4. What late changes are being considered to the GOP bill? There was a lot of talk on Wednesday night of major alterations to the bill, some of which might not even survive tight Senate rules dealing with budget reconciliation. The work mainly centered on re-writing the definition of "Essential Health Benefits" in the Obama health law, to allow insurance companies to offer more limited - and therefore less expensive for consumers. Here is the EHB list in current law - these can be modified administratively by the Trump Administration and the Secretary of Health and Human Services; but a number of Republican lawmakers want them changed in law. That most likely will take 60 votes in the Senate.
5. Wait - the EHB change takes 60 votes in the Senate? The logical question to ask is - if you can't change the Essential Health Benefits in a budget reconciliation bill, because it will get knocked out in the Senate, why put that in this House bill? Well, it may be the only way to get the bill out of the House with enough votes, and send it over to the Senate. Republicans were already engaged in public lobbying of the Senate Parliamentarian, who has the job of ruling on specific provisions of reconciliation bills, as they tried to argue in public that she might change her mind on the matter. Behind the scenes, it wasn't really apparent that anything had changed along these lines, but the GOP hope was that if EHB changes were included in the bill, the provision could get through the House and just be knocked out in the Senate, without destroying the underlying measure.
6. Will the vote be Thursday or later? Republicans were ready to give themselves several days of wiggle room on the health care matter, as the House was expected to approve a measure that allows the GOP to quickly bring a final health care deal to the floor for a vote, any time over the next four days - through Monday. So, there could be a showdown vote on health care today, tomorrow, over the weekend, or early next week. Basically, if Republicans and the White House think they've got the votes, then they will rush to the House floor to push that through. "We have not cut the deal, yet," Rep. Pete Sessions (R-TX) acknowledged late on Wednesday night in the House Rules Committee.
7. GOP ready to repeat the Nancy Pelosi 2010 quote. Republicans love to talk up the out-of-context quote from then House Speaker Nancy Pelosi in 2010, when she said the Congress would just have to pass a health care bill in order to see what was in it. If you really research the quote, you see she wasn't saying that, but that hasn't stopped the GOP from throwing it in her face for the past seven years. Now, Democrats are delighting in watching the GOP maybe doing the same thing. With major changes being looked at last night, it was not clear as the day began what exactly the Republicans would be voting on - and it was possible that no cost estimate, or insurance coverage estimate details would be ready for when lawmakers did vote in the House.
Stay tuned - it could be a very interesting day in the House.