U.S. Senate Republicans on Tuesday linked repealing a key component of Obamacare to their ambitious tax-cut plan, raising new political risks and uncertainties for the tax measure that financial markets have been monitoring closely for months.
In comments that infuriated Democrats and left some senior Republicans unsure of what will come next, Senate Republican leader Mitch McConnell of Kentucky told reporters: "We're optimistic that inserting the individual mandate repeal would be helpful, and that's obviously the view of the Senate Finance Committee Republicans as well."
The finance panel, which had been in session for two days, abruptly adjourned Tuesday as Democrats slammed the Republicans' handling of their tax proposals, for which formal legislative language has still not been unveiled.
Oregon's Ron Wyden, the committee's top Democrat, demanded more time for Democrats to discuss the issue "because we were never told that health care was going to be part of it, and this just flew in literally out of nowhere in the last 20 minutes."
Tying Obamacare to the tax program introduces new risks for the Republicans and for President Donald Trump. Together, they have yet to score a major legislative win since Trump took power in January, even with control of both houses of Congress.
The president, who has struggled in his relations with Congress, suggested in a tweet Monday that the mandate repeal should be added to the tax plan, following up on a similar November 3 tweet.
Collins sees complication
No final decision on such a move was made at the Senate Republicans' weekly luncheon, Senator Susan Collins of Maine told reporters afterward. She played a key role in July's collapse of a years-long push by fellow Republicans to gut the Affordable Care Act, former Democratic President Barack Obama's signature health care law.
"I personally think that it complicates tax reform to put the repeal of the individual mandate in there," Collins said. Asked whether she would back the tax bill if a mandate repeal were added, she said: "I'm going to wait and see."
Republican Senator John McCain of Arizona, who was also central to his party's failed Obamacare repeal earlier this year, was noncommittal on putting the mandate repeal in the tax plan.
"I want to see the whole bill before I decide," McCain said. "I don't know if it makes it easier or harder."
The Senate and House of Representatives are developing separate tax-cut packages they plan to reconcile eventually and send to Trump's desk for enactment into law, an outcome Republicans are eager to achieve so they can face U.S. voters next year with at least one major legislative achievement.
U.S. financial markets have been watching closely, with U.S. stocks rallying in recent months, partly on hopes of business tax cuts. They showed little reaction to Tuesday's developments.
The individual mandate requires Americans to have health insurance or pay a penalty to Washington, a provision that Republicans have long opposed as government overreach.
But the mandate plays a critical role in Obamacare by requiring young, healthy people, who might otherwise go without coverage, to purchase insurance and help offset the costs of covering sicker and older Americans.
Underscoring the devastating consequences for Obamacare if the mandate were repealed, the nonpartisan Congressional Budget Office said last week that such a change would increase the number of Americans without health insurance by 13 million by 2027.
The CBO added that mandate repeal would raise the average insurance policy premiums in the Obamacare marketplaces by about 10 percent annually over the next decade.
Repealing the mandate would also lower the federal deficit by $338 billion over the same time period, the CBO said, a finding that several Republican senators said influenced the move.
Eliminating the individual mandate would lower the number of Americans with health insurance, meaning the federal government would spend less on subsidizing coverage for lower- and middle-income people, making that money available to pay for tax cuts.
Neither the Senate nor the House tax plans now includes repealing the mandate. But both plans would add about $1.5 trillion over 10 years to the federal deficit and the national debt, which now exceeds $20 trillion.
Further complicating the Republicans' tax push, the CBO said Tuesday that any bill adding that much to the deficit would trigger an order under Congress' "pay-as-you-go" budget rules to cut federal spending by $136 billion in fiscal 2018.
Few votes to spare
Congressional Republicans hope to pass tax legislation by the end of the year and are moving fast, despite uncertainties.
They hold only a razor-thin 52-48 majority in the Senate. If Democrats remain united in opposition, Republicans could afford to lose no more than two senators from within their own ranks and still secure passage of tax legislation.
Aside from Obamacare, other aspects of the tax plans have met opposition. On Tuesday, the National Association of Realtors, one of Washington's most powerful lobbying groups, called the Senate and House tax bills "an attack on homeownership and middle-class Americans." The Republican tax plans include changes to rules for deducting mortgage interest and property taxes.
Democrats have dismissed the Republican plans as deficit-expanding giveaways to corporations and the wealthy.
Texas Representative Lloyd Doggett, a senior member of the House tax committee, said in a statement that the House tax bill was "just a way to curry favor with Washington special interests — awarding tax windfalls to large multinational corporations and the fortunate few that sit way atop the economic ladder."
The House Rules Committee moved up to Tuesday night from Wednesday a meeting on that chamber's tax bill, which the House tax panel approved last week. The Rules Committee usually meets shortly before final votes on legislation on the House floor.