Sen. Dean Heller Is the First Moderate "No" on Trumpcare

Further complicating the issue for him is Nevada's Republican Governor, Brian Sandoval, an outspoken supporter of the Affordable Care Act's Medicaid expansion. Reversing course on some of the more popular provisions of the Affordable Care Act, it threatens to leave tens of millions of lower-income Americans without insurance and those with chronic or expensive medical conditions once again financially vulnerable.

Health care stocks pulled back Friday, but the sector was still on track to post a weekly gain of more than 3 percent.

Obama, in a statement late this week, said the plan would "raise costs, reduce coverage, roll back protections, and ruin Medicaid as we know it", citing the nonpartisan Congressional Budget Office, which found that 23 million Americans would lose insurance.

"There are lots of frustrated senators saying they didn't like the process of writing this bill, [but] none of them saying they would use their power to do anything about it", says Zwillich. The House bill called for $880 billion of cuts; the Senate version's are reported to be even greater. Politico reports the Senate bill also cuts Medicaid funding more significantly than the House bill.

For the House of Representatives' version of healthcare, Trump held regular meetings with representatives at the White House.

"We're concerned that it would lead to dramatic cuts in services or dramatic cuts in the number of beneficiaries who would rely on Medicaid", said Kristine Grow, a spokeswoman for AHIP.

In an interview with Fox News Channel, Trump was asked about the four conservatives opposing the bill.

"You have to protect Medicaid expansion states", Heller said.

"The uninsured person?" President Trump was asked.

"You know, healthcare is a very hard situation", Trump said.

Four GOP senators, however - Rand Paul, Ted Cruz, Mike Lee, and Ron Johnson - quickly announced they would not support the bill in its announced form, though they all remained open to negotiation.

The bill would provide less-generous tax credits to help people buy insurance and let states get waivers to ignore some coverage standards that "Obamacare" requires of insurers. Obviously that means his vote could change once the bill gets amended, but it might be slightly tricky considering his reason for opposing AHCA: Medicaid.

Sandoval said he would do "everything in my power" to make sure those people can maintain the quality of life they now have. Once promised as a top-to-bottom revamp of the health bill passed by the House last month, the Senate bill instead maintains its structure, with modest adjustments.

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