from many of those mandates if they demonstrate that premiums would be lowered, the number of insured people would increase, or “the public interest of the state” would be advanced.

States could request an exemption from the rule intended to ensure that people with pre-existing conditions could not be charged prohibitive premiums — but only if those states establish a high-risk insurance pool.

““The plan gets better and better and better, and it’s gotten really, really good, and a lot of people are liking it a lot,” Mr. Trump said. Asked if a health bill could pass as Congress tries to avert a government shutdown, the president said, “I think we’ll get both.”

The complications that remain in the bill are likely to be far too difficult to finesse at the same time the House and Senate press to pass a giant spending bill. Tussles over the spending deadline — including possible debates over top administration priorities like a border wall and money for immigration enforcement officers — are expected to consume the Capitol.

And Democrats — whose votes will be needed to keep the government open — will have their own demands, most importantly billions of dollars to lower out-of-pocket spending for low-income Americans purchasing health coverage on the Affordable Care Act’s online marketplaces.

Senior Republicans appear unconvinced that a revised health care bill would ensure passage in the House. Mr. Donovan, an opponent of the original Republican health care bill, said the proposed amendment “really doesn’t address the concerns that I had.”

Representative Charlie Dent, Republican of Pennsylvania and a leader of the moderate House Tuesday Group, said it “does nothing to change my views.” He lamented any focus “on an arbitrary 100-day…

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