Health Care

Paul: ‘I won’t be bribed or bullied’ on repeal vote

Sen. Rand Paul (R-Ky.) pushed back on Friday against pressure from President Trump to vote for a last-ditch GOP effort in the Senate to repeal and replace the Affordable Care Act, saying that he “won’t be bribed or bullied.”

In an early-morning tweet, Trump warned Paul that if he failed to vote for Sens. Lindsey Graham (R-S.C.) and Bill Cassidy’s (R-La.) health-care proposal, he would forever be known as “‘the Republican who saved ObamaCare.'”

But in a series of tweets following the president’s post, Paul contended that the Graham-Cassidy measure does not fulfill the GOP’s longtime promise to repeal the ACA, and ultimately keeps ObamaCare’s taxes and spending. 

The Graham-Cassidy measure revives the GOP’s efforts to repeal and replace parts of the ACA after a slimmed-down repeal bill failed in July. It seeks to end ObamaCare’s insurance subsidies and the Medicaid expansion, and instead convert those pots of money to block grants for the states.

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The new proposal needs at least 50 votes to pass the Senate with a tie-breaking vote from Vice President Pence, and backers are scrambling to round up the votes before a Sept. 30 procedural deadline, after which the measure would need a filibuster-proof 60 votes. 

The White House has thrown its weight behind the measure and Trump has tweeted his support for it in recent days, casting the bill as a new opportunity for the GOP to fulfill its seven-year promise to do away with ObamaCare.

So far, Paul is the only GOP senator who has indicated he will vote against the Graham-Cassidy proposal. But three others — Sens. Susan Collins (Maine), Lisa Murkowski (Alaska) and John McCain (Ariz.) — are being closely watched.

The trio voted “no” on the “skinny” ObamaCare repeal bill in July leaving that bill one vote short of passing. All three remain undecided about the Graham-Cassidy proposal.