Hoosier lawmakers celebrate, mourn approval of GOP health plan

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The American Health Care Act calls for providing refundable tax credits based on a person's age and income, CNN reported.

Normally, that would spell failure. This late addition, aimed at winning over votes, is on top of $130 billion over a decade in the bill for states to help people afford coverage.

Republicans have promised to repeal Obamacare since the day it was passed with only Democrats voting for it and have been campaigning on that promise ever since.

The 217-213 vote on Thursday marked Trump's first legislative victory as he failed to get any major legislation passed by Congress during his first 100 days in the White House. "Our healthcare plan will lower premiums & deductibles - and be great healthcare!", he said in a tweet as the debate wound up ahead of the vote. "It's a shallow political statement". But NPR's Alison Kodjak reported that "an analysis released Thursday by consulting firm Avalere Health concludes that that amount would be inadequate for providing full health coverage for the number of people who now buy insurance in the individual market and have medical problems".

Even if businesses could impose benefit caps and eliminate out-of-pocket maximums, that does not mean they would, said Steve Wojcik, vice president at the National Business Group on Health, a group that represents about 400 big businesses.

How swiftly that GOP work gets underway is not clear; it would probably be a big achievement to get a health care bill ready for Senate floor consideration by July. Alexander Bolton of "The Hill" reported Thursday that Republican senators say they don't see a way to get healthcare reform over the finish line.

"Although it's the first of potentially many explosive votes, House Republicans' willingness to spend political capital on a proposal that garnered the support of just 17 percent of the public in a March Quinnipiac poll is consistent with past scenarios that have generated a midterm wave", Wasserman said. One of those no votes, Florida Rep. Ileana Ros-Lehtinen, announced earlier this week she wasn't seeking re-election, so that's one open race Democrats are feeling hopeful about.

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Reuters reports that unlike House lawmakers, senators will be waiting for health care legislation to be scored by the Congressional Budget Office before they vote on it.

For Democrats, it's a pronounced turn of events since Obamacare passed in 2010.

But that bill has undergone several revisions to satisfy both the conservative and moderate wings of the Republican party. He has spoken more about blasting Obamacare than selling his own legislation, barely bringing up the new plan at a rally last Saturday night, and only at the very end of his speech.

The Bill aims to replace large parts of the ACA as well as reduce the expansion of new insured under the country's Medicaid programme.

Hutchinson explained that "we need to look at the per capita cost to make sure sufficient money is there to cover the program's needs", referring to changes in the House bill that would give states the option to receive per-capita or block-granted Medicaid funds.

The House, with a Republican majority, managed to pass the American Health Care Act, though not all Republicans voted in favor of the measure.

Democrats and other opposing voices say it will leave millions uninsured, with some predicting the bill will founder or have to be rewritten in the Senate for that reason. "People won't feel this - good or bad - until well after the election".