It's Not Over Yet...

With stunning speed on Monday night, the GOP's plans to both repeal and replace the ACA, followed by a Hail Mary Pass to simply repeal it, both quickly died in the face of opposition from key Senators with only the slimmest of 3 votes to spare.

First, the votes weren't there to either debate or pass the BCRA. Senators Susan Collins of Maine and Rand Paul of Kentucky were the first to oppose the bill and then late Monday night two more Senators, Mike Lee of Utah and Jerry Moran of Kansas, withdrew their support

Senate Majority Leader Mitch McConnell quickly moved to get a full repeal bill in place, but that idea was dismissed by Senators Susan Collins (R-ME), Shelley Moore Capito (R-WV), and Lisa Murkowski (R-AK), who declared that they would vote "no" on a motion to proceed on any bill that did not provide a replacement. 

The New York Times examines the failure of the bill, the ongoing divisions within the party, and a President who simply isn't engaged.

    What will happen next? After meeting with President Trump this afternoon at a luncheon at the White House, Majority Leader McConnell insists they are going forward with a procedural motion early next week to vote on moving the full repeal bill forward.

    Where do we go from here? It's anyone's guess, but it's likely that the Congressional GOPs will continue to try and attack Medicaid and other ACA programs through tax and spending cuts, and it's unclear whether they will attempt to shore up the markets and subsidies needed to keep the ACA going. President Trump has publicly washed his hands of it for now, but an Op-Ed in today's Baltimore Sun suggests a way forward.

    We'll do our best to keep you informed, and more importantly, make you aware of how these decisions will impact the state of Maryland.