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Paul Ryan outlines the plan to repeal Obamacare as part of 200-day agendaby Circa News

Top House Republicans unveiled a rough plan for how they plan to replace Obamacare.

At a closed-door meeting in the Capitol basement, House Speaker Paul Ryan, R-Wis., and other party leaders described a broad vision for nullifying much of former President Barack Obama's 2010 health care law and replacing it with conservative policies as President Donald Trump has promised.

It features a revamped Medicaid program for the poor, tax breaks to help people pay doctors' bills and federally subsidized state pools to assist those with costly medical conditions in buying insurance.

Lawmakers called the ideas options and were thought to be controversial. One being pushed by Ryan and other leaders would replace the tax increases in Obama's law with new levies on the value of some employer-provided health plans a political no-fly zone for Republicans averse to tax boosts.  

On the Fox News show Hannity on Thursday night, Ryan said Congress was on course with a 200-day plan to get most of Trump's agenda enacted, including the Obamacare replacement.

He stressed that Trump was moving quickly on many fronts and that coordination between the administration and lawmakers could produce the "most productive Congress and presidency in our lifetimes."

The health care outline was aimed at giving Republicans something to exhibit during next week's congressional recess, at a time of boisterous town hall meetings packed with supporters of Obama's law.

Ryan told reporters that Republicans would introduce legislation voiding and replacing Obama's statute after Congress returns in late February, but offered no specifics.

Many Republicans took an upbeat tone after Thursday's meeting, with Rep. Peter King, R-N.Y., saying, "We're only 27 days into the new administration, so we have time."

But they have repeatedly failed for seven years to rally behind a substitute plan, and there are no guarantees of success in replacing a law that has extended coverage to 20 million Americans. 


The tax penalties Obama's law levies on people who don't buy insurance would be abolished, as would federal subsidies for most people buying coverage on the online exchanges the statute established. They would be replaced by tax credits for people who don't have job- or government-provided health coverage and tax-advantaged health savings accounts. Republicans said decisions on amounts have not been made.

The Associated Press contributed to this report.