Herald staff and news services
WASHINGTON — Delivering at last, triumphant House Republicans voted Thursday to repeal and replace the “Obamacare” health plan they have reviled for so long, overcoming united Democratic opposition and their own deep divisions to hand a major win to President Donald Trump.
The 217-213 vote was a narrow victory, and ultimate success is far from assured since the measure must still make its way through a highly skeptical Senate. But after seven years of campaign promises and dozens of show votes, Republicans finally succeeded in passing a health care bill that has a chance of becoming law.
Republican Rep. Cathy McMorris Rodgers was the only member of Washington’s delegation to support the bill. Republican Reps. Dave Reichert and Jaime Herrera-Beutler joined the state’s six Democratic members in voting against it. Rep. Dan Newhouse, a Republican, missed the vote because of a family emergency.
McMorris Rodgers said the House has now kept its promise to repeal the Affordable Care Act and replace it with a system that puts individuals in control of their health care decisions.
“Today is historic,” she said. “Obamacare, though well-intentioned, failed its goals and failed in its promises. Since that moment, we’ve been on a rescue mission.”
If victorious, Republicans will be having a big press conference at the beautiful Rose Garden of the White House immediately after vote!
— Donald J. Trump (@realDonaldTrump) May 4, 2017
Democratic Rep. Rick Larsen, Snohomish County’s longest-serving House member, blasted the bill as “even more heartless than the first one.”
“If Trumpcare 2.0 becomes law, 24 million Americans will lose health coverage, necessary benefits like maternity care will become optional, and protections for individuals living with pre-existing conditions will be scrapped,” he said. “This is a plan to destroy America’s health care, not fix it.”
Democratic Rep. Suzan DelBene, whose district includes east Snohomish County, described the bill as “inhumane” because it will increase the number of uninsured people and does not provide those with pre-existing conditions adequate protections they’ll find with affordable insurance coverage.
“This destructive legislation has gone from bad to worse,” DelBene said. “I hope the Senate has the courage and wisdom to stop this ill-conceived legislation before it destabilizes our health care system.”
The bill now goes to the Senate, where Washington’s two Democratic senators, Patty Murray and Maria Cantwell, vowed to work to defeat it.
“I’m appalled by the action taken today in the House to jam Trumpcare through, regardless of the extraordinary harm it would do to patients and families,” said Murray, the ranking Democrat on the Senate health committee.
“They may think they delivered a political win for President Trump today, but let’s be clear: Trumpcare is headed straight to a dead-end here in the Senate.”
Still, Republicans weren’t waiting for final passage to celebrate.
“What a great group of people!” Trump exclaimed at the White House, arms raised to salute the dozens of lawmakers who hurried to join him in the Rose Garden immediately after the vote. Set aside for the moment were the feuds and philosophical divides that nearly sank the bill time and again.
And at the same time, the Republicans had begun to show that perhaps they can come together and govern the country now that they control Washington in full.
“Make no mistake, this is a repeal and a replace of Obamacare, make no mistake about it,” Trump declared. “Premiums will be coming down, deductibles will be coming down, but very importantly it’s a great plan.”
Democrats countered that the GOP bill would have the opposite effect from what Trump predicted, pointing to estimates it will kick millions off the insurance roles while imperiling coverage for people with pre-existing conditions who had gained protections under Barack Obama’s Affordable Care Act.
They also forecast that Republicans will pay a steep political price for passing legislation that’s polled poorly and takes concrete benefits away while offering only promises of more choices and lower costs.
“You will glow in the dark on this one,” House Minority Leader Nancy Pelosi dramatically warned, predicting Republicans will be radioactive with voters in the 2018 midterm elections.
Indeed Democrats seemed practically giddy as the vote closed on the House floor, jeering at Republicans with chants of “nah, nah, nah, nah, hey, hey, goodbye” — an echo of how protesters serenaded Democrats seven years ago when they passed Obama’s bill.
The GOP health bill would eliminate the fines Obama’s law imposed on people who don’t buy coverage, and erase tax increases in the Affordable Care Act on higher-earning people and the health industry. It would cut the Medicaid program for low-income people and let states impose work requirements on Medicaid recipients. It would transform Obama’s subsidies for millions buying insurance, now based largely on their incomes, making the funding skimpier and tying it to consumers’ ages.
And states could get federal waivers freeing insurers from other Obama coverage requirements. With waivers, insurers could charge people with pre-existing illnesses far higher rates than healthy customers, boost prices for older people to whatever they wish, and ignore a mandate that they cover specified services like pregnancy care.
The bill would block federal payments to Planned Parenthood for a year, considered a triumph by many anti-abortion Republicans.
The Congressional Budget Office estimated in March that the GOP bill would end coverage for 24 million people over a decade. The House voted without a CBO estimate for the latest version of their bill.
Although it’s focused mostly on the minority of Americans who buy health coverage in the individual market, the GOP bill could also significantly affect the many who are covered by large employer plans. In one little-noted provision, employer plans could take advantage of state flexibility under the legislation to pick and choose which states’ rules to live by. That could allow them to impose annual and lifetime coverage limits, which are prohibited under Obamacare, and get rid of certain annual out-of-pocket spending caps.
Protesters were on hand again for Thursday’s vote, shouting “Shame on you! Shame on you!” and “2018! 2018!” as Republicans boarded buses outside the Capitol to head to the White House.
Yet as the 2016 election amply demonstrated, political outcomes can be difficult to predict. Republicans argued they would have had a still heavier price to pay if they failed to make good on an endlessly repeated pledge that helped them seize control of the House, the Senate and the White House in the years since the law passed.
Back in 2010, the Democrats held Congress and the White House and used their majorities to jam through an unpopular health care law on a partisan basis, just as Republicans have done now.
As lawmakers prepared to vote, House Speaker Paul Ryan told them: “Many of you have been waiting seven years to cast this vote. Many of you are here because you pledged to cast this vote.”
“They expect us to govern — if we’re going to be around,” Republican Rep. Dennis Ross of Florida said of voters.
The White House had pushed hard for a vote, and Trump got personally involved in last-minute maneuvering. He helped bring wavering moderates on board after a deal secured by conservatives last week scared them off by limiting protections for people with pre-existing conditions. The final change, agreed to just Wednesday at the White House, was to add $8 billion over five years to help people with pre-existing conditions, a sum critics called a relative pittance.
Indeed, despite assurances by GOP leaders that their legislation would rescue a failing health care system, it was opposed by nearly all medical and consumer groups, from the American Medical Association to AARP. The Chamber of Commerce supported the bill.
The health legislation passed the House on a banner day for Republicans on Capitol Hill, as the Senate gave final congressional approval to a bipartisan $1.1 trillion spending bill to keep the government running through September, and a House committee approved legislation that would gut the Democratic-authored Dodd-Frank law that regulated Wall Street after the 2008 financial crisis.
Herald writer Jerry Cornfield contributed to this report.
Rep. Dan Newhouse was incorrectly identified in an earlier version of this article.