The defeat is the latest blow for President Donald Trump, who put repealing Obamacare at the centre of his election campaign, and underscores sharp divisions within the Republican Party over a replacement plan.
When the Senate voted on Tuesday evening on the Bill's initial amendment, it underscored how hard it would be for the chamber's divided Republicans to pass a sweeping replacement of former President Barrack Obama's law. Along with eliminating the two mandates, the skinny repeal would also seek to get rid of the tax that is placed on medical device manufacturers.
Republican Sens. John McCain of Arizona and Lindsey Graham of SC say they are still opposed to a minimal bill that would only repeal several provisions of former President Barack Obama's health law. After 7 years, this is your chance to shine!
The Congressional Budget Office has estimated that repealing Obamacare without replacing it would cost more than 30 million Americans their insurance coverage, and that was a key factor in driving away more Republican senators than Majority Leader Mitch McConnell could afford to lose in the closely-divided Senate. While he voted for opening the debated, he later decried the lack of bipartisanship in the Senate and urged his comrades to "trust each other again".
The Senate is expected to vote midday Wednesday on a bill that would repeal Obamacare, but delay its implementation for two years to give lawmakers time to come up with a replacement. "Now while it is a clean repeal bill, it is only a partial repeal bill".
Repealing the mandate would leave 15 million fewer people with health insurance over a decade than under the current law, according to a Congressional Budget Office review previous year.
"Senators have made clear that this is an effort to keep the process alive, not to make law", Ryan said.
After that, the biggest news came Tuesday night when senators defeated a Republican bill, on a vote of 43-57, to replace Obamacare.
McConnell will ask senators whether to begin debate on the healthcare bill passed in May by the House of Representatives. Lindsey Graham of SC said in a press conference Thursday with Sens. Chuck Grassley, R-Iowa.
Meanwhile, there are major budgetary issues and growing insurance gaps that are a effect of the badly misnamed Affordable Care Act that need to be dealt with in the short term.
Conservatives have aggressively pushed to unwind Obamacare's insurance regulations, but the Senate rules have proven hard to work around. It could simply pass the bill and send it to the president. "But to use it as a vehicle to continue negotiations is certainly welcomed".
The Senate plans to vote on the Health Care Freedom Act around midnight ET. And the CBO score for the skinny repeal shows that it would also leave millions of Americans without health insurance. But I'm very, very happy with the result.