By lunch time, Americans For Prosperity, a group aligned with the Koch brothers' network, had also come out against the legislation in a letter to Republican congressional leaders. The conservative Club for Growth issued a statement slamming the bill for its tax credit and Medicaid provisions.
"If this warmed-over substitute for government-run health care remains unchanged, the Club for Growth will key vote against it," the group's president David McIntosh said.
The House leadership's bill, titled the American Health Care Act, can afford to lose less than two dozen GOP members in the House and two Republican senators. GOP leaders are also feeling pressure from the moderate wing, and particularly on how to handle the ACA's Medicaid expansion, which will be allowed to continue unchanged through 2020 under the latest bill. That tweak further perturbed the caucus' far-right wing. The Republican Study Committee memo, for instance, said that they had "major concerns" and that the bill would "continue to contribute to the worsening of the federal and state budgets by incentivizing states to maintain expansion or to initiate new expansions and leaving the federal government picking up the majority of the bill."
“Rather than accept the flawed premises of Obamacare, congressional Republicans should fully repeal the failed law and begin a genuine effort to deliver on longstanding campaign promises that create a free market health care system that empowers patients and doctors," Needham said in his statement.
Speaking to CNN Monday night, Rep. Jim Jordan (R-OH), a former chair of the House Freedom Caucus who was critical of the leaked drafts of the bill, said that he was unimpressed with the newest version but that he was still had to discuss it with the rest of his caucus.
"My guess is this bill looks a lot like the last one, and we didn't like the last one," Jordan said.