With just hours left before Congress’ vote on the American Health Care Act, President Donald Trump and GOP House leadership are doing whatever it takes to get the 216 votes necessary for passage of the bill.
In the case of Miami Republican Mario Diaz-Balart, could change in U.S. policy toward Cuba implemented under the Obama administration be the catalyst to lock in his support?
The New York Times reported Wednesday that Diaz-Balart sought assurances from White House officials that the president would maintain his campaign pledge to reverse Obama’s recognition of diplomatic ties with the Raul Castro-led Cuban government.
Diaz-Balart supported the health care plan in the Budget Committee last week, which narrowly passed on a 19-17 vote. A White House official said there was no explicit discussion of trading his vote for a promise on Cuba.
The bill has already been changed to get additional GOP support.
The Times reported in that same story that New York Republican Claudia Tenney said she was likely to support the bill after House leaders added a section that would shift Medicaid costs from New York’s counties to the state government.
The horse trading brings back memories of when the shoe was on the other foot eight years ago, when Barack Obama and congressional Democrats were doing everything in their power to get enough buy-in from Senate Democrats to back the Affordable Care Act in late 2009.
First, there was the $300 million increase for Medicaid in Louisiana designed to win the vote of Democratic Sen. Mary Landrieu in what was derisively referred to as the “Louisiana Purchase.”
Next came the infamous “Cornhusker kickback” to get Nebraska Senator Ben Nelson’s vote. That involved giving Nebraska a permanent exemption from the state share of Medicaid expansion. That meant federal taxpayers would have had to kick in an additional $45 million in the first decade (a provision ultimately removed from the bill).
There was also “Gator-aide,” the label given to the request from Florida Sen. Bill Nelson for the Senate version of the ACA. That included a formula for protecting certain Medicare Advantage enrollees from facing what could be billions in cuts. The formula would only apply to five states, most notably Florida, where 800,000 of the state’s 1 million Medicare Advantage enrollees would be exempted from cuts.
Referring to the Times story, Shripal Shah, vice president of the Democratic super PAC American Bridge 21st Century, took a swipe at Diaz-Balart.
Shah said: “No matter what his justification, here are the facts: Congressman Diaz–Balart is selling out millions of Americans in order to cut billions in taxes for a few millionaires, and this bill might not have even be alive today had it not been for his vote in committee. The White House may have been able to buy his vote, but the public is going to hold him accountable.”
A request for comment from Diaz-Balart was not immediately returned.