Republican leaders are working to update their long-promised tax overhaul legislation to satisfy enough senators to allow a vote on the legislation as early as this week.
The White House budget director said the Senate GOP bill cuts individual rates for just eight years to "game the system" and hopes those cuts become permanent. It happened before, sparking a crisis.
Republican leaders expressed confidence that the measure could pass the Senate. It is likely to face even fewer hurdles in the House, as the GOP aims to pass a tax bill by Christmas.
The president was blindsided by the latest collapse of a Republican health care bill, which happened just after a White House dinner he held with seven lawmakers.
Republicans are continuing to vow not to work with Democrats. Instead, the president is encouraging a full repeal and passing a new bill. Senate leadership is pushing along similar lines.
Health care jobs now outnumber manufacturing jobs in Jefferson County, Ohio. Hospital administrators worry that Republican plans to cut Medicaid will lead to layoffs.
Congressional forecasters say a Senate Republican bill to repeal and replace the Affordable Care Act would leave 22 million more people uninsured in the next decade.
Senate Republicans have tweaked their bill in hopes of keeping more healthy customers in the insurance market. Customers who fail to maintain coverage could be temporarily locked out.
In their Affordable Care Act repeal bill, Senate Republicans dropped the requirement that all Americans get health insurance. But they also kept the mandate that insurance companies cover everyone.