The president and health secretary are pushing to roll out a major overhaul of the Affordable Care Act, including a $1 trillion increase in Medicaid spending.
But some congressional Republicans are pushing back.
Trump and his allies have touted the plan as a way to “fix the mess” created by the Affordable Healthcare Act, which they say has pushed premiums up and left the health care system underfunded.
Republicans in the House and Senate have already voted to repeal parts of the ACA and some GOP lawmakers say they will be able to push the GOP’s repeal effort through the Senate in coming weeks.
The Trump administration said Thursday that the bill would allow states to set their own Medicaid rates and allow states “to waive certain coverage requirements.”
States that opted to set rates would be able, for example, to allow insurance plans to cover more people.
The plan would also provide a path for states to expand Medicaid and create a new program for those with severe disabilities.
The House bill also contains a $200 billion plan to help states pay for Medicaid expansions.
The White House says it would allow governors to set the eligibility thresholds for Medicaid expansion, and that the federal government would reimburse states for the costs.
The Senate plan is much more modest.
It includes a $2.7 trillion expansion of Medicaid, but it would also allow states and territories to set eligibility thresholds.
It also allows states to waive certain requirements.
The White House has said that the Senate bill is more generous than the House bill and could make the coverage expansion work better for many people.
A spokesman for House Speaker Paul Ryan, R-Wis., said Thursday: “This is a real positive step forward for people, for states, and for the economy.”
The White, House and Ryan offices did not immediately respond to requests for comment.
Sen. Joe Manchin, D-W.
Va., has joined a growing chorus of Democrats and some Republicans in criticizing the bill, saying it does not go far enough to expand coverage and doesn’t address concerns that it does too little to help the poor.
In a statement Thursday, the senator said the Senate plan would “impose massive costs on the American people, raise the cost of premiums and out-of-pocket costs, and leave millions of people without coverage.
The bill would make it easier for the government to deny insurance to those with preexisting conditions.
It would end the Medicaid expansion and the health insurance tax credits that provide coverage to millions of Americans.
It is also likely to lead to the expansion of the federal health insurance marketplaces, which are already facing challenges.
And it fails to take into account the impact on individuals of the lack of competition, which could lead to even more unaffordable premiums.