The Senate will move forward with a key vote this week on a Republican health bill but it's not yet known whether the legislation will seek to replace President Barack Obama's health care law or simply repeal it.
Sen. John Thune of South Dakota, the third-ranking Republican, said Senate Majority Leader Mitch McConnell will make a decision soon on which bill to bring up for a vote, depending on ongoing discussions with GOP senators. Thune sought to cast this week's initial vote as important but mostly procedural, allowing senators to begin debate and propose amendments. But he acknowledged that senators should be able to know beforehand what bill they will be considering.
"That's a judgment that Senator McConnell will make at some point this week before the vote," Thune said, expressing his own hope it will be a repeal-and-replace measure. "But no matter which camp you're in, you can't have a debate about either unless we get on the bill. So we need a 'yes' vote."
He said the procedural vote will be held "sometime this week."
President Donald Trump has said he wants Congress to repeal and replace Obamacare, but would accept a straight-repeal of the law if senators couldn't reach agreement. In a sign of the high stakes involved, Trump exhorted senators anew Sunday night to pass health legislation. "If Republicans don't Repeal and Replace the disastrous ObamaCare, the repercussions will be far greater than any of them understand!" Trump tweeted.
The Republican-controlled House in May narrowly passed its version of a bill to repeal and replace the Affordable Care Act, or "Obamacare."
Senate Republicans are now considering two versions of similar legislation, one that would repeal and replace, and another that would simply repeal "Obamacare" with a two-year delay for implementation to give the Senate more time to agree on a replacement.
Both versions encountered opposition from enough GOP senators to doom the effort, but McConnell, R-Ky., is making a last-gasp attempt this week after Trump insisted that senators not leave town for the August recess without sending him some kind of health overhaul bill to sign.
In the Senate, Republicans hold a 52-48 majority. They can only afford to have one of their senators defect and still prevail on a health bill. That's because Republican Sen. John McCain is in Arizona dealing with brain cancer, while Democrats are standing united in opposition. Vice President Mike Pence would cast a tie-breaking vote.
Thune said no matter the outcome of the upcoming vote, senators would continue working to pass health legislation no matter how long it took, having promised voters they would do so.
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