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Majority Leader Mitch McConnell needs the support of 50 of 52 GOP senators to proceed to a floor debate on the bill, and two senators have already said they will not support that motion. That means just one more GOP senator coming out against the motion to proceed would stop the bill, as written, in its tracks.

Increasing the pressure: GOP leaders have restarted the clock by publicly stating that they'd like a vote (or at least to take the procedural steps toward a vote) next week. The White House is also making its push -- on Twitter, by phone and behind closed doors -- in an effort to net President Donald Trump a major legislative achievement ahead of lawmakers' August recess.

The White House legislative affairs team held meetings on the legislation with Senate leadership "all afternoon" on Friday, a senior White House official said. Trump and Vice President Mike Pence will be making calls throughout the weekend on health care as well, the official said.

McConnell recently announced that the recess would be delayed by at least two weeks, but it still wasn't clear going into the weekend whether the additional time would help the GOP leadership get this legislation through the chamber.

Here's what we know after this week:

The revised legislation also has $45 billion in opioid-treatment funding -- a top request from senators like Rob Portman of Ohio and Shelley Moore Capito of West Virginia -- and money for states meant to lower premiums for high-cost enrollees.

In several key areas, though, the new bill remains unchanged.

The new version does not address moderates' concerns about cuts to Medicaid, which the original bill would slash by $772 billion by 2026. That would leave an estimated 15 million fewer people insured by the program.

The Congressional Budget Office is expected to release its score of the revised bill early next week, when the White House will continue its lobbying effort, the senior White House official said.

Sen. Rand Paul of Kentucky: "The new bill is the same as the old bill -- except for worse," he said Wednesday. Paul, who reiterated his opposition Thursday, is facing pressure from the White House to support the bill. While on an official trip to Paris, Trump called Paul urging him to vote yes, an aid to Paul told CNN.

The revised Senate bill left Medicaid virtually untouched, meaning the serious concerns of moderates (particularly those in Medicaid-expansion states) were not addressed. And with the Cruz amendment in the bill, all eyes are now on moderates.

Heller is another one to watch. In the past, he has sharply criticized the Senate's version of the bill, and he's recently indicated that he's in lockstep with his state's Republican governor, Brian Sandoval. The state's chief executive this week did not sound enthused with the bill, particularly as it relates to residents in his state covered under the Obamacare-era expansion of Medicaid.

"I'm greatly concerned and very protective of the expansion population," Sandoval told CNN Thursday at the National Governors Association meeting in Rhode Island. "They are living healthier and happier lives as a result of their receiving coverage, and for them to lose that at this point would be very hurtful for them. And it's about people -- this is about people. And 210,000 people in my state."

In addition to these senators, a number of others have remained noncommittal. They include: Murkowski; Jeff Flake of Arizona; Mike Lee of Utah; John Hoeven of North Dakota; Bill Cassidy of Louisiana; Thom Tillis of North Carolina; Ben Sasse of Nebraska; Thad Cochran of Mississippi; Cory Gardner of Colorado; and Todd Young of Indiana.

The President tweeted four times about health care on Friday from France. He said Vice President Mike Pence is "working hard" on it and that he'll have his "pen in hand" to sign a bill into law.

Pence touted the Senate bill -- and stressed his view that the Affordable Care Act is collapsing -- during remarks Friday to a group of about 30 governors at their group's summer meeting.

"Let me be clear: President Trump and I believe the Senate health care bill strengthens and secures Medicaid for the neediest in our society, and this bill puts this vital American program on a path to long-term sustainability," he said, without noting that the bill also cuts Medicaid spending from current projections.

"I understand and appreciate, as the President does, the concerns that many of you have as we talk about Medicaid in the future going forward. Our administration's paid very close attention to this issue," he said.

The President remains focused on getting a deal on health care that's better for the American people, a senior administration adviser told CNN on Friday.

"If they don't get this done now, I don't know when it'll happen," the adviser said. "We've had seven years to create an alternative plan."

CNN's MJ Lee, Lauren Fox, Tami Luhby, Eric Bradner, Liz Landers, Ryan Nobles and Ted Barrett contributed to this report.

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Crucial week for Republicans' plan for health care: What you need to know - CNN

Democrats in the House had a rare victory this week when an ugly, discriminatory amendment,backed by House Speaker Paul Ryan and pushed by Vice President Mike Pence, failed because 24 Republicans joined every single Democrat in beating it back. It was a pleasant surprise. And theres an important takeaway.

The amendment to the defense spending bill, titled Prohibition of Department of Defense Medical Treatment Related to Gender Transition and offered by Rep. Vicky Hartzler, a Missouri anti-LGBTQ Republican, would have denied medical treatment for gender transition for military personnel and their dependents. Transgender people currently serving in the military have been able to serve openly and receive the necessary medical care for transitioning since June of 2016, after the Obama administration lifted the ban on open service for current members, ending discharges and involuntary separation. Hartzlers amendment was an outright attack on transgender people promoted by the usual nasty band of homophobic, transphobic GOPers in the House whove had a stranglehold on the leadership for years. The amendment was allowed out of committee, and Ryan expected it to pass. Conservativeswerent happy about what happened.

Its a major loss for Pence and the [GOP House] leadership, Matt Thorn, executive director of OutServe-Servicemembers Legal Defense Network (SLDN), one of several groups that were lobbying vigorously against it, told me regarding the narrow 209-214 vote.

And of course, it was a win for trans people. Advocates from the coalition of groups, including the American Military Partner Association, the Human Rights Campaign, the National Center For Transgender Equality and the ACLU, were fully engaged and fought hard, as did Democratic leaders in the House. Minority Leader Nancy Pelosi and Minority Whip Steny Hoyer spoke out, demanding the amendment be removed.They are fighting to rip away the health care of thousands of brave service members. Pelosi said. This cowardly Republican amendment targeting transgender men and women in uniform effectively bans these patriotic Americans from serving their country.

And they actually got the help of Defense Secretary James Mattis. CNN, citing congressional and Pentagon sources, reported that Mattis called Hartzler to pressure her to drop the amendment. (Mattis, citing service chiefs who wanted more time to prepare, had last monthput off for six months a plan to allow new transgender recruits, something advocates werent happy about, though they expect him to follow through.) When that didnt work, Mattis lobbied individual GOP House members to vote against the amendment.

Mattis had far more influence here than the vice president did, Thorn notes.

Thats remarkable. In addition to exposing rifts within the administration, it reflects how, with Donald Trumps approval numbers underwater, the White House has little sway right now among key House members and it reflects how far acceptance of transgender people has come. Most of the 24 GOPers who voted against the amendment, including Representatives Darrell Issa of California, Barbara Comstock of Virginia, and Carlos Curbelo of Florida, are vulnerable, in districts that Democrats will be confidently and aggressively targeting in 2018.

Since the 2016 election, weve heard ad nauseum from a subset of Democratic activists, pundits, and strategists that one reason Trump won is because Democrats are too focused on identity politics, or what Columbia University professor Mark Lilla, in a New York Times piece, derogatorily called a fixation on diversity and identity drama. In an op-ed two weeks ago in the Times, headlined, Back to the Center, Democrats, Mark Penn and Andrew Stein warnedthat Democrats had become mired in transgender bathroom issues, among other things, ignoring white working class voters who feel abandoned. Its the same old mantra, which amounts to a call for pandering to bigotry.

But what happened this week proved, once again, that that kind of thinking isnt just offensive; its bad political strategy. The Democrats stuck together, standing up for whats right but also for their base which is a diverse and large coalition and it was the Republicans who went on the run.

In the face of the danger of a rollback not just on rights for queer people but for all minorities under attack in the Trump era, this showed that standing firm, energizing activists in the base and resisting rather than pandering and caving in is the way to win.

Follow Michelangelo Signorile on Twitter:www.twitter.com/msignorile

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Vulnerable Republicans Just Showed Why Fighting For Trans Rights Is A Political Winner - HuffPost

WASHINGTON Senate Republican leaders cant seem to find the votes to repeal and replace Obamacare. Theyve had no help from Democrats, of course, who oppose what theyre doingand havent been consulted anyway. But theyve also had no help from two senators in their own party: Susan Collinsof Maine and Rand Paul of Kentucky.

Collins and Paul have been a hard no on both of the GOP health care bills unveiled over the last month. Thats made things exceptionally difficult for Majority Leader Mitch McConnell (R-Ky.),who can afford to lose only two Republican votes. Its left his latest Obamacare repeal bill hanging by a thread, as a handful of Republicans on the fence threaten to produce the fatal third vote.

Theyre an unlikely pair to ended up united against their party on something. Collins is a pro-abortion rights moderate from a state that Democratic presidential candidate Hillary Clinton carried in 2016; Paul is a libertarian-leaning conservative who regularly rails against big government. But their different ideologies explain why they are so opposed to what GOP leaders are doing.

The thrust of Collinsconcern is that Republicans are trying to repeal too much of the Affordable Care Act, to the point where people will get hurt. The GOPs latest bill, which was released Thursday, would cut overall Medicaid funding by more than 30 percent and eliminate the Affordable Care Acts expansion of that program. That would mean millions fewer people would have access to Medicaid, namely low-income and elderly people.

Collins wasted little time announcing her opposition to the bill and instead urged her colleagues to change course and work on a bipartisan fix to Obamacare.

Collins also has problems with the sheer number of people who would lose health care coverage under the bill and the plans negative effect on health care access in rural areas.

The Congressional Budget Office hasnt yet released its estimates on the revision of the health care bill, but under the original Senate version, which isnt that different from the new one,roughly 22 million people would lose coverage.

Susan Collins

Paul, meanwhile, argues that the GOP health care billswouldnt repeal enough of the Affordable Care Act. Hes complained all year about Republicans leaving too much of the law intact, and, when GOP leaders unveiled their initial health care bill in June, he ripped it as too expensive and doomed to fail.

The bill is just being lit up like a Christmas tree full of billion-dollar ornaments, and its not repeal, Paul fumed in a Fox News Sunday interviewearlier this month.

Now the Republicans are getting so weak-kneed theyre saying, Oh, were afraid to repeal the taxes, he continued. What happened to these people? They all were for repealing Obamacare. Now theres virtually no one left.

The Kentucky senator is even less happy with the revised health care bill, which includes new insurance deregulation provisions. The language was added to win support from conservatives, but it comes with more federal spending a big no-no for Paul, who fundamentally disagrees with the idea of the government subsidizing health care.

He aired his grievances in a Thursday op-ed in The Washington Times, headlined Crony Capitalism Isnt a Right, So Why Does Senate Healthcare Bill Give Insurance Companies the Right to a Bailout?

I really cant describe my level of disappointment, Paul wrote. Crony capitalism is enshrined as a right by the new GOP Obamacare bill, while that bill does little to nothing to repeal Obamacare or fix our ailing healthcare sector.

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How 2 Republicans Ended Up At Odds With Their Party On Health Care - HuffPost

Photo: Johnathon Henninger / For Hearst Connecticut Media

Tim Herbst signs a banner for a friend after announcing his run for Governor of Connecticut at Trumbull High School on Thursday, June 8, 2017.

Tim Herbst signs a banner for a friend after announcing his run for Governor of Connecticut at Trumbull High School on Thursday, June 8, 2017.

Danbury Mayor Mark Boughton attended the announcement by New Milford's Pete Bass of his candidacy for mayor on Tuesday evening, July 11, 2017, in New Milford, Conn.

Danbury Mayor Mark Boughton attended the announcement by New Milford's Pete Bass of his candidacy for mayor on Tuesday evening, July 11, 2017, in New Milford, Conn.

Shelton Mayor Mark Lauretti speaks after being announced as grand marshal of the 109th Bridgeport Columbus Day Parade at Port 5 Naval Veterans Hall in Bridgeport, Conn. on Monday, June 19, 2017.

Shelton Mayor Mark Lauretti speaks after being announced as grand marshal of the 109th Bridgeport Columbus Day Parade at Port 5 Naval Veterans Hall in Bridgeport, Conn. on Monday, June 19, 2017.

Prasad Srinivasan, Republican

Prasad Srinivasan, Republican

Peter Lumaj of Fairfield, Republican candidate for Connecticut Secretary of the State.

Peter Lumaj of Fairfield, Republican candidate for Connecticut Secretary of the State.

Republicans torn over publicly-funded state elections

The top Republican contenders for governor find themselves at cross-purposes with lawmakers from their own party over publicly funded elections in 2018, with millions of dollars for their campaigns at stake in upcoming budget negotiations.

They have spent months trying to qualify for public funds under Connecticuts clean-elections program, a slog that requires them to raise $250,000 from individuals in $100 increments or less. Some are more than half-way toward unlocking $1.4 million for the GOP primary and $6.5 million for the general election if they become the nominee.

But GOP budget hawks want to cut the program to help close a $5 billion deficit, saying that the potential $40 million cost of subsidizing candidates up and down the ballot is too much and that there is a shortfall for the first time in the programs history.

The schism has cast a shadow of uncertainty over the wide open race going into a the special budget session, which had been scheduled for Tuesday but has been delayed by majority Democrats to build support for their plans.

Obviously, having raised almost 60 percent of the grant and being on the back nine, I hope going through this process the program will still be in place, said Tim Herbst, Trumbulls first selectman. Now youve had people give you a quarter of a million dollars for nothing.

The cost of publicly-funded elections in Connecticut

2008: $9 million

2010: $27.3 million*

2012: $10.8 million

2014: $33.4 million*

2016: $11.5 million

2018: $40 million

* denotes governors race

denotes forecast by the Office of Fiscal Analysis

Source: Citizens Election Program

Tarnished by a pay-to-play scandal that led to the resignation and imprisonment of Gov. John G. Rowland a decade ago, the state created the program to wean candidates off special-interest money and free them from the time required for fundraising.

The programs popularity has been on the rise, with $33.4 million awarded to 287 candidates for statewide office and the Legislature in 2014. Nearly half of that total $15.8 million was spent on the governors race.

GOP leaders are warning of a $10 million shortfall for 2018, however. Until now, the program has relied on proceeds from the sale of abandoned property and unclaimed bottle deposits to cover its cost.

Were broke and its kind of tough to say, Were going to cut Medicaid and were going to cut social services programs so we can fund pencils, pens and political paraphernalia, said Senate Republican Leader Len Fasano, of North Haven. I dont think anybody has an advantage or disadvantage if the system goes away.

House GOP Leader Themis Klarides, of Derby, said its about priorities.

I dont think anybodys definition is taxpayer-funded elections, Klarides said. Im sure there are people that wouldnt be happy about it.

Longtime GOP Shelton Mayor Mark Lauretti, who is coming off a record-setting quarter in which he raised $145,090, said now isnt the time to abandon the program.

Its a little late in the game to be talking about that unless they have a sunset clause that gets you past the next cycle, Lauretti said. You know 15 to 20 people have started down this path. Think of the thousands of Connecticut residents that have donated. Isnt that a little disingenuous to them?

If lawmakers want to rein in the programs expenses, Lauretti said, they should look at the grant amounts for legislative candidates and the types of expenditures allowed.

I.e. golf balls and golf tees with their name on them and tee-shirts, Lauretti said.

If it wasnt for the program, Lauretti said, he probably could not afford to run for governor.

Im not independently wealthy, number one, he said. Good, bad or indifferent, the program does demonstrate to a certain degree that a candidate has support.

As a state legislator, Republican Danbury Mayor Mark Boughton voted against publicly-funded elections. Now as a potential third-time candidate for governor, he has raised $162,000 to try to qualify for the program.

Ive never believed that the government should be funding campaigns, particularly a government thats $5 billion in the hole, Boughton said. If I were governor, I would seriously look at dismantling the program.

Boughton said he is prepared for whatever outcome, including going back to his 2,000 contributors if the program and its $100 cap are abandoned.

Right now, were operating under the rules that are put in place, Boughton said.

Westport businessman Steve Obsitnik, whose exploratory committee raised $201,567 during the second quarter, said he doesnt need public funds to be viable.

These are tough financial times for Connecticut, Obsitnik said. I defer to the Legislature.

Bridgeport Republican Dave Walker, the former U.S. comptroller general, said the program needs to be reformed, but should be preserved. He would eliminate grants for House and Senate candidates, as well as do away with separate primaries and grants for lieutenant governor.

I could probably have an advantage if it was eliminated, but I think it has intellectual merit at least for the office of governor, Walker said. You want to try to encourage people who may not be wealthy to run and try to provide a level playing field.

State Rep. Prasad Srinivasan, R-Glastonbury, who has raised $205,103, said he could accept the program being suspended, but only if it is part of a comprehensive budget fix.

Obviously, its going to impact me very personally, he said. At the end of the day youve got to do whats right. I think (the program) is an equalizer. There are parts of a budget that you like and there are parts of the budget you dont like.

Fairfield Republican immigration lawyer Peter Lumaj has raised $281,130 for his exploratory committee for governor, but only $76,000 counts toward public financing because of a high percentage of out-of-state donors.

I've never believed that taxpayers should foot this bill, but unfortunately, professional politicians have created a system in which individuals cannot be competitive in Connecticut elections unless they are self-funding millionaires or participants in (the program), Lumaj said. We need to reexamine donation and expenditure limits, within reason, to fix this problem. If we address those concerns we can create an election environment that remains competitive while removing the burden off of the backs of hardworking taxpayers.

Herbst said lawmakers should consider scaling back the grants to the levels before 2010, when Democrats overrode a veto of then-GOP Gov. M. Jodi Rell and doubled the funds available to governor candidates.

Look, they wouldnt be fiscal conservatives if they werent looking at it, and, for that, I respect them, Herbst said of GOP leaders.

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Senate budget rules are giving opponents of the rollback of the 2010 health care law an easy way to attack Republicans for hypocrisy.

The Senate GOP may notreally want to immunize their own member and staff health plans from their health care policy changes, but because they are seeking to bring their bill to the floor under the expedited budget reconciliation process, they have little choice.

Sen. Ted Cruz has already unveiled a fix to nullify the exemption, but that bill would take 60 votes to overcome any filibuster attempts.

While this exemption was included in the Senate health care bill out of procedural necessity, we must still be diligent in ensuring thatMembers of Congressare treated just like other Americans under this law, the Texas Republican said in a statement. This is an issue of fundamental fairness. Lawmakers are not above the laws that they pass and I believe that it is crucial that Members of Congress abide by the same laws that their own constituents follow.

The exemption has already prompted a web ad from the group Save My Care, which has been working against efforts to repeal and replace the health care law that took effect under President Barack Obama.

Senators did make the bill better for one group of Americans ... themselves, the ad says, citing a Thursday report from Vox.

It is substantively accurate to say there is a carve-out in the Senate measure, but as with much of what happens when the Senate uses the budget reconciliation process, the reasons are complicated.

As part of the implementation of the 2010 health care law, members of Congress and many staffers both on Capitol hill and in state-based offices shifted from getting health insurance benefits through the Federal Employee Health Benefits Program to the small-business exchange in Washington, D.C.

Matters related to the local government in D.C. fall within the jurisdiction of the Homeland Security and Governmental Affairs Committee, and internal operations of the Capitol are the responsibility of the Rules and Administration Committee.

Aides previously confirmed that since neither panel received reconciliation instructions in the fiscal 2017 budget resolution that was adopted earlier this year so Republicans could pass health care legislation with just 50 votes and a tie-breaker by Vice President Mike Pence.

A bill or amendment could lose its privileged status and be subject to needing 60 votes to overcoming procedural hurdles if staff and lawmaker health benefits were not exempted.

Under a decision by the Office of Personnel Management during the Obama administration, employer contributions were allowed to be used in the D.C. SHOP.

That led to a recurring saga in the Senate involving an amendment crafted by then Sen. David Vitter. The Louisiana Republican sought to end the employer benefit. OPM under President Donald Trump has not reversed course on the availability of the benefits

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Why Republicans Exempted Their Own Insurance From Obamacare Rollback - Roll Call