Republicans plan health-care vote on Thursday, capping weeks of fits and starts

House Republican leaders said Wednesday that they plan to bring their controversial plan to revise key parts of the Affordable Care Act to a vote on Thursday, capping weeks of fits and starts in their attempt to fulfill a signature campaign promise.

The flagging Republican effort to reshape the nation’s health-care system picked up steam Wednesday as GOP leaders tried to address concerns about people with preexisting medical conditions. But independent analysts remained skeptical that the new proposal would fully address the needs of at-risk patients who receive coverage guarantees under the Affordable Care Act, underscoring the contentious nature of the Republican effort.

Republican leaders huddled in the office of House Speaker Paul D. Ryan (R-Wis.) on Wednesday evening to figure out the next steps after a whirlwind day at both ends of Pennsylvania Avenue. Several said they would hold a vote this week only if they felt certain it could pass — meaning they now think they have the votes.

Exiting the relatively brief leadership meeting, House Majority Leader Kevin McCarthy (R-Calif.) guaranteed victory. “Do we have the votes? Yes. Will we pass it? Yes,” he told reporters.


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