mcconnell trump paul ryan
President Donald Trump
with Senate Majority Leader Mitch McConnell and House Speaker
Paul Ryan.

Evan Vucci/AP

With negotiations having appeared to hit an impasse, President
Donald Trump used Twitter on Monday morning to try to put
pressure on Republican lawmakers to pass a healthcare bill.

“I cannot imagine that Congress would dare to leave Washington
without a beautiful new HealthCare bill fully approved and ready
to go!” Trump tweeted.

Senate Majority Leader Mitch McConnell is
facing opposition from both sides
of his conference over his
draft of the Better Care Reconciliation Act.

Conservative members, like Ted Cruz and Mike Lee, believe the
does not go far enough in its repeal of the Affordable Care
and are pushing for more regulatory rollbacks. Moderate
members, like Susan Collins and Dean Heller, believe the bill
goes too far with cuts to Medicaid and with other regulatory

Even members whom leadership traditionally relies on like Jerry
Moran and John Hoeven also
expressed doubts about the current form of the BCRA
over the
past week.

Over this disagreement looms the monthlong August recess, which
McConnell has declared is the unofficial deadline for getting the
BCRA passed. After that, McConnell warned, Republicans would have
to work with Democrats on a short-term stabilization bill for the
individual insurance market.

Because of the stalled out negotiations, 10 GOP senators sent a
letter asking McConnell to delay the start of the August recess
so Republicans could work on their agenda, including the BCRA.

The Trump administration also favors delaying the recess until a
bill is done, as evidenced by Trump’s tweet and by the White
House chief of staff, Reince Priebus, who told “Fox News Sunday”
that a bill needed to get done.

“Whether it’d be before August recess or during August recess,
the president expects the Senate to fulfill the promises it made
to the American people,” Priebus said.