Senator John Thune, a key Republican leader, is facing pressure from his party to bypass Democrats and push through a healthcare bill using a process called reconciliation. Reconciliation allows the Senate to pass legislation with a simple majority, rather than the usual 60-vote threshold, but it can only be used for budget-related measures. Thune, who is the chairman of the Senate Republican Conference, is being urged by some of his colleagues to use reconciliation to pass a healthcare bill that would repeal and replace the Affordable Care Act (ACA), also known as Obamacare.
The pressure on Thune comes after the Senate’s failure to pass a healthcare bill last year, despite having a Republican majority. The bill, which was drafted by Senate Majority Leader Mitch McConnell, failed to gain enough support from moderate Republicans, who were concerned about the impact of the bill on Medicaid and the number of people who would lose health insurance. Since then, Republicans have been trying to find a way to pass a healthcare bill, but have been unable to come up with a proposal that can gain enough support from both moderate and conservative Republicans.
Using reconciliation to pass a healthcare bill would allow Republicans to bypass Democratic opposition and pass a bill with just 50 votes, plus the tie-breaking vote of Vice President Mike Pence. However, the process is complex and has several limitations. For example, the bill would have to be budget-related, and would have to comply with the Senate’s “Byrd rule,” which prohibits provisions that are not primarily budget-related.
Thune has not committed to using reconciliation to pass a healthcare bill, but has said that he is open to exploring all options. He has also emphasized the need for Democrats to be involved in the process, and has expressed concerns about the potential consequences of passing a bill without bipartisan support. However, some Republicans are pushing for a more aggressive approach, and are urging Thune to use reconciliation to pass a bill as quickly as possible.
The pressure on Thune reflects the ongoing divisions within the Republican Party over healthcare policy. While some Republicans are eager to repeal and replace the ACA, others are more cautious and are concerned about the potential consequences of passing a bill without careful consideration. The debate over healthcare is likely to continue in the coming weeks and months, and it remains to be seen whether Republicans will be able to come up with a proposal that can gain enough support to pass.