they talk a little bit about how to read the cbo report. kn office, as the presiding officer knows, has the final word really on interpreting from an official standpoint what the impact of proposed legislation would be. but i have the say this is farit from a holy writ. here's a good example. in this article they point out obamacare coverage estimates. cbo estimates for obamacare coverage by year in the million of enrollees. for example, in 2013 they projected that seven million enrollees would enroll in obamacare, and it was six. well, that's not too far or off, but let's look at 2015. 2015 they said 13 million would enroll and 11 million enrolled. again, that's ball park. but then -- ballpark. but then you go to 2016. they predicted 21 million would enroll in obamacare. do you know how many enrolled in 12 million. they missed it by almost 50%. that's not close. and then 2017 they projected it would be 15 million, and it was 10 million. so i say that not to disparage the congressional budget office, because i know they're doing the best th

preexisting conditions, cbo report states a direct quote, this is from the tom price selected cbo director. people who are less healthy would ultimately be unable to purchase comprehensive non-group health insurance at premiums comp trouble those under current flaw they could purchase it at all. so, the so-called fix, which some of the moderates in in the house bought into, doesn't make preexisting conditions any easier or any better. think about that far minute. under trumpcare if you have a preexisting condition or you're sick, your health insurance costs could go up so high you can't afford it at all. the non-partisan score keep verse spoken loudly and clearly. trumpcare means higher costs and less care for the american people. for the good of the country, republicans in the senate should reject this path and work with democrats to fix our health care system. instead of pulling the plug on it. senator murray. >> thank you, senator schumer. you know, i've had to they far too often recently, but people are really scared right now. i've heard from so many of them in my home state of washin

challenges and whether they will have real protection the cbo yesterday came up with a report saying the nature that much ashley measure that passed the house is a disaster families across america we have to do everything we can but to theo democratic leader when the republican leader comes to the floor to say why will the democrats join us to repair the affordable care racked? i would say to the republican leader you have 30 male republican senators sitting down to debate the future of health care open the windows have the openen bipartisan conversation not about repealing the health care system but miki is stronger for checking the families that showed up yesterday. i yield the floor. >> yesterday's the cbo led by a director who was hand-picked by current hhs secretary released its analysis of the house republicans' health care bill. the bill makes clear that trump care is a cancer on the american health care system making coverage unaffordable for many seniors with pre-existing conditions million while leaving 23 million americans -- me or americans with health insurance so people

today, the cbo score tells us what we already knew about trump care. it confirms the worst fear of families across the country. under trump care, if you are one of the hundreds of millions of people in the united states who has a pre-existing condition, or if you are a woman, your healthcare cost could go up dramatically. if you are on medicaid, you could lose that coverage along with tens of millions of other people. if you are playing parent patient, you're very likely going to lose your provider, the one you trust because of politicians in washington, d.c. if you're a big healthcare corporation, odds are good you are going to look at a massive tax break. if your president trump, this is just one huge win, just for you. senator mcconnell said the cbo score would repeat things we already knew about the house bill. that is completely true. let's be very clear. the principles behind trump care in the house and trump care in the all male, closed-door senate republican working group are the same. it is fine for sick people and seniors to pay more for wors

that is plainly what cbo says. questions to any of us? where do you think the are likely to fail in their reconciliation? >> they're having big trouble getting 50 vote for anything because their fundamental foundation is wrong, which is simply to take huge tax breaks for the rich as payment for cutting people's health care. and so, it is very hard for them when they promise to make things better, to put together a bill when to start off with a overation, you must suck 250 billion dollars out for tax cuts for the rich and it leads to higher premiums, less health care, and they are just stuck. any building come out with. the reason they rush it through in the house without a cbo score is a new they would be embarrassed by the score that came out today. the reason mitch mcconnell is talking about doing the same thing, no hearings, no amendments, is because they will be embarrassed by the similar product that will come out. >> i speak is the ranking the budgetmember of committee. the health committee is required to save at least $1 billion. i

cbo estimated there would be 30 million people uninsured. it was 27. in my book. >> here's the thing i think got lost. we talk about the numbers, and the numbers matter, but how would you -- i mean, the fundamental thing this bill is doing, right, is, it is redistributing from the sick and the relatively worse off to the relatively healthy and relatively better off. >> you do not want to be low income, older, living in a high cost state under this plan. i mean, we're talking not just 1,000 or $2,000. for the cbo report, it shows that for a 64-year-old at $26,000 of income, you're talking about a $12,000 increase on average, let alone if you live in a high cost place like alaska. it's earth-shattering. >> have you seen legislation ever, major legislation that would have the negative consequences that acute in the time that you worked there and at the omb? >> no, because usually what happens is, you are revising the legislation to try to avoid those kinds of outcomes. >> right. so you're saying the process is what produced the outcomes here in some ways,

they don't have a cbo score.the procedure they'll attack it and on the policy with the pre-existing conditions and taking some thing as way. so, i would be prepared for -- as early as next week when these republicans return to their districts and have town halls, there will certainly be a lot of controversy around that. >> david, to you, john berman is old enough to remember when. i am not old enough to remember when but he is old enough to remember when paul ryan was a teenager, as you said last hour, said this in 2009 about what is so critical to have before you vote. i guess we don't have the sound, let me read it to you. he said, about obamacare, i don't think we should pass bills that we haven't read and we don't know what they cost, meaning you can't vote for a bill if it doesn't have a cbo score or price tag, et cetera. this vote, david, doesn't have that. so, what, doesn't matter anymore? >> i think david is having a hard time hearing us. m.j., can you take that one? we're losing our guests left and right

that's basically what cbo is saying. i thinkclarity on that has people frustrated. >> why do people -- >> but the deficit reduction part is important. your side embraced that. when it came to 23 million, they said, no, it was -- >> i just explained it. >> following up on the cbo report, it did find that preel y -- premiums on average would go down, but in the markets that employed the waivers, they believed there might not be any access for the group -- >> let me explain what this means. >> it would go up for older and sicker people, as well. >> if a state takes a waiver, then a state, in order to get the waiver, has to have a risk system in place. we have experience with this where i come from. we had a risk pool. maine had great experiences. they had risk sharing. a state has to have a risk system in place. that risk system is specifically designed to make sure people with a catastrophic illness, somebody with a preexisting condition, also gets affordable health care. what we have learned through experience is if we ta

it will get its own cbo score. the challenge sitting there right now, the acha, is getting defined as one where people will pay more for pre-existing conditions. older people will pay more. and those ads are going on right now and the ads that you showed and the individual districts. but they're going on in pro democratic groups, running lots and lots of these ads to ban the bill in general. this will be bad for republicans as it goes through its legislative purgatory. that doesn't mean just because you have a new bill, it is getting defined right now. the challenge is how do you undefine it? >> and senate republicans throw out this bill and say we're starting from scratch. remember, you break it, you own it. republicans are being labeled. in districts plus 20 republican, running pro obamacare ads. so it is a new day in politics. >> they're still not embracing obamacare. >> they're saying let's not go where the republicans want to go. let's keep what we have. >> that may be true to a certain extent. but this whole

with no cbo score and in some cases no time for members to even read the legislation. and now weeks later, the bill is finally coming due. according to the gop, the republican plan would increase the number of people without insurance by 14 million? just one year. that would go to 23 million over a period of ten years t. would reduce the deficit by $119 billion over ten years, slightly less than an earlier version would have done, while premiums are projected to decrease somewhat overrule, they would skyrocket for many people in states that opt out of certain coverage requirements under a late compromise added to that bill. as vox's sarah cliff pointed out, the cbo estimates that in state requesting ahca waives, premiums for low income elderly enrollees would go up 800%. even before these numbers came out, the republican health care bill was already deeply unpopular. just 32% approved of it compared to 55% who disapproved. the cbo score comes little more than 24 hours after the white house releases their budget proposal generating negative headlines. rural nebraska wou

andrew, i worry we talk about cbo score, cbo score, cbo score, people drone out.t. what we're looking for is the measurement of what this new american health care act is going to do for people who need health insurance, for people who pay for health insurance. >> right. and remember, medicaid has historically before health care reform been something that people didn't like to talk about. it was just for this -- the really poor seniors who were in nursing homes. but under health care reform, 70 million americans are now on medicaid, 20% of the u.s. population gets their health insurance that way. it's your friends, your neighbors, kids who graduate college and are looking for jobs. this hurts a lot of people. whatever the cbo score turns out to be, there's going be major cuts to medicaid. and states fund a big chunk of medicaid and the federal government does. the books just don't balance, and they're there are goire are cuts. >> stephanie, 17% of people liked the last time the american health care act was shown. there's no way this is better because this is a toug

is clear why they didn't want the cbo to take a look at it.under the republican proposal those that will lose their health insurance over the next 10 years 22 million americans will lose their health insurance. day remember when we started this conversation? the goal is to change the laws so more americans would have the protection of health o insurance. of a just the opposite occurs if it goes forward. red and with the health care reform was the rate of growth of health insurance premiums. cost has been going up way r too high for way too long so republicans on the current system with the cost is going up too fast so they put it in the reform proposal that the cbo says the same about the republican approach next year premiums for health insurance will increase by t 20 percent with the individual market that isco the market we have seen mr. maddow cost already and the republican plan makes a worse. but with the current health care system now a death spiral. but the cbo shows under the current law marketplace but under the republican repeal bil

i don't always agree with cbo.ently i disagree but we should have an assessment from them and that's got to be part of the debate. >> your friend senator graham tweeted out saying "a bill finalized yet has not been scored, amendments not allowed and three hours final debate should be viewed with caution." >> he's absolutely right and i don't try to tell the house of representatives how they should conduct themselves but i know that's not going to be acceptable here in the senate. >> let's talk about foreign policy. just yesterday secretary of state rex tillerson gave a statement, he spoke to state department employees, and there's a lot of concern over the state department, it didn't get a lot of pickup but he said something that was interesting. he said u.s. foreign policy should sometimes separate values, things like freedom, human dignity and the way people are treated -- that's a quote from him -- from policies it pursues around the world. basically it was sort of the first definition of what an american first

i think the cbo report that came out this week was the death knell for that house bill. the senate bill is going to be quite different, if they ever produce one. the senate believes, in a way, including republicans, that the house bill had such a terrible cbo score -- i think the senate is relieved, in a way, including republicans, that the house bill had such a terrible cbo score. there were all these horrible statistics about, it takes away the pre-existing condition guarantee, and it requires people in their 50's and 60's who are low income to pay substantially more money for their health insurance, which other people who actually need it more. there are so many things wrong with this bill. the fact that a couple -- the highlights about it are that it saves money and it can be brought up in the senate under congressional rules. i think the senate is relieved that this bill is as awful as it is and confirmed to be awful by the cbo. they have their own bill, and it may not even happen until 2020. it is a much more methodical process. host: let's look at what house speak

but the senate needs a cbo score for pragmatic reasons. they require a cbo score with every report.o committee. needed topractically know what their targets are, how much certain things save, how much some will cost. , thathis bill at the base will give them their guidelines as to how much room they have to maneuver. scarlet: without the support of democrats. julia: have you done any analysis of this? do have a sense of what it will look like? dan: it will cost more. some of the concessions made among house republicans were to put more money in. i expect they have carefully crafted it so it still saves a little, so they do not have to go back to the house floor. it will keep more people insured. not quite 24 million. past there has been criticism from the house republicans. andaps you could do with -- do away with the cbo, why do you need it? with yourwe disagree numbers, your assumptions, you're being to aggression -- too aggressive. dan: it becomes a war of numbers between administrations. -- have someum now now. they believed there would be 3% real growth. cbo says, more like 2%.

but more importantly, we got two cbo scores. the most recent cbo score says we're perfectly compliant. with the sthat budget rules. which is what matters here. the last amendment is not going to dramatically alter that score. it was narrow changes to the bill. that has been online for quite some time. >> the members who changed their vote said there were quite significant changes to the bill. essential benefits. it changed how you dealt with pre-existing conditions. it added money, as well. >> the last one, yeah. it's called the upton law. and several other members wanted this 'mehmet. amendment. is there a situation under any situation where the state getting a waiver if there is a person that could get charged higher health care costs because of their health status? we looked and decided there might be a situation where, within the course of one year, a person could conceivably get higher health care costs. this amendment affects that. we have multiple layers of protection to make sure that these families, that these people. l

does the cbo score matter? it appears they're going to start from scratch. >> i think it matters to this extent. this has not moved the ball forward at all. i think this is the greatest threat to the republicans in 2018. the fact that the senate can't agree and i don't think the senate and the house could agree and the longer this takes, and it could take months, the further back you push the timetable for other things like the budget and particularly for the markets, tax reform. >> let's switch gears to the special house election in montana. greg gianforte making news with the audiotape, bizarre, disturbing, incredible. i don't think there are enough adjectives to describe what we're hearing here. michael, how do you see this election, the election playing out? i'm talking about, you know, where do you see it ending once the polls close? >> well, two-thirds of the votes already in with early voting. but you do have to wonder that last third who is voting today, they're the people who haven't made up their mind

the cbo predicts 51 million americans won't have health coverage by 2026. compare that to 28 million under obamacare with 14 million fewer enrolled in medicaid. americans losing health insurance creates ammunition for critics of the bill, and it's the main objection that's being raised by moderate republicans, but conservatives like that it lowers both the deficit and premiums for many people. average costs do go down after an initial spike, but the sickest americans end up paying more. prices also depend on where you live. you look under the bill, states can waive protections for pre-existing conditions, so what the analysis does here is it divides the market in three. so you see premiums fall 4% in states that don't lose protections and 20% lower in states with moderate changes. but here's the thing, that's because insurers cover fewer benefits, such as maternity care, vital, mental health, and substance abuse, super important. so, that could cost customers thousands of dollars out of pocket. and for states that get rid of protections, premiums vary. they

and that's basically what cbo is saying.hink the lack of clarity on that point is what has members frustrated. [ inaudible question ] >> i just answered the question. >> deficit reduction part is important. your side embraced that. but then the 23 million, it's oh, no, no. >> i just explained it. >> following up on the cbo report, it did find premiums on average would go down, but it also found that in the markets that employed the waivers, they believe that there might not be any premium access, any access for the -- >> obviously let me explain what it means so -- >> and premiums would go up for older and sicker patients. >> if a state takes a waiver, then a state in about order to get that waiver has to have a risk system in place. we have experience with this where i come from. we had a risk pool. maine had great experience with it, they had risk sharing. so a state has to have a risk are system in place and that risk system is specifically designed to make sure that people with a catastrophic illness, somebody who has a

while they eventually got a cbo report on their first bill, when a cbo comes out on this, it's going to be even worse because the bill goes in the wrong direction. and in terms of the fraudulent representation that they're making, that this is about preexisting conditions, they are just -- it's not even -- it's so untrue. let me just quote some people. now republicans again are fraudulently claiming the upton amendment covers americans with preexisting conditions. it does not. robert grubois at the conservative center said the amendment at hand focuses on high risk pools but the $8 billion amount is a pittance over five years it's a fifth of a pittance. you have the president of the united states say it's more money than we need. doesn't even know what he's talking about. a health care expert at the kaiser family foundation, she said it would cover the costs for only 1% of those in the individual market. they're big on 1%. whether it's money for the 1% or health care for the 1%. the 1% where we'd like that to be 100%. under trumpcare, americans with preexisting conditions will be pus

discuss the cbo.g is this? if the idea is to have people covered and have people covered well, it doesn't seem to work on either of those scores. >> i think what it means is the senate is going to have to rewrite the house bill. that's something that the senators have been saying really from almost the day that the house finished its bill. it has been thrown over to the senate. there's only 52 republicans in the senate. they will have to have something they can all agree on. i think the final bill will look more like a bill that covers more people than this. the main point i'm making is, what people are saying is, all these people will lose health insurance under the republican plan. everybody will lose health insurance under obamacare until we throw them into medicaid. >> that's a little bit of a speech's argument. >> well, because, the affordable care act, what's going to happen in the senate to get the votes they need and also to avoid the possibility of the 23 million people going to lose their he

that's what cbo is saying.nk for the lack of clarity on that point is what has members frustrated. i think i just answered your question. >> reporter: your side really embraced that into 23 million. >> speaker ryan: i just explained it. >> reporter: they did find that premiums on average would go down, but it also said that they believe there might not be any premium access. >> speaker ryan: obviously i disagree with that. >> reporter: it doesn't show up for older and sicker. >> speaker ryan: if a state takes a waiver, that in order to get that waiver, it has to have a risk system in place. we have experience with this where i come from. we have a risk pool. a state has to have a risk system in place and that system is designed to make sure that people with a catastrophic illness, somebody who has a pre-existing condition also gets access to affordable health care. what we have learned through experience is if we target resources at the state level and at the federal level to help make sure that we subsidize ca

we don't have a cbo score.e don't know how much it will cost and how many people are going to be missing coverage as a result. the problem for republicans is we're going to find that out. the cbo will score this almost certainly before the senate does anything with it. my guess is you will have more than 1.5 million people or 2 million people not covered. 24 million people when the cbo first scored that had coverage under obamacare that would not have coverage under the house plan. i think abby makes an important point. when you take something from someone that even if they didn't like it, they had it. it is very hard politically speaking. the explanation for democrats now is you had this. they took it from you. you don't have it anymore. the explanation for republicans. you don't have it anymore, but let me explain. that explanation goes longer than a 30 second television commercial. the democrats explanation takes five seconds in a commercial. you play a clip of chris collins say i didn't read the bill. end s

after a cbo score, not before.y're going to have to see if they could change the narrative on this because what happened at the very beginning is republicans started out at least from the perspective of obamacare being unpopular and they were there to push something better. now they are pushing an unpopular bill at a time when obamacare is right side up for the last two months people have found it to be more popular than unpopular. that creates a lot of political challenges for republicans. there is a lot in this bill they would prefer not to deal with, but i would not assume that given all of these difficulties that mitch mcconnell won't find a way to get it done. but they could lose only two votes. even when they lose those two votes, it requires mike pence to be the tie breaker in favor of this thing. i expect it to go to the floor and face a vote where there could be hundreds of amendments put up for a vote and mcconnell and the rest of the republicans are going to have to decide which kind of changes they want

we do not have a new cbo report. the only cbo score we've gotten was weeks ago when the original bill came out. this is going to be a huge liability and we've seen that already for republican lawmakers. they are having to answer the questions both from democrats and critics as well as constituents why did you decide to take this vote before a cbo report came out. now republicans that i've been speaking to all day they are inclined to say well the amendments that were added at the last minute they are not so big and so significant that we expect the cbo numbers, at least the baseline numbers to stay the same but, again, this is a political fight and a huge political milestone for the republican party and the fact that they are about now to take this vote without there being a finalized cbo score that's a huge liability for them. >> we'll get back to you. we got some news also that we're looking at from the white house right now. down playing a potential congressional budget office score. i want to go back to our senio

we don't have a cbo score, which paul ryan in his book and said passing something without a cbo score is irresponsible and should not be done. and in addition to that, to reading the bill, reading the amendment and knowing what the amendment does. this was done late last night. and, again, a rush to judgment on a very bad bill. i agree with leader pelosi, republicans will ruin the day when they voted for this bill which undermine health care for 24 million people who will be kicked off health care. we know that. >> congressman, if we're being honest here, this is not the repeal of obamacare that was promised and that you all feared so much. so, is this less bad than you thought it could be? >> it's bad. i don't want to say it's less bad, more bad. the repeal itself, the reason you're not seeing the repeal itself is because republicans know that would be devastating to them politically. they're pretending that they're repealing for those they told they were going to repeal and they're pretending for those they think are good aspects to the affordable care act that they're not going to

and that's why i'm comforted by the cbo report, which shows, yeah, we'll lower premiums.problems to solve here. we've got to get premiums down and we have to make sure people with pre-existing conditions can get affordable coverage. . yeah. >> mr. speaker -- [ inaudible question ] >> i just explained. i just answered the question. >> thank you, mr. speaker. yesterday the treasury secretary called for a clean debt ceiling increase by august. the house freedom caucus rejected the idea of a clean debt ceiling increase but also wants something done by august, paired with policy shifts, to address the deficit. where do you stand on this issue? >> we were talking with our members on this. every treasury secretary says this and every treasury secretary needs to say this. so, i expect nothing less from a treasury secretary. they all should say that. they all do say that. and we're going to be talking with our members and with the administration on how we resolve the debt ceiling. the debt ceiling issue will get resolved. the timing is what i think is the newsworthy thing here. re

. >> then of course that cbo report, congressional budget office, report and assessment. how important will it be in the reshaping of this bill? >> reporter: this is very important to the senate. as you know, the house did not wait for that score from the congressional budget office which lets members know the expected impact of the legislation not just on the american people broadly but also on the deficit. that earlier cbo score of an earlier version of the bill said that 24 million people would be without health insurance coverage by 2026. some are saying that this latest -- this new cbo score that's expected in the next couple of weeks could show that even more millions of americans would lose health insurance coverage, but the reason this is important for the senate is that that cbo score will let them know the impact on the deficit and the senate is trying to pass their version of this bill with just 51 votes so they can rely on just republicans, and to do so they have to meet certain budget reconciliation rules. the bottom line is that the bill can't increase the d

so we don't have the cbo projection of the most recent bill. but we have it for the bill on which the most recent bill was modeled. and if you look at that projection, the evidence suggests that the people who will lose out most in that american health care act are a lot of the folks who voted for donald trump. working class and lower middle class voters, older voters, those folks may very well see their deductibles go up, and their premiums go up. this is not just a policy problem, there's obviously a significant issue of folks potentially losing access to their health care. think of the political problem, folks have always asked, what is it that's going to drive donald trump's voters away from him? losing their health care may be the answer to that question. unfortunately, i think the republicans, that obamacare did not solve all the problems, now own the problem, they're going to learn very quickly, unless they craft a better bill, that it's not just enough to critique the bill that has failed in the past. you have to actually offer a better

. >> how do you feel that they voted without a cbo score? >> yeah, the three amendments that are new aren't going to change dramatically that cbo score. so the basic cbo score is still going to be in the ballpark. and then everything we've said, is a good move on policy grounds. >> how do you know this is going to be right given there's no cbo analysis to exactly say how many people lose coverage and the impact this would have on the economy. >> i know we are doing the right thing. >> but how? >> i know. >> reporter: a lilt bit of blind faith there, anderson. but, look, you heard from gym that the cbo current necessarily proposals accurately. the models don't accurately reflect what they will do. they said, look, the initial proposal was scored. there's no question about it, the fact they were willing to move forward on this proposal with that score, meant one thing. they had the votes and they were willing to pull the trigger, anderson. >> so practically speaking can you just talk about what we knew is actually in this bill? >> i think this

. >> the cbo score. because you know you were waiting to make your decision about health care until you saw the bill and it just came out. >> we'll talk to you about that later. >> yeah, but there's not going to be time. i was just curious -- >> speak with shane, please. i'm sick and tired of you guys. the last time you did the same thing. get the hell out of here. >> are you wi are you with the guardian? >> yes. you just body slammed me and broke my glasses. >> the last guy did the same thing! >> greg gianforte released this statement. he was given a separate interview in a private office. tonight, as greg was giving an interview in a private office, the guardian's ben jacobs entered the office without permission, aggressively shored a recorder in his face. it's unfortunate that this aggressive behavior from a liberal journalist created this scene at our campaign volunteer bbq. fox news correspondent alicia alcuna was there. she saw the fight. she tells a very different story. >> reporter: i myself was

so, we don't have the cbo projection of the most recent bill. but we have it for the bill on which the most recent bill was modeled. and if you look at that projection, the evidence suggests that the people who will lose out most in that american health care act are a lot of the folks who voted for donald trump. working class and lower middle class voters, older voters, those folks may very well see their deductibles go up, and their premiums go up. this is not just a policy problem, there's obviously a significant issue of folks potentially losing access to their health care. think of the political problem, folks have always asked, what is it that's going to drive donald trump's voters away from him? losing their health care may be the answer to that question. unfortunately, i think the republicans, that obamacare did not solve all the problems, now own the problem, they're going to learn very quickly, unless they craft a better bill, that it's not just enough to critique the bill that has failed in the past. you have to actually offer a better

if you accept one part of the cbo analysis, do you accept all of them? >> what the cbo is saying, if the government is not going to force somebody to buy something they don't want to buy, then they're not going to buy it. so they're basically saying, people, through their own free

obamacare but the new version with the 11th hour modifications to the bill has not been scored by the cbo. even some republicans who support the proposals say it's being rushed. >> it's been a truncated process. it's not a lot what we would've like to seen but we are where we are. >> reporter: the bill passed by the house today would provide refundable tax credits, revamp medicaid funding reducing federal support by capping funding and would repeal obamacare subsidies for lower income americans, eliminate employer mandates and medicaid expansion money starting in 2020. and weaken guaranteed protections for people with preexisting conditions. the bill passed without a single vote from democrats. >> as bad as trumpcare was the first time around, we know it was dead, it died, it died right here on the floor, now it's come back to life. like a zombie, even more scarry than before and it is even worse. >> reporter: putting republicans on notice, readying to use this vote as ammunition to win back the house in 2018. >> some of you have said well they'll fix it in the senate, but you have every

i am unimpressed with the cbo and the cbo numbers. they got it wrong by a lot last time. of course you're going to give an increase in the number of noninsured when you abolish the provision that requires young people to buy health insurance. it's uneconomical and unnecessary. you abolish the compulsion, you're going to get fewer people purchasing health insurance. that's a rational economic decision. second, the major expansion of the coverage was from the lifting of the medicare, the medicaid cap. medicaid was intended to cover the poor. the affordable care act, obamacare, raised back to 400% of the poverty level. why is that a sacred number? if you reduce it to 200%, you're not even talking about the poor. this is into the middle class. a huge expansion of entitlements in a country that thinks of itself as serious as we need to entitlement reform and the minute you do something that acts on it, you get screeches of horror like from chuck schumer and accusations of cruelty. >> bret: we spent a lot of time talking about this bill. obviously most of america gets their hea

a cbo score. >> we don't have a final cbo score on this, that's correct. you do however have a cbo score on the underlying bill. >> it's not good. >> it's not good but it's also a little bit interesting in that the cbo has said 14 million people will immediately drop out, be cut off. they won't but the cbo said they will drop out because you're no longer forcing them with the carrot and stick, that is mandate and tax penalties to be on there and they don't want the insurance because they're getting under the aca is both high premiums, high deductibles and insurance that doesn't cover them very well. that's why they're going to leave. now, if they do this right, they will start turning this from a government system into a doctor/patient relationship system at which point you're then starting to open up markets and open up the opportunity for people to choose their doctor to have access, choices, health savings accounts. those are the things they want to change the system around and move away from, the greater government control that was part of the aca, und

the cbo got that all wrong. the fact is the mandate did not result in everybody, all these younger people buying health care, many people refused to do that even though the supreme court upheld that piece. so much of what the cbo did with obamacare was just flat out 180 degrees incorrect. nobody should assume that's some kind of gold standard. i do think it's better to wait for scores when it comes to passing legislation. as i said, we already got two on previous iterations. we know the pluses that occurred with fred upton and others. we know this saves a hell of a lot of money over obamacare in the next 10 years. >> we also have jen from the clinton campaign. jen, what do democrats do now? >> well, i think this is all the momentum that we see behind this bill is a lot about short-term gain for the republican party within the republican party, and i think that you'll see -- i have seen situations before where in politics you're on a train, it's headed for certain destruction, and for some reason you can't seem t

this number from the cbo. david: two members of the senate , they will start from scratch as you said, how important is this score? what will they do with the number is from yesterday? >> the senate is basically using this number two basically say that they need to start a new process, they need to create a bill that can get support. there are only 52 votes from republicans in the senate, so they can only afford to lose two of those votes. right now we have at least three republican senators saying the bill is not acceptable. they will have to try to create a bill that can get support in the senate and go back to the house where it passed with a tight margin and still keep the conservative members who the first time around were not happy with the bill, there were changes made to keep them on board, some of those changes pushed off moderates in the senate. so mitch mcconnell, the majority leader, will have to thread the needle and try to get moderate and conservative republicans on board for the new health care

that being said, i do know that cbo has gotten many things wrong. this year, the cbo predicted that 26 million people would be on obamacare exchanges. it's 10 million. i'm sorry if i don't believe in this messy way of analyzing what is going to look at. people didn't buy into obamacare, 16 million less people are on it, so why should the average american trust it? >> harris: from the beginning, i think democrats are getting a little excited about this idea that there is tension among the republicans. from the beginning, he had a least two people if not more than that, a widening range of republicans that really wanted to repeal this thing before you do anything else. guys like ted cruz and rand paul. they are against this, not because they don't like what's in it, they don't the premise of it. as a democrat, don't get excited. there is a still room to repeal this and get a whole lot of republicans on board. >> trish: >> meghan: there are e like rand paul who just want this repealed and they don't care how it happens. we have a paradigm shift. he tol

kayla has the cbo for us. >> the important numbers from the cbo score, the apples to apples numbers arehe next ten year period. the cbo finding the amendments made to the american health care act would see 23 million fewer people with insurance between now and 2026. that's actually a slight improvement from the previous iteration of the bill that saw 24 million people would be without insurance based on that pl previous version. also the cbo finds there would be a net reduction of $119 billion to the reduction. that's a little narrower than previously. it was $150 billion on march 23rd. before that it was $250 billion. so you can see that the effect on the deficit is actually narrowing as they make these changes. so the cbo is saying there would be a net reduction of $119 billion. we're still going through the premium information because the cbo actually goes into great detail about exactly what the introduction of these waivers will do on a state by state basis, because one of the amendments that the law maujers put in were the effect of states being able to opt out of having to provid

the white house is saying the cbo estimate is inaccurate. there are already sparks flying. it's going to be a very raucous debate. >> it is certainly going to be that. kayla, thank you so much. kayla tausche in washington. >>> if you were looking for a diamond in the rough, don't look to tiffany. the iconic jeweler is the latest retailer to get knocked after reporting quarterly results. there was a drop in sales in the americas. tiffany says it's been hurt by some of the same things other retailers are struggling with, like broader concerns about the economy. the stock 8%, making at it worst performer on the s&p 500. then there's chico's, the women's apparel retailer fell short of both profit and sale expectations. the ceo citing what many of her peers have, a challenging environment. the stock fell 11%. >>> and the damage wasn't confined to apparel and jewelry. advanced auto parts reported earnings and sales that missed estimates. the ceo cited headwinds. but unlike auto zone, the company did not blame the impact on delayed tax refunds. the end result was a stock decline o

look, i think this is not remarkably different from what we saw with the last cbo score.t going to be a major factor for people who are for or against it. it's just another piece of information setting up for the senate debate or the senate preparing their own bill. ultimately the measurement should be what the status quo is for this cbo bill says this bill would potentially do. we know the senate will entirely rewrite the bill but this will put more pressure on them to address things, like the medicaid cuts which a number of senators are been very vocal about. i don't know how vocal they will be or if they will go to mcconnell, maybe a combination of both, and some of the other concerning parts of the house bill so this is just a reminder to people of how devastating this is. i don't think it's going to be a major factor in terms of moving people who are on one side or the other. >> mary katherine? >> i think it's important to keep in mind it's not 23 million people losing the health insurance they have. many people despite a mandate have opted out under obamacare over m

they will get cbo score after the vote. then what republicans will end up doing is putting this on the floor in the senate for a huge what we call voterama where hundreds of amendments voted on or opposed. i think mitch mcconnell will find a way to get this thing on the floor and through the floor. i think what republicans, chris, really need to do and this gets to a.b.'s point. they need to find a better way to talk about the bill if they believe in it. they need to talk about the pre-existing conditions. people are concerned about that. if they believe this will lower premiums and increase access to quality health care for people who don't have enough access and choices, they need to tell americans how it will work and what benefits they will get. if they can't do that, it raises a lot of questions about the bill and whether or not they are simply trading one health care system for another. >> you have to remember the numbers are in favor of the argument. you are dealing with people on the individual market. you have prob