Iowa’s GOP senators say health care law repeal unlikely

ALTOONA (AP) — Lowering expectations, Iowa’s two Republican senators say the long-promised repeal of the Affordable Care Act, or “Obamacare,” is unlikely, and any final agreement with the Republican-controlled House is uncertain.
The comments Tuesday by Sens. Chuck Grassley and Joni Ernst come as the Republican-controlled Senate moves forward on its work to dismantle the 2010 health care bill while facing conflicting demands within their own party and lockstep Democratic opposition. Both senators are active players in the health care debate.
“You can’t repeal it in its entirety,” Ernst told reporters after a joint appearance with Grassley in suburban Des Moines.
“That just allows us to tinker around the edges,” Ernst earlier told Eric Borseth, an Altoona, Iowa, businessman who implored her to “get rid of that monstrosity.”
It was a frank admission from loyal conservatives representing a state Republican Donald Trump carried in November.
Grassley, in his seventh term, is a senior member of the Finance Committee, which oversees the law’s tax and Medicaid provisions. Ernst, elected in 2014, says has been part of an informal GOP health care working group’s discussions.
What Grassley and Ernst did not mention are divisions within the Republican caucus in the Senate.
House Republicans passed a measure May 4 axing major parts of the 2010 law, including hundreds of billions in extra Medicaid money that 31 states now receive for expanding to cover more lower-income Americans under the federal insurance program.
Such provisions, as well as the non-partisan Congressional Budget Office’s estimate that 23 million Americans would lose health insurance, make the House bill a non-starter with several Republican senators.
Erasing Obama’s health care law was a top promise of Donald Trump during his presidential campaign, and by congressional GOP candidates since its 2010 enactment.
But writing legislation that can pass with only Republican votes has proven agonizing.
House Speaker Paul Ryan, R-Wis., canceled a March vote after opposition from party conservatives and moderates would have sealed its defeat, and the two wings of the GOP spent weeks blaming each other for the bill’s demise.
Ernst says the Senate will be able to make individual changes to Obama’s law, if only a simple majority vote is required.
For instance, she mentioned changing mandatory health care benefits required by insurers as ripe for Senate action.
Ernst stopped short of saying whether any legislation passed in the Senate would be accepted by the House.
“We will be working with the House,” she said.