Republicans expressed increasing pessimism on Sunday about the prospects for the healthcare bill in the US Senate as lawmakers prepared to return from a week-long recess.
One prominent Republican lawmaker, Senator John McCain, said he thought the Republican bill to roll back Obamacare would probably fail.
"My view is that it's probably going to be dead," Senator John McCain, a senior US Republican, said on the CBS programme "Face the Nation," adding that Republicans would likely need to work with Democrats on a healthcare bill.
The Senate bill, which faces unified Democratic opposition, has been further imperilled during the recess, when Republican senators have had to return to their states and face constituents strongly opposed to the bill. Senators return to Washington on Monday.
The Senate bill keeps much of Obamacare intact but strips away most of its funding. It repeals most Obamacare taxes, overhauls the law's tax credits and ends its Medicaid expansion. It also goes beyond repealing Obamacare by cutting funding for the Medicaid program beginning in 2025.
At least 10 Republican senators have opposed the bill in its current form, but many more have criticised the legislation or said they are undecided. Republican Senator Bill Cassidy on Sunday said the draft bill was undergoing a "serious rewrite."
"Clearly, the draft plan is dead," he said on Fox News. "Is the serious rewrite plan dead? I don't know. I've not seen the serious rewrite plan."
Critics have derided the bill as a giveaway to wealthy Americans who would see some tax increases rolled back. Opponents also warn that the legislation would cause millions of poor and sick Americans to lose healthcare coverage.
Loss of right
The non-partisan Congressional Budget Office (CBO), which assesses the impact of legislation, estimated 22 million people would lose health insurance over the next decade under the Senate bill. In a separate report, it found the proposal would cut government spending on Medicaid by 35 percent come 2036.
White House chief of staff Reince Priebus said on Fox News on Sunday that US President Donald Trump expected Congress to pass a bill to repeal and replace Obamacare before lawmakers leave Washington for their August recess.
A spokesman for Majority Leader Mitch McConnell said Senate leadership is continuing to work with Republican senators and the CBO on the legislation, but did not comment on McCain's remarks or the bill's future.
Republican Senator Ted Cruz on Sunday said failure to pass the bill was "not an option," and said the Senate effort must focus on lowering premiums. He pointed to an amendment he offered that is being scored by the CBO.
Cruz's amendment would allow insurers to offer plans that do not comply with Obamacare's mandate that they charge sick and healthy people the same rates and that they cover a set of essential health benefits, such as maternity care and prescription drugs, as long as they also offer plans that do comply with the regulations.
Cruz's amendment has drawn support from conservative senators and groups, who say the amendment will help lower premiums. But moderate Republicans and outside critics say it will erode protections for people with pre-existing conditions and make their insurance unaffordable.
McConnell has said he plans to hold a vote on the legislation, which needs the support of at least 50 of the Senate's 52 Republicans, before a six-week recess that begins on July 29.
Yet McConnell himself voiced doubts on the bill's prospects last week, telling a luncheon in his home state of Kentucky that if Republicans fail to pass a repeal of Obamacare, they may need to work with Democrats to shore up private health insurance markets to keep them from collapsing.