WASHINGTON: President-elect Donald Trump pushed Congress on Tuesday to act swiftly to repeal President Barack Obama’s health care law and follow up with a replacement. Speaker Paul Ryan, after talking with Trump, announced that the House would aim to take both steps “concurrently.”
The push for speed and coordination came as growing numbers of Republicans expressed concerns about the GOP leadership’s plans to repeal the Affordable Care Act without a replacement in hand, potentially leaving the 20 million people who gained coverage under the law in limbo.
“We have to get to business. Obamacare has been a catastrophic event,” Trump said in an interview with the New York Times.
“Long to me would be weeks,” he added of the gap between repealing and replacing the law. “It won’t be repeal and then two years later go in with another plan.”
Yet that’s exactly the scenario that had been envisioned by GOP leaders who have described a transition period of months or years between repealing the enormously complex law and replacing it with something else.
Trump seemed confused about that schedule, telling the Times that the repeal should be “probably sometime next week,” and “the replace will be very quickly or simultaneously, very shortly thereafter.”
Despite his imprecision, Trump was clear that he put an imperative on speed for both repealing and replacing the law, a message certain to be received loud and clear by congressional Republicans, some of whom had been urging the president-elect to make his views on the matter better known.
Facing growing demands for speed, Ryan on Tuesday morning described a new approach.
“It is our goal to bring it all together concurrently,” Ryan said. “We’re going to use every tool at our disposal, through legislation, through regulation, to bring replace concurrent along with repeal, so that we can save people from this mess.”
That may be easier said than done. Under arcane budget rules in the Senate, Republicans will likely use their majority to push a repeal through, but they would need Democrats’ help to write a replacement bill. Ryan indicated Tuesday the GOP would try to get around that obstacle by fast-tracking some elements of the replacement bill.
Amid the political maelstrom, the administration said Tuesday that 11.5 million enrolled in the ACA through Dec. 24, ahead of last year’s pace.