Despite the high number of Americans estimated to lose their health care, House Speaker Paul Ryan offered an optimistic take on the CBO score. "There is no good news about Obamacare, ObamaCare is dead", he repeated.
Trump pointed to rising premiums on Obamacare plans this year, as much as 100 percent or more in Arizona, as evidence that the health-care law is a failure and needs immediate replacement. He said he believes they have not agreed to quickly phase out an expansion of Medicaid, another conservative demand.
Trump's deal with lawmakers would let states impose work requirements on some of Medicaid's roughly 60 million recipients.
"We're a yes. We're excited to be there", said Rep. Mark Walker, R-N.C., leader of the Republican Study Committee, a large group of conservatives.
"They won't have the votes unless they change it" further, said Meadows, who leads the House Freedom Caucus. Stripping millions of Americans of health care is a lose-lose situation - for both struggling Americans and for Republicans, who would go down in history as responsible for a health-care catastrophe. They've also discussed changing the new tax credits.
It was then left to the House of Representatives as well as the Senate to come up with a new bill that could replace Obamacare.
The governors, in their letter to Ryan and McConnell, said the legislation the House is considering would harm states and falls short of Trump's own goals of making sure individuals stay covered.
It also said that enacting the legislation now before Congress - a measure backed by President Donald Trump - would reduce the federal deficit by some $337 billion over the next decade, a relatively small savings given the massive size of the U.S. economy.
Conservatives were unhappy the measure doesn't erase enough of Obama's law while at the other end of the party's spectrum, moderates were upset the bill would strip millions of health coverage. Activists plan to swarm Capitol Hill to demand Congress pass a repeal bill that would completely erase all trace of Obama's signature domestic achievement. He says the bill would also cause the Medicare trust fund to dry up four years earlier than expected, pinching state budgets and pricing many seniors out of insurance.
A report out this week from the Congressional Budget Committee found that the bill would leave 24 million people without care over the next decade. Our members care deeply about their health care and have told us repeatedly that they want to know where their elected officials stand.
"They have not been giving it a fair press".
The three men cast the first Republican "no" votes against the bill since it was unveiled last week. The governors also backed continuing Obamacare's expansion of the Medicaid health program for low-income people, despite conservative insistences about rolling back the program.
The official national figure of 12.2 million does not include an additional 765,000 people signed up under an option in the Obama-era law called the Basic Health Plan, which is used by two states, NY and Minnesota.
Some GOP governors weighed in Thursday evening in a letter to congressional leaders saying the House bill gives them nearly no new flexibility and lacks sufficient resources to protect the vulnerable.