Republicans may have to choose between a health-care vote or a government shutdown

President Trump wants a vote on health care again
(Image credit: Mark Wilson/Getty Images)

When members of Congress return to Washington next week after their long spring recess, both parties plan to focus on passing a spending bill to keep the federal government running past April 28. When Congress returns next week, President Trump wants House Republicans to take up the American Health Care Act again, with a new amendment, so he will be able to point to a concrete accomplishment in his first 100 days in office; his 100th day is April 29.

"Congress usually cannot take on two big things at once," The New York Times says. Five days to pass a spending bill, The Washington Post adds, is "a tight timeline under the most generous of circumstance that would be nearly impossible to meet if House leaders also try to force a vote on the repeal legislation." In theory, Democrats and Republicans could pass a very short-term stopgap spending bill, but a new GOP push to pass the AHCA, which repeals large parts of the Affordable Care Act, would not put Democrats in a very cooperative mood.

The first attempt to pass the AHCA failed very publicly last month. But at a news conference on Thursday, Trump said "the plan gets better and better and better, and it's gotten really, really good, and a lot of people are liking it a lot," adding he thinks the House can pass that as well as a spending bill. "We have a good chance of getting it soon," Trump said of the AHCA. "I'd like to say next week, but it will be — I believe we will get it."

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Hopes of passing the health-care bill rest on an amendment negotiated by relative moderate Rep. Tom MacArthur (R-N.J.) and Freedom Caucus chairman Rep. Mark Meadows (R-N.C.). The draft plan would allow states to seek waivers to requirements that insurers offer essential health benefits and not charge more to people with pre-existing conditions, if the state maintained a high-risk pool. (Jeff Spross has more details at The Week.)

Even if House Republicans get the plan translated into legislative language and get it scored by the Congressional Budget Office, there's no guarantee it would pass. The amendment "really doesn't address the concerns that I had," Rep. Dan Donovan (R-N.Y.) told The New York Times. Fellow moderate Rep. Charlie Dent (R-Pa.) agreed it "does nothing to change my views," criticizing any focus "on an arbitrary 100-day deadline."

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Peter Weber

Peter Weber is a senior editor at TheWeek.com, and has handled the editorial night shift since the website launched in 2008. A graduate of Northwestern University, Peter has worked at Facts on File and The New York Times Magazine. He speaks Spanish and Italian and plays bass and rhythm cello in an Austin rock band. Follow him on Twitter.