Will. How are you feeling . I feel great. Do you have votes . Yes. Absolutely . Yes. Heres a look at some of the biggest changes. High risk pools return to cover people with preexisting conditions. The bill repeals obamacare subsidies and replaces them with refundable tax credits based on age and income. It drops the individual and employer mandates, overall medicare funding, and eliminates obamacare taxes on wealthy americans, insurers and others. Our chief Political Correspondent dana bash is up on president fill hli the latest is that Republican Leaders are quite a bit confident that they have the votes. What a difference from the last time we were here talking about what was happening, talking about the fact that they had excuse me for one second. Im going to talk back to you. We have some audio issues. Im going to talk back you to. Dana, stand by for a moment. This is a technical moment. Well get her microphone fixed. This is a critically important vote thats coming up presumably within the next hour. Two major things going on. The politics of it and the policy of it. In terms of the politics of it, there is a big concern that republicans are able to go back home during the next recess and have something to talk about to conservatives that they did. The first step in repealing and replacing obamacare in their view is something that theyll be able to do, especially after the Government Spending bill in which democrats got a lot of what they wanted and republicans got relatively very little. Then theres the policy of this. The truth of the matter is there are a lot of Senate Republicans right now who are very concerned about the process that this has gone. Very limited debate. No amendments. Not a lot of time to understand what exactly is in the bill. But the House Republicans sense that they will be able to have a victory. They will be able to pass this bill. Senate republicans are very concerned. They dont know whats in it and they dont know that theyre going to be able to support it. One of the most sensitive issues right now is normally before a big vote like this the Congressional Budget Office, nonpartisan, they layout what its going to cost the american public, how many people are going to be affected. They did that six weeks ago. There was no vote before the first vote that was supposed to take place and it caused a lot of anguish. You dont have to go back far and find all sorts of quotes, including now Vice President mike pence krit sidesicriticizi democrats for rushing the vote to the floor. At the same time theres absolutely no comparison when it comes to how much time was spent on the legislation. Its true that a lot of democrats probably did not know everything that was in that bill. But by the same token, that took ions compared to the time this is going to hit the house. Dana, update us on when we anticipate the actual roll call. We got our audio worked out here. The answer is probably within the next 15 minutes or so is when the roll call is going to begin. Were going to see just how much this confidence that were hearing from the Republican Leadership is going to bear out. But one of the key questions in addition to a lot of issues with regard to this major, major vote is going to be taken here is whats going to happen when they walk down the steps and get in their cars and go home and whether or not republicans are going to get applauded as they think they are going to do when they promised they were going to repeal obamacare or whether they are going to face a buzz saw that will get them back in the place that a lot of democrats were in after the obamacare vote, which is losing their seats. I want to bring in somebody whos in a bit of a swing district, a democrat, congressm congressman you were not here during the obamacare vote, but are in a purple district fair to say in new jersey. Do you feel that your c constituents are going to see this and say i really wish that you voted to repeal obamacare because theres so many problems with it. How are you going to go home and face your constituents . Its been very consistent for the last month and the phones are ringing off the hook. People dont want this. They dont like the way its done. Its really going to hurt my district. The numbers have come out. 4,000 new tax for families in new jersey. Peoples are worried theyre going to throw them out unfortunate nursing home. The incoming im getting when i talked to folks last weekend was pretty clear. Please stop this. Fix obamacare. Which i really want to do. But do it in a bipartisan way. Dont just let them jam something down us thats going to hurt us in new jersey. To be real here, theres no bipartisan way. Could you see yourself working with republicans to make some major changes to obamacare for real . Because from my understanding, is that the Democratic Base would go ballistic if you tried to do that. I talked throughout my campaign there are areas like the cadillac tax, the medical device, im not talking about throwing it out but make it better. You cant just show up and say here it is, now vote on t. You have to be part of the process. So knowing that is not going to happen, its not maybe not on this issue. The republicans are arguing over and over again that this whole obamacare idea isnt working. That you have states even in the last 24 hours like iowa where every insurance provider has pulled out of the state that is related to obamacare. Thats a fair criticism. There are people out there who are insured but cant afford it. Im focusing on my state because obviously thats where i represent in northern new jersey. When i hear is pretty consistent from the hospitals. I just talked to the ceo from the largest employer hospital. Everyone fears the same thing in new jersey. This is very bad for us. The medicaid dollars are going to shift a lot of costs over to the state and that means our tax dollars are going to go up. Thats how theyre looking at it from how it affects us. I cant talk about the other states. You know, you obviously came in knowing that the potential to dry to dismantle obamacare was going to be on the table. Did you have any inclination at all given where youre from and given the fact that its not exactly the most liberal place in the world, even though youre a democrat, to be more aggressive . Did you try to work with republicans to fix it . I did. I co chair some of the problem solverers caucus. We sit down with things like tax reform and infrastructure. On this issue from the beginning we were never really brought into the circle. I said to my colleagues on the other side please, there are a bunch of us who actually want to fix this if you do it the right way. Im hoping in the months ahead that theres a chance to make this better. Youre right that iss probably not very realistic but that doesnt mean we shouldnt keep trying. Back you to, wolf and jake. Dana, thanks very much. Well stand by for the roll call which is about to begin on the floor of the house. While we dont know how much this revised plan will cost, lets talk about what we do know about whats inside the bill. Tammy is a cnn writer who covers obamacare and health policy. Do we know what types of preexisting conditions would qualify someone for the pools. The pricey ones, cancers, heart disease, diabetes, but there are also conditions you might not think of. In maryland one state accepted a kid with acne. What would happen next for these people . Well, that remains to be seen. It will depend on whether they live in a state opts to wave these protections. That waiver is actually going to be pretty easy to get. So its really going to be up to the state because every state would run their own pool. Those that opted for the paver. But presumably they would probably try to apply for insurance. Theyd get denied. Then theyd be able to apply for for this high risk pool. Lets talk about the changes to essential benefits. Insurers must cover certain conditions. There is a provision that allows states to be well, states could opt out of covering the ten essential haelg Health Benefits, like substance abuse, Mental Health, maternity. These are very important benefits to a lot of people. They were benefits that were hard to get on the individual market before. But again, these raise premiums. Thats why the Freedom Caucus and other conservatives pushed to allow states to waive out of them if they wanted to. What about if you get Health Insurance through your employer . Could this provision affect those folks . It is possible that the employer policies will change. But remember that employers, particularly large employers, use benefits to a track and retain workers. So if they were to start offering skimpy plans, employees would start leaving and they may not want to do that. Yes, its possible that some employers, particularly smaller ones wont off a comprehensive set of benefits. Its possible people will have to pay more out of pocket or will find some of their benefits limited. Among larger employers are the ones who employ most americans, probably not too too much is going to change. Tammy, thanks very much. Republican leadership say they have the votes. Until lawmakers cast their vote, no one really knows whether they can actually reach that magic number which in this congress is 216. Here with us to discuss all of it is cnn chief National Correspondent john king, niamalika henderson and gloria borger. Nia, let me start with you and some tweets we saw this morning from senator Lindsey Graham. He tweeted you appreciate the a patient progress. I will admit im concerned with the progress. A bill finalized yesterday has not been scored, amendments not allowed, and three hours final debate should be viewed with caution. We should point out this isnt just Lindsey Graham shouting this from the sidelines. He is now going to be asked to vote on this. It is likely a bill dead on arrival on the senate. We heard that from different senators. Bob corker said the way the bill stands now, whats happening with the medicaid expansion. Theres some moderates, theres some conservatives there as well. But that is this sentiment about this rushed process is what im hearing from republican strategists as well. I was just texting with one. He said that he cant believe that theyre rushing this. Theres no scoring or anything and its going to do real harm. The harm he is thinking about is what theyre going to hear from democrats. These are basically Congress People who are putting their careers on the line the ads right themselves. If you say its a work in progress its going to change in the senate, you see what the ads are going to look like in their districts. John king, yesterday i was interviewing john portman and hes a senator from ohio. Hes just reelected so he doesnt have to worry about this for years and he was on the show to talk about opioid abuse. I was asking him about the fact that in the ehbs, which are the essential Health Benefits, if state no longer requires Insurance Companies to have them, that means drug treatment will no longer necessary be provided. Are you not concerned about the Health Care Bill . He said forget that. Im concerned about what theyre going to do with medicaid because medicaid is one of the main ways that people with dependency issues get treatment in my state. So republicans in the september are very aware of this and i dont accepts a ground swell of support, at least not right now. So. What happens now is lets assume the Republican Leadership check the votes and they send this bill to the senate. Senate portman is a serious policy guy. Senator corker was on another network saying were going to take our time. The essential benefit is a huge concern to senator portman and the mor moderates. Their conservatives, right of center, remember mitch mckon n only lose two or three if the Vice President is there in the toend break a tie. You have concerns about what ill call the more generous benefits that have become popular. Now youre saying theyre going to take something away. Hospitalization, maternity. There are a handful at least of republicans who say well, lets be careful about this. Then you have on the flip side the mike lees and rand paul and ted cruz who say we promised the American People a full repeal of obamacare. This is not that. This is not even close to a full repeal. So youre going to have the same dynamics at play in the senate where i think you have less of a political imperative to move fast. So the speaker of the house thought the president of the United States demanded they do this in the house now because he wanted a trophy. Heres the question, is it a participation trophy or do they get the final trophy . Thats obviously the big question. I would argue not to be too cynical about it that theyre trying to push this through because once they get the budget score, once they get the cbo analysis which says how many millions of people will be unsher unshu uninsured under this, we saw the last was 24 million over a number of years, and we have to see whether this actually adds to the deficit or doesnt. Because if it adds to the deficit, they have a problem bringing it up in the senate. Because its under a budget bill and it has to be deficit neutral. But one of the ways that health care that people feel health care, as they look at it after its passed and theyre going to read all these story bs ies abo and say how does it affect me and my family and if i have a preexisting condition, i have cancer, and the American Cancer Society has come out against this because my insurance is going to go down and im going to pay so much more out of pocket, this is how people are going to judge these things. Do i need Mental Health care . My state for example decides to opt out. Do i need coverage for my addiction that im trying to break and im covered under medicaid . Thats a big issue that its hard to kind of talk about now, sort of generally we say oh, well theres going to be a roll back of medicaid. Just wait. And Governor John Kasich also of ohio said he would not support this because he took the medicaid money under obamacare. This is a real problem for republicans. They have to get out there, explain, and then wait for people to feel this. Were watching this high drama being played out in the house of representatives right now. A longawaited vote on health care. The white house says its optimistic about the outcome. Is the president go b about to the major legislative victory hes been speaking of . Special coverage right after this. Ready or not, here i come. Anyone can dream. Making it a reality is the hard part. Northrop grumman command and control systems always let you see the complete picture. And were looking for a few dreamers to join us. Mud start your day with the number one choice of dentists. Philips sonicare removes significantly more plaque versus oralb 7000. Experience this amazing feel of clean. Innovation and you. Philips sonicare. Save now when you buy philips sonicare. Come close, come close. Fun in art class. Philips sonicare. I like that. [ music stops suddenly ] ah. When your pain reliever stops working, your whole day stops. Awww. Try this. For minor arthritis pain, only aleve can stop pain for up to 12 straight hours with just one pill. Thank you. Come on everybody. You cant quit, neither should your pain reliever. Stay all day strong with 12 hour aleve. Looking at the live pictures of the house floor where theyre getting ready to vote. They need 216 votes. Republicans can only afford 21 nos from their own members. No democrats will vote in favor of this legislation. Well bring the vote as soon as it happens. Joining us from capitol hill is Ohio Republican congressman. Thanks so much for joining us. My knowing is you are planning on voting for this legislation. The Congressional Budget Office estimated that in the last bill 24 million americans would no longer have Health Insurance. Some of them would opt out willingly. Others not. There has not been a Congressional Budget Office study or score of this latest bill. Why not wait until there is a score before there is an analysis and you have a better idea of what this bill might actually accomplish . Well, look, this bill has been debated two years ago. Now its been changed by a number of amendments. The amendments are the only things were talking about. The amendments actually make it a little better. In my mind they help those that are going to need the safety net which i think is important. So again, i think what we need to do is this is process, process, process. As ive said so many times, im a businessman. A businessman wants to see things move forward. We need to move this forward. We need to get it over to the senate. Well have plenty of time. This is not the final bill. This is the best we have today. Lets continue to work it and make it better. But as a businessman, dont you wait until you have a full analysis of what something will do . You say this bill has been debated before but this amendment is new. The upton amendment to that amendment is new. These are new provisions. We dont know exactly what the analysis will be or the effect will be on potentially millions of americans. I dont know. Help me understand, please. The rush to do this today. I know what the effect is if we do nothing. Again, i always compare this to this airplane cant continue to fly. The Affordable Care act is a problem. Ive got people back home that have coverage but cant afford it. They have coverage but cant afford deductibles. They are planing. We have to make a change. We have to fix the problem. This is the beginning of a starting point of making a difference and changing this. Ive been here now for six years. Weve talked about repeal, repair, repeal, replace. Were at a stage we need to do something. The American People cant keep waiting. One of the provisions they understand and, correct me if im wrong, but one of the provisions i understand you like is the one that allows states to opt out of different obamacare provisions. Such as for example whats called ehbs or essential Health Benefits that is a standard imposed by obamacare that all Insurance Companies have to provide ten Different Things including maternity care, drug treatment care, et cetera. You like that, right . You want ohio to be able to decide whether or not it wants to opt in or opt out of ehbs, essential Health Benefits. The one size fitz all mentality doesnt work. This is a waiver. When they ask for a waiver, they have to meet a whole bunch of requirements and they have to make sure theres a safety net or a pool available. Again, do i like getting the government closer to the people . Absolutely. I believe as close as you get to the people, the better the product is. Thats why i believe its griea to allow governors the ability to waiver. It doesnt mean theyre going to take the waiver and they still have to go through a long process of getting the waiver and they have to meet certain requirements. Do i like it . Yes. I like anytime they get flexibility for governors to make a difference for the people they serve. Do you want ohio to seek a waiver so Insurance Companies in your state are no longer required to provide essential Health Benefits . What i want to do is make sure the government we cant continue under this basis either. Im on the budget committee. The budget numbers dont look very bright for the future. The best way of doing this is get it back in the states hands. And dow want ohio to opt out of the ehb requirement . I would meet with the insurance industry. Make sure where were at with this. I believe that as a governor im going to make sure that the safety net is taken care of. That were going to make sure the preexisting conditions are still taken care of. That doesnt mean when you opt out you eliminate some of this stuff. At the same time i want to bring costs down and work toward getting costs done. Im in a pretty interesting position because im also running for governor. I know. Thats why im surprised you havent said if ohio should opt out of ehb. It seems like you want this option. I think states should be able to do this. What will you do as governor . Well, i think what i would do is im not governor today. I have to look at those options and positions. I want to make sure people are covered. Im going to look and decide whether its best to waiver. Im concerned that the way to get a waiver is very difficult. I dont know if ohio will even be able to qualify to get it done. But i would look at it and again, more that i can take back in ohio and the more i can get away from the federal government, the more im going to do to do. The closer we can get government to the people the better off were going to be. Do you want ohio to opt out of the requirement that all individuals in ohio with preexisting conditions have to be allowed to get insurance . That Insurance Companies cannot discriminate against them . Or do you want them to be able to opt out of that . Thats not the the waiver is not that. The waiver is an opportunity for states to look at costs and to better take care of the citizens of their state. If a governor decides to do that, that does not mean people lose their preexisting condition. What that means is the governor has to make sure the people have continuous coverage and at the same time design a program and make sure that the people are taken care skof and protected. We can continue to run down this path. The federal government cannot continue to spend the money theyre spending. States will have to do this anyway. We need to take a look at the options. So you think that the option should be there but youre not willing to say one way or another even though youre running for governor that you want to pursue any of those options . As a governor i would want to take as much back to the state as i can so im telling you i would want to pursue the best interests of the people of the stay ohio. What i think i would do is try to get as much as i can back to the state. Look at the options, making sure were taking care of people in ohio and they arent losing coverage and preexisting conditions are being met. If i can do that inside the Waiver Program and still make sure i have a better product, you bet im going to do it. All right, congressman. Thank you so much. Appreciate your time, sir. Thank you. Coming up, moment of truth. Were showing you live pictures of capital hill. Just a matter of minutes the house will vote on a republican plan to repeal and replace obamacare. Will it be a major shot in the arm for the president and his party . At whole foods market, we believe in food thats naturally beautiful and fresh. Delicious and powerful, and full of nutrients. So there are no artificial colors. No artificial flavors. No artificial preservatives. And no artificial sweeteners. In any of the food we sell. We believe that the food we eat connects us to the Natural World and to each other. We believe in real food™. Whole foods market. I have agerelated maculare degeneration, amd, he told me to look at this grid every day. And we came up with a plan to help reduce my risk of progression, including Preservision Areds 2. My doctor said Preservision Areds 2 has the exact nutrient formula the National Eye Institute recommends to help reduce the risk of progression of moderate to advanced amd after 15 years of clinical studies. Preservision areds 2. Because my eyes are everything. Remember when you said men are supeyeah. Ivers . Yeah, then howd i get this. Allstate safe driving bonus check . Only allstate sends you a bonus check for every six months youre accident free. Silence. Its good to be in, good hands. Is to always keep track of your employees. R micromanage them. Make sure theyre producing. Woo employee of the month you really shouldnt leave their side. Vita coco coconut water, hydration comes naturally. Were on the move. Hey rick, all good . Oh yeah, were good. Were good. Terminix. Defenders of home. House Democratic Leader Nancy Pelosi is speaking live on the floor of the house. Lets listen in. Tens of millions of work families across america. Trumpcare very clearly spotlights the dfrifferences. It is step forward in the longstanding republican belief that medicare should wigt if you believe in the health and wellbeing of the American People, you must reject this bill before us now. It is what here se what it means to the American People. Much has been said about policy here today and over time. Much has been said about politics. What are the politics of this. Whats really important is what this means to the American People. And they know. They are listening. They know what it means to them. And it means, trumpcare does, it forces families to pay higher premiums and deductibles increasing out of pocket costs. Higher costs. Less coverage. Trumpcare will take away health care from more than 24 million hardworking americans, a crushing age tax. Trumpcare forces americans age 50 to 64 to pay premiums five times higher than what others pay for health coverage. No matter how healthy they are. Steals from medicare. Steals from medicare. Trumpcare shortens the life of Medicare Trust fund and funds that seniors depend on to get longterm care they need. Thats why its consistent with weather wither on the vine fills on see. And if that were not bad enough and they couldnt pass their bill because it was that bad, they move further away from the American People. By gutting key protections. Trumpcare trumpcare eviscerates maternity care, prenatal care and guts protections for americans with preexisting medical conditions. As bad as trumpcare was the first time around, it was dead, it died right here on the floor, now its come back to lifelike a zombie even more scary than before. And it is even worse. If republicans have their way, americans with preexisting conditions will be pushed off their insurance and segregated into high risk pools where they will face soaring costs, worse coverage and restricted care. Trumpcare means huge, huge premium increases. Its frightening future for families who need affordable, Dependable Care the most. Now on the floor the republicans have recklessly and some would say fraudulently say that trumpcare covers americans with preexisting conditions. It does not. It does not. As they said about the upton amendment, the 8 billion is a pittance. As the kizer Family Foundation said it would cover the cost of 1 of the individual market. Others have given it to 5 . 1 to 5 . Does that mean covering . No. Forcing a vote without a cbo score shows that the republicans are afraid of the facts. Theyre afraid of learning the full consequences of their plans of forcing americans with preexisting conditions into the cold or as my colleague in new york said off the sidewalk. If republicans thought they were really protecting people, they wouldnt be afraid of the facts. But theyre also afraid of the truth. And the truth that would come forth if we knew the facts. And theyre afraid that the American People will find out that this is not a Health Care Bill. This is a tax bill disguised as a health bill. This is a bill that is the biggest one of the biggest transfers of wealth from the middle class to the richest people and corporations in america. Its a tax bill, not a Health Care Bill. Thats why they have to do it now so they can get on with their tax bill. The suffers trumpcare will inflict on the sick is all too clear. That is why this disastrous bill has been condemned by the american medical association, the American Cancer Society, American Diabetes society, american dieabetes american lun association, the cystic aarp, the march of dimes, the list goes on and on. On and on. The American Cancer Society. Instead of reading all of these pages, i will submit them without objection for the record. Thank you, mr. Speaker. Under trumpcare families senior, Vulnerable Children with disabilities, people struggling on overcome addiction and the sick will lose their health care. Rural hospitals will close. Nearly 2 million jobs will be destroyed across america. 7 million veterans will lose access to tax credits for health care and all of this to give a massive tax cut to the richest in america. Trumpcare is a billionaires tax cut again disguised as a Health Care Bill. Its robin hood in reverse. Today we have the we honor of visions of our founders who risked everything. Theyve risked everything. Their lives, their liberty, t r their sacred honor to advance their life to life, liberty and the pursuit of happiness. A healthier life, the freedom to pursue your happiness. The freedom from being job locked or policy locked because of what the republicans want to do today. Today we fight to preserve Affordable Health care as the right of every american, again, not the privileged few. Today we fight for children like zoe madison lin. Zoe was born with a congenital heart tesdefect in may of 2010. She faced her first of three heart surgeries at 15 hours. By six months old zoe was halfway to her lifetime limit her insurer had placed on her. She faced a grim future not only using up her lifetime limit by preschool, by preschool, but by carrying a preexisting condition that will require attention and care for the rest of her life. Under the Affordable Care act, zoe is protected but President Trump care puts her future in danger. I wish that our members who vote for this bill have better i hope you make time to sit down with the parents of a newborn or with a heart condition or a young woman who just learned she