Senate Majority Leader Mitch McConnell, who has been criticized for drafting the bill in secret with just a dozen Republican Senate colleagues, says the proposal - which he calls a discussion draft - will stabilize insurance markets, strengthen Medicaid and cut costs to consumers.
While they say they are "open to negotiation", the four could be a problem for McConnell and other Senate Republican leadership if they don't vote along party lines.
"I hope that our Senators, many of whom I know well, step back and measure what's really at stake and consider that the rationale for action, on healthcare or any other issue, must be something more than simply undoing something that Democrats did", he wrote. Even Republican support for the bill is retreating: 69 percent of Trump supporters said in May that they backed the GOP's plan.
"I agree with President Trump that the House bill needed more heart, and it seems that the Senate bill needs more soul", Manchin said. His promise to repeal and replace Obamacare while also touting "coverage for all" had a unique resonance. Cassidy said such a plan would be funded at $50-billion over five years. "There's still an opportunity to make this bill better", he said.
"I haven't read the text yet", he said. The Senate bill would postpone the draconian Medicaid cuts to 2021, a year later than the House. "They can lose two". Lawmakers were racing back to their offices to digest the new text.
"We want the process started now so that we can pass legislation to make sure that there are very specific parameters of how we manage this $200 million windfall", Mychajliw said.
"As we look at the expense of the bill we think in the first year or two it may cost more than Obamacare", he told capitol reporters.
Trump took an active role as the House of Representatives worked on its own health-care bill, holding regular meetings with representatives at the White House as it made its way through numerous committees.
"I promised people I was going to repeal it". This bill is the best possible bill under very hard circumstances.
McConnell said in the chamber that a fresh CBO score on the new bill was expected next week, and there will be "robust debate" on the floor.
Graham called the bill "a starting point".
"Guaranteed coverage for pre-existing conditions, including both mental and behavioral health services, and ability for children to remain on their parent's insurance plan until the age of 26 and the ban on lifetime caps should all be part of any proposal", said Deep.
The Senate bill would phase out extra money Obama's law provides to 31 states that agreed to expand coverage under the federal-state Medicaid program. He says the bill eliminates Obamacare's essential health benefits, which means insurance companies can offer different plans.