Washington (CNN)Republicans are in a down-to-the-wire push to repeal the Affordable Care Act one last time before the clock runs out at the end of the month, and a proposal from GOP Sens. Lindsey Graham and Bill Cassidy appears to be that last effort.
Due to procedural rules under reconciliation, Republicans can currently pass a health care bill with a 51-vote majority, but after September 30 they would need 60 votes, meaning they'd need help from Democrats -- who are adamantly opposed to repealing the health care law known as Obamacare.
So far only one Republican -- Sen. Rand Paul -- has definitively refused to support the Graham-Cassidy bill, and Republicans, who hold a 52-48 majority, can only afford to lose one more of their own in order to pass the bill with a tie-breaking vote from Vice President Mike Pence. If they lose two more Republicans, then there's no path for the bill as written to proceed.
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http://www.cnn.com/2017/09/19/politics/graham-cassidy-whip-list-health-care-bill/index.html