House Prepares to Leave for Recess Without Health Care Deal

To mitigate costs to insurers from high-risk pools, since sicker people are more expensive and there are no healthy people to balance out the costs, the federal government would allocate funding to the states to distribute to insurers and patients to bring the costs down.

"We can keep working for weeks", Ryan told a group from his home state of Wisconsin, as he said there was "breathing room" in the Congressional schedule for such efforts. But nobody on Capitol Hill or in the media appears to be fooled.

"At this point, I am willing to stay to get it done, but I am not concerned".

Democrats were dismissive. “Its as if the president and Paul Ryan went to some of the Republicans and the Freedom Caucus and said, ‘We can make this worse, ” Rep. Jan Schakowsky of IL said.

Negotiations to revive the failed GOP health care legislation have hit a major, probably lethal, snag. To tackle the biggest overhaul of the USA tax code since the Reagan era quickly, House Republicans need to avoid the political fault lines that sank their healthcare bill, partly by having conservatives on board. Ryansaid he's unsure if his party can draft a new Trumpcare bill and hold a vote before Friday. The program was phased out as the Affordable Care Act took effect.

Gallup said this week that the law gained majority approval for the first time, with 55 per cent supporting it and 41 per cent disapproving. A House Republican aide also pointed to the amendment as proof that the Obamacare repeal is still on the table.

House Ways and Means Committee Chairman Kevin Brady, R-Texas, told Politico Wednesday, "Because we don't have a very short month, month-and-a-half timetable as we did in health care, I think that helps us on tax reform".

"What are they going to tell their constituents in six months or next year?" Conservatives still wants a repeal of regulations such as essential health benefits and community ratings, which moderates say would allow people with preexisting conditions to be charged exorbitant insurance premiums.

The amendment that will get a vote Thursday is a small step forward and comes from two members of the House Freedom Caucus, the conservative group of rabble rousers that has taken a large share of the blame for the bill's collapse two weeks ago.

One outside conservative group said progress on a healthcare bill had "stalled" in talks between Republican conservatives and moderates, who had hoped to patch up differences this week. Many of its roughly three dozen conservative members have opposed the Republican health care legislation for not doing enough to annul Obama's 2010 law.

The amendment being considered Thursday doesn't resolve that central issue.

But they acknowledged it does not ready the legislation for a vote.

It said if a breakthrough occurred during the break, "We will advise members immediately and give you sufficient time to return to Washington". "I don't know that it's a probability, but it's always a possibility".

Republican views compare with 50 percent of the general public who say parts of the ACA should be repealed, 20 percent who say all of it should be repealed, and 27 percent who say it should remain.

"There was no vetting at all, no process whatsoever".

The House Rules Committee is expected to mark-up the amendment later today. After an initial series of meetings, Republicans vowed they were making progress towards a final plan to replace the Affordable Care Act. "But this isn't a solution".

Ryan also said the GOP was still on track to deliver on the promise of repeal and replace despite the false starts on the AHCA.