tv CNN Newsroom With Brooke Baldwin CNN May 4, 2017 12:00pm-1:01pm PDT
hello i'm wolf blitzer. a white house celebration over what just happened in the house of representatives. republicans took a very important step in living up to their party's biggest promise, the one they repeat for seven years. the one they failed today pasds six weeks ago. we're talking about the plan to repeal and replace obamacare. an initial step, the house of representatives passing a new version of what's called the american healthcare act hr 1628. >> the ayes are 217. nays 213. the motion is passed. >> the vote went along party lines, but for the most part, but 20 republicans did vote against the plan. let's go to our chief particular
correspondent dana bash on capitol hill. jim acosta is standing by at the white house. republican congressmen and women. they passed the obamacare replacement plan. do we know when the senate will start to take up this bill? >> reporter: there already is a working group, we have great story about this on cnn.com. that the republican -- >> hold on, one second. we need your microphone. i don't know if you have it there. i'm going to give you oo second -- >> reporter: got it now. can you hear me now? >> start again. >> reporter: we got a lot going on here. we keep switching microphones. as long as you can hear me now, that's good. the house and the senate there's a working group already. and that working group, according to reports is among sort of across the spectrum of republicans. talking about the way that they
can begin to work out a plan. and the plan is not expected to look a whole lot like what happened in the house. i'm told, in fact, mark meadows who is a conservative, one of the freedom caucus members who helped break the log jam. he said he's talking to members of the senate. don't expect the movement in the senate to take -- to be warp speed. not even close. it's the nature of the senate to move slower. back 40 plus days ago, wolf, when the house thought that they were going to do this the first time around, they had a very different strategy. they thought they were going to pass something in the house, sends it over to the senate, jam it through, send it to the white house and it would be done. that's old news. it's not going to happen right now. so it's going to be a while before they can figure it out. because the bottom line is that the same problems they had with some of those moderates that you pointed out that didn't even vote yes today, you have those
problems with republican senators like susan collins of maine, who are saying there is no way that they would support doing away even after two years with the medicare expansion. all the money that's going to many states to help pay for health insurance for people who need it. that's one example of many of the problems they're going to have in the senate. now, don't rule it out. the senate majority leader mitch mcconnell has done hard before and threaded the needle before. i just want to -- before i toss back to you. i want you to listen to what the house majority leader kevin mccarthy said to me after the vote that gives you a sense of how they'll be messaging this back home in the house. >> what this does do, though, for all those people who are losing their healthcare because insurance is pulling out, like iowa, virginia, tennessee, and others, one third of the country has one choice.
that's a monopoly. we're going to provide greater choice, greater options, provide them with a tax credit to actually select instead of government telling them what they can and cannot have. >> reporter: are you confident the senate is going to pass something so that your members didn't just take a vote that will be in vain? >> i'm confident we made a vote to make sure we lower premiums, give people greater choice and stop the death spiral that's going forward. those aren't my words, those are the healthcare providers across the country because of obamacare. >> reporter: at the end of the day a republican source put it this way to me -- at the end of the day it's a question of insurance coverage, which democrats are demanding and put in the obamacare bill and costs. and that at the end of the day republicans can genuinely bring costs of coverage and cost of medical care down, then that's the name of the game. big question. >> quickly, dana, will the legislation that will come for a vote up in the senate and there
will be major changes, we know that. but whatever legislation does emerge, will it require a simple majority of 51 senators or will it require a super majority of 60? >> in the short term, this particular bill, it's 51. there are other parts of obamacare that in order to be repealed, like the essential health benefits, that will need 60 votes. that's the short and dirty way to explain that. >> it's critically important because there are 52 republicans, 48 democrats in the senate. stand by, dana. jim acosta is over at the white house. we see a lot of folks gathering in the rose garden already. the president later this hour expected less than a half an hour or so, he'll be walking down those stairs. set the scene for us. >> reporter: that's right. you can see they're making preparations right now for the victory lap that president trump and house republicans are going to be taking here in the rose garden. over my shoulder you can see
members of the house republican caucus are making their way to stand behind the podium there. stand behind the president as he declared victory after the house passed the repeal and replace law to take out obamacare. we can tell you in the last several minutes, we also spotted the house speaker paul ryan, making his way into the oval office. our camera is positioned so you can see into the oval office there. for a few moments you can see the house speaker shaking hands with top officials at the white house. he was shaking hands with steve bannon. obvious after seven long years of chasing this quest, that they feel very good that this is actually happened. of course, they're going to be big questions for the president. we'll see if he comes out here and takes any questions or if he wants to make his statement and head up to new york city. one of the big questions that will be asked is about preexisting conditions. that's been a big subject of debate heading into the vote. we heard how the white house is going to plan on talking about
all of this over the coming days. the congressional budget office is planning on releasing a score on this house republican bill over the next couple of weeks. it's expected to show in that score that perhaps millions of americans will be losing their health insurance as a result of this legislation. and what you heard from a white house spokeswoman today, sarah huckabee sanders was talking to reporters earlier today in an off camera briefing. said it's impossible to score this bill because it is unclear as to how many governors are going to be seeking waivers when it comes to that provision, protecting americans with preexisting conditions and how many individuals in those individual states will be affected. the white house trying to set the debate a little bit, offer a rebuttal to some extent as to that very big question. but going back to the campaign, wolf, being out on the campaign trail with president trump
throughout the entire election cycle, this is along with building a wall on the u.s./mexico border this is without question his biggest campaign promise. they are clearing one major hurdle in getting this through the house today. still has to go through the the senate. when you talk to officials, you understand that's going to be part of the process. heading into the vote, they weren't making assurances to house republicans, by the way when your bill gets to the senate it's not going to undergo major changes. it will. the question of course becomes when it comes back to the house after it undergoes the changes can they get this to the president's desk. it's a lung, long way to go. that's why you herd democratic strategists celebrating. i think they're popping champagne bottles on the democratic side. >> they see political opportunities. we'll have live coverage once the president goes from the oval office, walks down those stairs
into the rose garden and makes his statement. brooke baldwin is with us, brook, you know, a big win for the republicans and the house of representatives today. don't want to take anything away from that. but there's still a long, long way to go before this legislation or anything along the lines of repealing and replacing obamacare becomes the law of the land. >> let's dig into -- put politics aside for a second and dig into more of the policy and the biggest differences here on this republican bill versus the affordable care act. i have a "cnn money" senior writer with me. jeff zelany who thought he'd be covering the president meet ing with the australian pm and here we have the victory lap at the white house. tammy, on your piece, the biggest changes, everyone's talking about preexisting conditions. spell it out for our viewers, how this would be so def.
>> if this passes in the senate as it does in the house. it may change a lot. if it doesn't, you're going to see less generous subsidies for lower income people. you'll see major changes to medicaid. you're going to have lower income adults will be kicked out of the program eventually. and you're going to see a lot less federal support for medica medicaid. you'll see older enrollees paying more which is why the aarp is upset about it. if you let your coverage lapse you're probably going to be examined for preexisting conditions. obamacare had protection for people with preexisting conditions. but if you let your coverage lapse you may not have that coverage. >> the older population, or, you know, more working class, those were trump voters. >> no doubt. some of his core constituencies will be most impacted by the changes in the healthcare law from obamacare to now this
american healthcare act. again if this becomes the law of the land. we're not there yet. but that is one of the arguments that a lot of democrats have been making to republicans, reminding them over and over again. you hear this is getting to his core constituencies. now, they will make the argument that obamacare was collapsing under its own weight and that in these core constituencies they, too, were fighting higher premiums and lack of access because insurers were leaving the marketplace. they say this fixes those problems for everyone. >> okay. quickly, jeff, how much credit does the president deserve? >> it's his first legislative win. i think he deserved a good bit. sometimes he was not as helpful as other times. sometimes he gummed up the works, he did know the specifics of the bill. going forward i think the question is, can he bring outside groups who are opposed to this still, can he bring them on board. we'll see. >> you know, wolf, the president
is planning still on coming to new york, he hasn't been back home since 107 days i believe is the time pframe. a great curveball thrown in his w way. >> he lobbied undecided or critical republican lawmakers. he got the win 217-213. it was close. 20 republicans went against the legislation. no democrats supported it. it's a win in the house of representatives. julie pace is the chief white house country for the associated press. cnn inside politics contributor. julie, we understand the president was watching the vote come in with some of his top aides in the oval office? >> which isn't a huge surprise, considering this president is frequently watching television. so this time he was watching something actually pass, which is a change for him. but, you know, for this president, this is kind of a reversal.
after the first healthcare bill never even made it on to the floor, he was willing to walk away. he said he wanted to move on to tax reform. i think what you saw happen is it really sunk in for him and for other republican leaders this is something they promised. and the impact of having full control in washington and not being able to pass an obamacare repeal, at least out of the house, could have been potentially devastating for them. >> was there any real fear based on everything you heard over there that this could go down to defeat? >> you saw more optimism from the white house this week than last week as they started to feel like they were getting more votes though. i think that they and republican leaders on the hill weren't going to be celebrating until they actually got every single vote counted on the floor. but when the upton amendment, which added $8 billion more to this fund for people with preexisting conditions, when that came forward and it seemed
like they were able to get a couple more lawmakers on board through that provision, that's when i started to sense some more real confidence from the white house. >> had i want you to stand by, you know, gloria, i'm going to be really anxious to see the tone the president sets in his remarks in the next few minutes. >> right. because this is not -- this is halftime. this is, you know, not a full on victory for him. although as jeff pointed out it's his first, you know, legislative win. >> major legislative win. >> and the question is, also the people around him. nancy pelosi said that this win is going to be tattooed on their foreheads. now they're going to be a picture of everybody. i guarantee you that the congressional campaign committee is going to be looking to see at each person who was here standing next to the president on this. and if we just take a step back for a moment and think about guys, what happened here today. this is one sixth of the
economy. this was conduct would no hea hearings and without a legislative text for people to read. when you think about that, that's kind of stunning. and there's going to be detail fleshed out by the time this goes to the senate about what the effects of medicaid would be in the states, if states block grants. what effect that would be. what would happen to small businesses if you get rid of the employer mandate. how will that affect people who are currently forced -- their companies now have to pay for their insurance. how would it affect people with preexisting conditions who have a lapse in their policies? there's one estimate i looked at today that said about 5 million people with preexisting conditions would be affected. we're going to need to look at all of this because we haven't really done it yet. >> the speaker, paul ryan is
there, republican lawmakers have gathered on the steps of the rose garden to congratulate the president big win for the president, big win for the speaker, big win for the republicans in the house of representatives. he's there with the republican leadership and many republican members who came over. this is the president momentarily we're told will walk out of the oval office into the rose garden. >> he wanted to make this a moment and make it a television moment. we've had sports teams come to the white house. and stand behind the president. in some ways this is a similar picture, all the republicans there behind this president. they couldn't get it done weeks ago and now they can. >> the president is now being introduced. you see the speaker, see the majority leader kevin mccarthy, the president has now been formally introduced. let's listen in as he gets this round of applause. [ applause ]
the first family, welcome to the white house. [ applause ] and thanks to the leadership of president donald trump, welcome to the beginning of the end of obamacare. [ applause ] it was march 2010, seven years ago, democrats passed a government takeover of healthcare. at that time, republicans in congress promised the american people that law would not stand. today, thanks to the perseverance, the determination, and the leadership of president donald trump and all the support of those gathered here we've taken a historic first step to repeal and replace obamacare and finally give the american people the kind of healthcare they deserve. [ applause ]
so today with heart felt gratitude for all he's done to keep his word to the american people and for all he will do to continue to make america great again, it's my high honor and distinct privilege to introduce to you the president of the united states of america, president donald trump. [ applause ] >> thank you. thank you. thank you, mike. [ applause ] thank you.
thank you very much. this really is the group, what a great group of people. and they're not even doing it for the party, they're doing it for this country. because we suffered with obamacare. went through two years of campaigning, and i'm telling you, no matter where i went, people were suffering so badly with the ravages of obamacare. and i will say this, that as far as i'm concerned, your premiums, they're going to start to come down. we're going to get this passed through the senate, i feel so confident. your deductibles, when it comes to deductibles, they were so ridiculous that nobody got to use their current plan. nonexistent plan i heard so many wonderful things about over the last three or four days after that. i mean, i don't think you're going to hear so much right now, the insurance companies are fleeing. it's been a catastrophe. and this is a great plan. i actually think it will get even better.
and this is make no mistake, this is a repeal and a replace of obamacare. make no mistake about it. make no mistake. [ applause ] i think most importantly, yes, premiums will be coming down. yes, deductibles will be coming down. but very importantly, it's a great plan. and ultimately that's what it's all about. we knew that wasn't going to work. i predicted it a long time ago. i said it's failing. and now it's obvious that it's failing. it's dead, it's essentially dead. if we don't pay lots of ransom money over to the insurance companies, it would die immediately. what we have is something very, very incredibly well-crafted. tell you what, there is a lot of talent standing behind me. an unbelievable amount of talent. that i can tell you. [ applause ] you know coming from a different
world and only be a politician for a short period of time, how am i doing? am i doing okay? i'm president. hey, i'm president. can you believe it? right? i don't know. i thought you needed a little bit more time they always told me. more time. but we didn't. we have an amazing group of people standing behind me. they worked so hard. they worked so long. and what i said, let's do this, let's go out, short little shots for each one of us and let's say how good this plan is. we don't have to talk about this unbelievable victory, wasn't it unbelievable? we don't have to say it again. but it's going to be an unbelievable victory when we get it through the senate and there's so much spirit there. but i said let's go out, we have a little list of some of the people, and i think after that list goes, if they don't talk too long, our first list, we're going to let some of the other folks come up and say whatever you want. but we want to brag about the plan. because this plan, really --
uh-oh. well, we may. we're going to talk a little bit about the plan, how great it is. some of the great features, i want to thank paul ryan. he's worked so hard. [ applause ] i was joking, i said, you know, paul for the last week i've been hearing paul ryan duntd haoesn'. today i heard paul ryan's a genius. right? you know, the groups have all come together. the tuesday group. we have the freedom caucus, we have -- they're all great people. we have a lot of groups. but they all came together, really, paul, i'd say in the last three four days, i see mark and kevin, i see so many people. jim. we just have developed a bond.
this has really brought the republican party together. as much as we've come up with a really incredible healthcare plan, this has brought the republican party together. we're going to get this finished and then we're going as you know, we put our tax plan in. it's a massive tax cut. the biggest tax cut in the history of our country. i used to say the biggest since ronald reagan. now it's bigger than that. also, pure tax reform. so we're going to get that done next. and this really helps it. a lot of people said how come you kept pushing healthcare knowing how tough it is. don't forget, obamacare took 17 months. hillary clinton tried so hard, really valiantly in all fairness, to get healthcare through, didn't happen. we've really been doing this for eight weeks, if you think about it. and this is a real plan. this is a great plan. we had no support from the other party. so i just want to introduce
somebody to say a few words who really has been i think treaty very unfairly, but it no longer matters because we won and we're going to finish it off and we're going to go on to a lot of other things. we are going to have a tremendous four years and maybe even more importantly, we're going to have a tremendous eight years, but we're going to start off with just a great first year. and paul ryan, come up and say a few words, congratulations on a job well done. [ applause ] >> thank you, guys. thank you. first, thank you, mr. president. thank you. thank you for your leadership. there are too many people to name who played such an important role in helping us get to this point.
but i want to thank a few people in particular. i want to thank chairman greg walden, kevin brady, pete session and the members of their committees for all the hard work they put in to getting us to this point. i want to thank all the other members who contributed to making this the best bill possible. it really was a collaborative consensus driven effort. i also want to thank the team here at the white house. i want to thank tom price. i want to thank mick mulvaney and reince priebus. you guys are the best. of course, this would not have been possible if it weren't for these two gentlemen behind me. this is the fourth presidency i've served with. i've never seen any engagement like this. i want to thank mike pence and
president donald trump in their personal involvement in working with our members to getting this done and getting this to where we are. thank you, gentlemen. [ applause ] # today was a big day but it's one step in this process. an important step. we still have a lot of work to do to get this signed into law. and i know that our friends over in the senate are eager to get to work. they are. we're going to see that work through. you know why we're going to see this work through? the issues are too important. the stakes are just too high. the problems facing american families are real. and the problems facing american families as a result of obamacare are just too dire and too urgent. just this week, just this week, we learned of another state, iowa, where the last remaining healthcare plan is pulling out of 94 of their 99 counties. leaving most of their citizens with no plans on the obamacare
market at all. what kind of protection is obamacare if there are no plans to choose from? and this is a trend we're seeing all across the country. the truth is, this law has failed and it is collapsing. premiums are sky rocketing and choices are disappearing. it's only getting worse, spiraling out of control. and that is why we have to repeal this law and put in place a real vibrant marketplace with competition and lower premiums for families. that's what the american healthcare act is all about. it makes healthcare more affordable. it takes care of our most vulnerable and shifts power from washington back to the states and most importantly back to you, the patient. like i said, we've got a lot of work to do. but one thing is now clear, republicans are committed to keeping our promise. to lift the burden of obamacare from the american people, and put in place a better more
patient centered system. it is my pleasure at this time to thank and to welcome to the stage someone who helped make this so possible, our very talented majority leader, kevin mccarthy. [ applause ] >> i remember the very first time i came down here to see the new president. president trump. we talked about healthcare. you know what the president said? he said let's not make this partisan. don't do what you think is right for the republican party. do what's right for the american country. today that's exactly what we did. you see, if you simply read the papers from this week, you take politics out of it, and you put people before politics, how do you look in the faces of 94 counties in iowa out of 99? not that they won't have very many choices, they'll have no
choice. how do you care for preexisting conditions when there's no care at all? or you read the paper yesterday and you look at etna pulling out of virginia. or tennessee next year with 16 counties with no care. what about those families that paid into those 23 co-ops that obamacare vaetcreated. 18 have collapses and the only answer the government gives them is a penalty. if you simply look at the facts, more people took the penalty or the exemption than actually signed up for obamacare. i did not run to this office to promote a party. i ran for this office to make this country better. yeah, it would be easy to say no. it would be easy to watch it collapse. but i can't look at those
families. i don't think that's right. and that's the exact message i got from this administration. mr. president, i want to thank you. i want to thank you for your leadership. i want to thank the vice president. you know, i've only been through a few presidents but i've never seen someone so hands on. i walked into my office yesterday morning and they said the president's calling again y. pick up the phone, i happen to be the majority leader, the former whip. i know my members well. the president gives me a list of who he thinks i would be best to talk to on the list. and he was right. mr. president, they all voted for the bill. [ applause ] today is a start. today is the start of a new
beginning. yes, it's about providing better healthcare. but with i happen to have been a small business owner. i listened to my district. do you know how many families no longer have a 40 hour job and have to take two part-time jobs? or how many small businesses told me that they couldn't expand anymore because they were afraid of what obamacare would do for them. we are going to unshackle, build an economy, let people have greater choice in their healthcare and protect preexisting conditions. i thank you for that work. i want to call up -- i was this job before being a majority whip. i never had to go through a bill like this. and i will tell you, being the whip, really isn't one person. the deputy whip should get a lot of credit as well. [ applause ] patrick mchenry. steve scalise never gave up. answered every question.
and the team between scalise and mchenry i would take. >> today we took the first step toward rescuing families from the failures of obamacare. we've been seeing it play out all across the country. this isn't a hypothetical discussion. you see families struggling in every part of our country. i have families all the time in my district in southeast louisiana sharing with me stories of double digit premium increases every single year. when we had the 27 and a half mark up, the longest in the history of congress, to pass this bill out of committee, we had a long and important discussion about healthcare policy in america and this isn't about achieving come kind of political goal. it's about families. families who are struggling under the weight of this law
that doesn't work. and so i reached out to my own constituents and said share with me some of the stories and how this law, obamacare, is affecting you personally. unfortunately i got a lot of horror stories. you know, we talked a lot about protecting people with preexisting conditions in the context of this bill. there are so many things, multiple multiple layers in our bill that we passed today that not only protect people with preexisting conditions but actually focus real targeted money on lowering premiums for families with preexisting conditions. so during the committee hearing, might have been around 3:00 in the morning, i shared a story of one of those constituents. chris from slidell who sent me a letter and talked about their family having preexisting conditions. they have family member with preexisting conditions and how because of the problems of obamacare, they're paying double digit increases. but this is the real story for families that have preexisting conditions that are truly being hurt by obamacare. one of the untold stories are the dramatic increases in
deductibles. so there are a lot of families across the country that have over $10,000 deductibles. for most people that doesn't mean they can't use the healthcare they have with obamacare. what chris told me not only when we go to the doctor we have to pay so much but almost everything we're paying out of pocket because we have a large deductible. basically i'm paying a lot of money for a healthcare plan that doesn't work for me. please provide relief for our family. we hear these stories over and over. what's been so encouraging about this debate is that from the very beginning, every member of congress that's been involved in trying to get this bill passed has been focused on two main things. the first one is lowering premiums for families that are struggling. the second is making sure that patients and doctors are the ones that make their own healthcare decisions. unelected bureaucrats in washington should not have anything to do with the healthcare decisions made between a patient and their doctor. and that ends with this bill. [ applause ]
as we went through this process, and it took weeks, some people wanted it to take a couple days. we said we're going to take the time to get it right because it affects every person in the country. every change that was made along the way made this bill better. almost every change that was made along the way was focused on lowering premiumsism of course, you had a lot of other things wooec things we wanted to do. we reformed the medicaid program. so we actually give governors and states the flexibility to go and be innovative and do things that will -- in a much more targeted way -- help low income families. that's another important aspect of this bill. we wouldn't be here today without the work and the help of the president and the vice president of the united states directly getting involved. because every meeting we had with members that wanted to get additional components added to the bill, president trump said
bring them into the white house. i want to meet with them. i want to talk to them about how we can lower premiums. president trump knows obamacare fairs. but it's failing because it's hurting people. ultimately, all of the meetings that we had along the way, that made this bill better were focused on those objectives. and that's why it's so important we got this first step done today. there's a lot of work left to be done. i look forward to the senate taking the action they need to take. ultimately getting a bill to president trump's desk that he'll sign that actually rescue families from this incredibly failed law and put patients back in charge of their healthcare decisions and lower premiums. and the man that led the charge in starting this process in the committee was greg walden. i want to bring him up, [ applause ] >> ladies and gentlemen, mr.
president, mr. vice president, it's been a pleasure to work with you hand in hand to get this bill to this point. i want to tell you what great team you have and what a great team we have. mike, come on out here for a second. dr. mike burgess did incredible work on this as well. you've heard a lot about our goal to get this back to a patient/doctor relationship. to make insurance affordable to every american and available where they have choices and lower cost and competition in that market. it's collapsing around us state by state, county by county. last year there are 225 counties in america where you had one choice on obamacare exchange. there are some counties where you'll have now choice now. that's not affordability, that's not access. that's not patient care. that is what we're trying to reform in this legislation. you heard about medicaid reform. i started on medicaid reform in
the 1989 session of the oregon legislate. we became the majority in '90, i was majority leader in '91. we continued the reforms of continuing the same goal to get people care they needed when they didn't have it. i continue that battle today. we reached out to governors, insurance commissioners, we reached out to innovators in this space. i think about governor herbert out at utah who told us the story of having to petition cms. the old cms, to see if he could use a modern new -- >> congressman greg walden speaking now. we'll continue to monitor the celebration going on in the rose garden over at the white house. a big win for the republicans and the house of representatives. 317 -- 217-213. that's the final vote. passing the repeal and replacement of obamacare. but there's still a long, long way to go in the united states senate. senate will take up this legislation presumably make several significant changes.
john king, you see the president, he was very, very happy. this is a -- he takes -- deserves a lot of credit because he worked really hard over these past several days to get those final votes to reach 217. >> and a smile on his face and the nodding as he receives praise and as the others praise the party involved in this, shows how happy he is. very rare, this has passed one chamber of congress and having a rose garden ceremony. this was so important to the president to try to say -- to rightly say we have passed out of the house a key republican and key trump campaign promise. now his emphasis was trying to put pressure on the senate to act as quickly as possible. that's the giant question, not to be the skunk at the rose garden party. passing something in the house changes the optics in washington and changes the conversation in washington. it changes absolutely nothing in the healthcare of americans who are watching this. it changes nothing today.
it's a step in the direction. now the question is can the president get to the finish line. he's hoping this gives him a boost, momentum. that this gives him experience at the rough business of this. they failed 42 days ago. they succeeded today. can the president get this through the senate in a way that you get back to the house and make a compromise s? that's a giant question. i will say this about the senate, senator orrin hatch says we need to manage expectations, focus on the art of the doable. the majority leader mitch mcconnell said thank you to the house for passing this, did not comment at all on the specifics of the bill. just said he want today repeal and replace obamacare. the guidance from the senate leadership is we need the cbo score first because of the rules of the senate. they can't take this bill up as it is until they know more about it. this is a big achievement for the president today. he needed this. if you look at the disgust among the conservative base at the spending bill, all the backlash
for the spending bill that just passed. the president needed to look his base in the eye and say we made progress. >> me deserves a lot of credit for this initial step. >> huge defeat he suffered 42 days ago and now he's celebrating. this is in some ways a send off party for the folks who will have to go back to their districts and talk to the constituents. you imagine democrats will flood town halls. some republicans might not want to have town halls. the president sounding bullish. he promised a premiums are going to start to come down. i'm not sure when he means they're going to start to come down. and he also said the deductibles will be going down as well. today, you can see the places where democrats can make ads out of this event. laughing and joking and the celebration. you imagine that will end up happening from democrats. democrats still, you know, have a lot of work to do in terms of their messaging.
>> gloria, the president was very, very specific. he said we're going to get this passed in the united states senate. what a great group of people. he thanked the republicans who have gathered. the vice president said this is the beginning of the end of obamacare. >> right. and they made promises. they did make promises. remember president obama said if you like your healthcare you can keep it. we heard a lot of promises from republicans. your premiums are going to come down, there won't be changes in your preexisting conditions. that this is going to benefit you in every single way. we're going to have to see that. i want to point out one thing. that there are 23 republicans we know who won in districts that hillary clinton won. 14 of them voted for this bill. nine of them voted against this bill. you can be sure that the 14 of those republicans and john, you know this better than anybody,
14 of those republicans who voted for this bill have now a big target on their back from the democratic party. >> nancy pulotsy nancy pelosi c tattoo. >> unless those folks decide to retire. that's one of the things to look for over the next weeks as well. to see if they just -- they walk the plank and walk off to retirement. >> we can't emphasize the importance of this to people watching this. about what is going to happen to their healthcare. the uncertainty out there is a little frightening, i think for people particularly people with preexisting conditions, that cost an awful lot of money. they don't know what their state might do. they don't know what the senate might do. they don't know what's going to happen to their states if medicaid is block granted. so people have to watch this very closely as we finally get the text of this legislation which we don't have yet. so they can find out wait a
minute, how is this going to affect my state? how is this going to affect me? people need to start asking lots of questions about this. as you go into the senate debate on this bill. >> the victory celebration continues in the rose garden over at the white house. republican members of congress, they are speaking, celebrating this victory in the house of representatives. i want to bring in our senior political commentator, david axelrod. very quickly, do you remember after obamacare the affordable care act was passed in the house and then went on to the senate, was there a celebration in the rose garden similar to this one? >> no. there was no celebration. you know, that was a -- i remember a long laborious process. and you know, there was no love lost between the house and senate. and there was real tension between them. even when it became apparent after democrats lost ted kennedy's senate seat that the house would have to swallow the senate version of the bill
because it couldn't go back there and get 60 votes. the house was resentful. it took a long time to get the house and a lot of noeregotiati to get the house to accept it. it's appropriate they're having the celebration in the rose garden because this is a thorny issue for republicans. it's going to be hard to get it through the senate. if they do, they've made promises here they'll have to keep. the congressional budget office painted a much different picture of the impact of the bill that they just passed than you heard depicted by the president and members of congress. at least the version before this one and everyone there says that's largely the same bill. the only thing that's been added is that people with preexisting conditions are going to be a little less secure. so i suspect -- you've seen a lot of senators already tweeting, republican senators, that they aren't for the bill. senator portman, senator helder,
senator alexander said thanks a lot we'll take our time now and consider this. so they've got long way to go on this. but nobody relishes and hungered for a win more than donald trump. and he got at least a short term win today. hence the premature rose garden celebration. >> it was an important win for the president of the united states, he's standing there. republican members of congress, they're still speaking in the rose garden. the president invited them to come up and say a few words. that's exactly what they are all doing. celebrating this win in the house of representatives. i want to bring in lonny chen, he was the public policy direct f for the romney campaign. steve israel is with us as well. our senior economics analyst, steven moore, former white house communications director gjen socci. what's your reaction? >> this is a significant accomplishment for the president and paul ryan and house
republicans. i think it's the case as many of your commentators have noted, the bill is going to change substantially in the senate. you'll see provisions around medicaid to equalize the treatment of states that did the medicaid expansion and states that did not. more generous support for low income americans to purchase health insurance. the bill you see leaving the house will look very different than the bill that will return from the senate weeks, perhaps months from now. the process has long way to go. we shouldn't take away from the fact this is a significant accomplishment for the president and for house republicans. >> steven moore, whatever emerges from the senate, it's going to have a struggle in the house of representatives, right? because presumably the senate's going to ease up on some of the more conservative elements? >> good point. here we go again, right? we could have another -- a more kind of moderate bill that comes back to the house outside of the senate. and then you get the same debate, you know, within the
republican party and the republican caucus that you've just seen that got resolved. this is a heavy lift. i agree with glorious and otha this is going to be tough. i feel confident they'll get it done. we can't get tax reform done until this gets done. >> that will be a big struggle. tax reform, tax cuts. as the president said these will be the largest tax cuts in american history, even bigger than what passed during the ronald reagan administration. i think steve israel, and you were a leader, democratic leader in the house of representatives, you have to admit the president of the united states, he got personally involved. he worked really hard in squeezing a lot of these republican lawmakers to vote in favor of this legislation. i assume you'll give him credit for that? >> oh, absolutely. he deserved credit for the fact that the house passed this bill. he deserves this photo op. they are capturing a moment
right now at the white house. but do you know who else is capturing the moment? the democratic congressional campaign committee. and democratic media consultants. i watch that ceremony and i heard the president of the united states say, and i quote, premiums will be coming down. and deductibles will be coming down. and my former colleagues at the dwc so i believe that the midterm election effectively began on this day, despite the fact that they have not passed an signed into law any kind of replacement for the affordable care act. >> jen sakki, you worked in the obama white house. how worried are you that the president's legacy achievement, the affordable care act, obamacare, as the vice president just said, this is the beginning of the end of obamacare. how worried are you that obamacare, the affordable care act could go away? >> well, he also said that premiums will go down and this
bill will be better for people with preexisting conditions. i don't think you can find a single healthcare expert who agrees with that? i think, wochl, the day after the election in november if you would have told me that the obamacare was still alive in may i wouldn't have believed you. i think there's a lot more steps to go here, which your panel has been talking about. it is not just the senate. members are going to go home to their districts tonight and they're going to be met by a fierce and motivated opposition to their vote on this bill. senators who are going to be considering this for the next couple of months will be met with the same thing. so people are watching this very closely. i'm not too worried yet, but i think that this is a time where people are really going to be need to be out there and active and showing up at town hall also. i expect that is exactly what will happen. >> can i add one thing to that, wolf? >> go ahead. >> a quick point. you know, the historic nature of this vote in the house today is that -- you know, i have been in politics 30 some years.
this is the first time i can remember when a major entitlement program was rolled back. congress loves to play santa claus, but rolling back some of the benefits is a difficult thing. you know, we always talk about the fact that the entitlements are what is bankrupting our country. i think it is a courageous vote for a lot of these republicans. >> well, it hasn't been rolled back yet. it is the initial vote in the house. hold on a second. still got fob rolled back in the senate. steve israel, make your point. >> the hi pochypocrisy is often stunning. in order to punt the bill to the senate just supported an $8 billion addition alex pend tour for a social program. it is a program i would support. i believe preexisting conditions should be covered. but i don't want to hear the freedom caucus members talk about being deficit hawks. >> lanhee chen, go ahead. >> well, look, i mean on that this bill will cut the deficit, so obviously the bill is
responsive to the desire of deficit hawks to get control overspending. i think it is the case, by the way, that this bill does provide a number of protections for people with preexisting conditions. we talk about the $8 billion. we forget the underlying billion offers $100 billion over ten years to states to help them cover people with preexisting. >> hold on, the president is speaking again. >> i even want to thank the media. thank you all very much, everybody. thank you. thank you very much. thank you. >> well, even thanking the media, john king. we don't hear that often. >> may never hear it again. >> if you need any proof the president is in a good mood today, you just got it right there. >> yeah. >> it is interesting. to the point and the excellent panel just talking about this, look, the issue since the affordable care act, obamacare, was passed it has been a republican friend in three of the four elections since, two midterm, two presidential years. 2012 president obama was reelect
evidence. in 2010, 2014 and 2016 republicans used this issue to their advantage. i think the question on the table today, even though we don't know the finish line, does it become a law or did they just pass something through the house, is now that they've voted on this under a republican president, now that they had the big event that steve israel is exactly right will be in a lot of democratic ads against republicans pretty quickly, does the dynamic flip? obamacare has been a republican asset in electoral politics. now does it become -- does trump care or this vote become a democratic asset? >> i will be back in an hour in the situation room. i want to throw it to brook brooke baldwin. >> thank you so much. i have my panel sitting with me. jeff zeleny, just to you as we were all sitting here listening to the president and him allowing these other people to speak in the rose garden, i don't know if i ever heard the word deductible come out of president trump's mouth. >> certainly not. certainly not in the run-up to this. he has been working the phones privately and talking privately about this, but even at his so-called healthcare rallies in
louisville and nashville i was at he rarely talked about it. what he said today, said premiums will start to go down. he made a promise, and that sound bite, those words will be played back again and again and again. he will be measured by those words politically speaking going forward here. so i think that it was akin to president obama saying, if you like your doctor, you can keep it. it is a promise that president might like to make, i'm not sure he can make it. >> he did say, tammy, he talked about deductibles going down and premiums going down. you're in the weeds on all of this. fact check that for me. >> well, the premiums will go down for some people, probably younger people, people who have more income, but a lot of people they will be up for. low income people, older americans. the insurers lobbying group sent an e-mail with their reaction. they said that the bill needs important improvements to better protect low and moderate income families. so there's a lot that needs to be done. plus, i have spoken to a lot of insurers. usually premiums and deductibles
don't go both down at the same time. it will be very difficult for insurers to do this. so we'll see what happens. >> thus jeff's point about cut the sound bite and play it over and over and over again. to you, sir, on how the democrats are salivating over how they want to cut these ads to swing through in the midterms? >> it is just like we're watching the mirror image of where we were in the fall of 2009, when this vote was taken on the house floor and nancy pelosi with a democratic controlled house and the democrats had the senate and the presidency and they got it through by the skin of their teeth, a two-vote margin, and the republicans started immediately plotting their path back on this issue. now it is just happening and switching -- you could take paul ryan's floor speech today and substitute nancy pelosi in 2009. it is just astonishing to see the role reversal. we are 550 day from the november 2018 midterm elections, and it begins today. this is the starting gun to what
is going to be yet another election cycle where healthcare will be front and center, the politics of healthcare, but this time the roles will be reversed. >> one thing the president was telling people i'm told, if you vote for this i will have your back. i think he will be out there campaigning for him. it is a test for him, and is he going to lose the house like president obama did in the mid terms back in 2010 and then in 2014. >> there are two things that come up before the election. >> yeah. >> the premium prices for 2018 plans and the premium prices for 2019 plans all will be available in early november. >> unaffect build what we just saw today, the premium prices based on existing law, right? >> depends on what happens in the bill. there's a lot of uncertainty and insurers are very concerned. >> what's the effective date, if this is signed into law, which is also a huge if. we should pause. >> right. >> the senate needs to weigh in and there's no sense of urgency on this. >> on that note, have you ever seen a rose garden ceremony for a bill that passed one chamber?
>> we were talking about that. i can't think of one. i don't -- i don't know if you can. >> i can't either. >> i can't think of one, yet i think it was a smart political thing nor the trump white house to do. >> why? >> because they needed a win so badly and so they got one. this failed six weeks ago. they turned it around and they needed to put a very powerful exclamation point on that. >> it is a messaging battle now and republicans got on the board with their messaging on this. >> it is about promises kept, right? >> sure. >> even more than -- i know you were sitting there listening, but we're trying to figure out which republican members and how they voted, if they were incoming from districts that hillary clinton won in november of last year, and it has been this sort of, you know, quandary of how do you vote. you know, do you make good on a promise that the republicans have been saying they would do for seven -- you know, since 2009 or do you risk being booted out of your seat because your constituents love their obamacare? >> and it is different when you want to measure the primary politics against that versus the general election politics against that. so they have to make the
calculation here about not demoralizing their base, by coming through and delivering this promise versus having your name attached -- nancy pelosi promised she will put it up in neon to a bill that may be unpopular. that's the conundrum a lot of the competitive district republicans find themselves also in. >> so quickly in 60 seconds, now that this moves over to the senate, what are the key piece also of this bill that really could start changing around? >> well, we're going to have to see what they do with medicaid. these are predraconian changes they want to make to medicaid. lamar alexander said he wants to have a softer landing. there will have to be more protection for older enrollees because this bill would raise premiums on them, and nobody wants that particularly not aarp. there will be other changes. we'll have to wait and see. >> what about women, we talked about maternity and other benefits? >> for the premium prices they're maintaining prices against gender rating. they can't charge more but women
may not get maternity in their policies. >> which is a big deal, especially if you are a woman and you're thinking about it heading into 2018. i'm brook brooke baldwin. thank you for being with me. we will send it back to washington. the lead with jake tapper starts right now. ♪ >> this is "cnn breaking news." >> thanks, brooke. welcome to "the lead." we will begin with breaking news. politics lead, of course, after seven years of campaigning, promising and false starting, republicans did it. the house voted to repeal and replace the affordable care act, otherwise known as obamacare. they needed 216 votes. they got 217. >> if you can make that out, that rendition of, nah, nah, nah, hey, hey, good guy. originally by steam. house