Some members of the president's team have grown consumed by the marker, worrying that public appraisals at this traditional evaluation period will be brutal and hoping that a last push might bring a measure of salvation. Funding for most departments and agencies of the federal government runs out on April 28.
Passing the AHCA, even with the proposed changes, would be hard in the short-term as Congress must also pass a bill to fund the federal government before parts of it shut down on April 28. We are still waiting to see the legislative text, but every description of the amendment I've read sounds awfully flaky on what funding levels and requirements there would be for those high-risk pools-you know, to ensure that they work.
Critics said that's still an individual mandate which is a key part of former President Barack Obama's Affordable Care Act.
The MacArthur amendment also would allow states to apply for waivers that would let insurers charge people with pre-existing conditions higher premiums, as long as those states make a high-risk pool available to those patients. But it's unclear when such a plan could hit the House floor or what level of support it might have - Congress is now on recess, and lawmakers won't return until next week.
The latest proposal allows states to make changes to the Affordable Care Act's rules governing health insurance policies and markets, in an effort to allow some states to offer stripped down policies with lower premiums.
Capitol Hill sources said an amendment to the GOP-sponsored American Health Care Act would be circulated to the Republican caucus in a matter of hours - a series of Band-aid patches created to make the bill palatable to both the centrist and conservative wings of the GOP.
"It's not really a new bill - same fundamental bill", Brat told CNN's Chris Cuomo. He has cited reservations over how the legislation affects seniors and provisions that would particularly disadvantage New York City.
The original bill that Speaker Paul Ryan was forced to pull because he could not gather enough votes from his own party to pace it also faced an uphill climb in the Senate, where even Republicans balked at being associated with a law that would strip 24 million people of their health insurance.
"We're doing very well on health care", Trump said in news conference with Italian Prime Minister Paolo Gentiloni.
But the legislation's future is unclear.
The initial bill's failure has left lawmakers wary of artificial deadlines.
A Republican who opposed the first House GOP ObamaCare repeal bill says a revamped effort is the "same fundamental bill" as the one that failed last month.
Trump has threatened to cut off ObamaCare cost-sharing subsidies - a decision that would wreak havoc on the ObamaCare insurance exchanges - to get Democrats to the table on a replacement plan. "I'm not sure how they do this...."
Greg Walden is one of a number of GOP Congressmen who don't want to dismantle protections for people with preexisting conditions, which is a pretty big obstacle to a deal. At stake is roughly $10 billion in payments expected to be made to the insurers this year. And as ever, there is a strong disconnect between what President Trump wants-any sort of legislative "achievement" before his first 100 days are up-and what the House Republican conference is capable of delivering. The next court date is May 22.