Conservatives who have been dissatisfied with the Obamacare repeal and replacement bill put forward by House leadership this week are mobilizing around making a major change to how the legislation handles the Affordable Care Act's Medicaid expansion.
The topic came up in a Wednesday meeting between the leaders conservative organization and President Trump, and by Thursday morning, an influential group of conservative House members endorsed speeding up the process by which the GOP bill would wind down the expansion.
The changes would please hardline conservatives in the House Freedom Caucus, who have introduced their own bill to strip away the Medicaid expansion over two years, but it would alienate moderate Republicans whose states have expanded Medicaid under the Affordable Care Act to cover millions of low-income residents.
With the fate of the GOP bill to repeal the Affordable Care Act in jeopardy, Trump huddled Wednesday night with outside conservative groups—including the Koch brothers' Americans for Prosperity, the Heritage Foundation and the Tea Party Patriots—to debate the most sensitive and divisive questions surrounding the health care overhaul.
In that meeting, the president heard the concerns from the conservative members that Medicaid expansion was being allowed to continue under the leading House GOP health care overhaul bill, and he was reportedly open to negotiating around their demands.
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