million a year instead of the $4.5 billion that's being proposed, that formula would result in a state like ohio, for instance, because one of the states unfortunately hardest hit, receiving about $240 million, maybe $250 million a year for this purpose. we've never had those kinds of funds before. so let's be sure that we are using the money wisely. the one thing i think is really important is when you have a program like this that you ensure that the funds are being used in evidence-based programs, that we're not just throwing money after a problem but that we're actually using it in a way that focuses on what works. and i mentioned earlier some things that work better than others including this longer term recovery reality out there that we spent three years researching before we came up with our comprehensive addiction recovery act. we had five conferences here in washington, we brought in experts from all over the country, what's the best practices, what's working in maine, what's working in california, what can be spread around the states. and the funding is directed at those kinds of purp

funding for opiod addiction treatment and also for medicaid, which is a big concern for people in states like ohio, west virginia and alaska. >> let's assume the senate manages to pass the bill. what's the reaction likely to be in the house? will they take it or what? >> that's a very tough decision for the house. i think if you start to get a senate bill that retains some of the obama care tax increases, it becomes much more difficult for the house to take the senate bill and send it to the president for signature. he wants to get this off his plate and get the tax reform, that would be a hard decision for if they pass the original version of the senate bill, i think the house within days would have passed it, put it on president trump's desk. much dicier now. >> how long do you think they will let this debate go on, and do you think they come up with a bill? >> well iing, the source famili with mcconnell's thinking says no later than july 21st. they do not want to come back after the august recess and have to deal with this. they want to be on tax reform, if they pass it by july 21st, then you h

so in a lot of these states that actually expanded obamacare, like kentucky, are republican states. ohio's another one. and so really it's a lot more local and it's a lot more sort of complicated and intrinsic than it is simply ideology speaking obama care is conservative or not. >> this revised senate bill does include a version of ted cruz's amendment allowing insurers to issue cheaper policies with fewer benefits. is that what it will take to win over conservatives, david? >> well, it's something like that that would allow flexibility for insurance companies to offer cheaper plans because what republicans say their constituents are telling them and what seems to be driving them the most when i talk to them is this need to bring down the cost of premiums and deductibles. and what they tell me they hear at home is that people can't afford the insurance that's available to them. and then they point to a lot of the counties, and this is true in nevada and jay brings up a good point about how local this is, this is true in states like nevada and ohio that have embraced medicaid expansion but

they include swing states like ohio, pennsylvania, michigan, and florida. looking at media stocks. showing end of the day mixed. disney in the green. joining me now, conservative commentator ashley pratt, and al mattel . >> it is interesting the poll results you quoted that reflects the election too, hillary won the popular vote but trump won electoral college he is staying strong. liz: a good point. what did you think of media focusing on just one poll? >> they are doing their due diligence in reporting that, but it does need to be more balanced. what is interesting about this, is given whole timing of this now, health care failure, whether or not moving forward this does affect some of those counties, what we need to remember moving forward is that among his strong base of supporters, a lot of them wanted to see repeal and replacement that is a narrative. moving forward. because you know can they stay happy if legislative successes don't follow, a lot of people put a lot of hope into donald trump. republicans benefits from his candidacy. liz: a good point. i hear what you are say

he goes out to critical states like ohio and west virginia and takes the people directly to the americansean: we have known each other for a long time. i complimented you that bill clinton under fire, i appreciate the loyalty you showed your friend. you wrote a back about the experience. i advised more people about your book than you will ever know. tell the truth, tell it all. tell it early, tell it yourself. i think some of the russia, russia, russia, got extended becausantul of the information came out. >> president trump will do much better if he told the truth. i think i wrote a column that said list every meeting you had with any russian and every document and e-mail. get it out. >> sean: i don't think he had any meeting himself. >> the donald trump, jr. meeting would have been much better if he had done all of that rather than the drips. right now the president is focussing on health care. we democrats are wondering whether the republicans can get their act together to approve something. >> sean: we conservatives are wondering too. [laughing] >> at the least we support obamacare b

. >> some of the states that have the hardest time over the years states like ohio, kentucky and floridal in using state policies to change prescribing and start to reduce some of the problems. >> reporter: in 2010, the am of opioids described in the us peaked at a figure equivalent to 782 milligrams of morphine per person. by 2015 that anything had actually dropped to 640. still more than thee times as high as it was in 1999. that concerns public health officials, politicians and law enforcement authorities as they try to curb an epidemic of opioid abuse that led to more than 33,000 deaths in 2015. >> even though there is improvement in prescribing in today's report, we still see too many getting too much for too long. and that causes risks for families around the country. >>> some states are taking action to catch people who are abusing opioids. a new georgia law requires pharmacists to report all controlled substance prescriptions they fill to a monitoring database within 24 hours. >> the georgia pharmacists i think the couldn't senses suss overwhelmingloverwhelmingly thed scope of th

to the way that the medicaid expansion is treated but it's unclear how material senators from states like ohio and west virginia and nevada will feel if these changes are. there are changes to calculations and exemptions for specific events and specific types of enrollees, not necessarily wholesale changes to the year, for instance, during which the expansion begins to taper off or the inflation peg that the expansion growth budget is tied to so that is certainly something that we're waiting to hear in terms of the sentiment around this bill, scott, we've heard senator john cornyn, the number two republican, saying that he believes that this bill will have the vote. by the time it goes to the floor. maybe not today but over the course of the next couple of weeks as senators introduce amendments that he believes it will have the votes to pass. to that end, senator dean heller of nevada who said he was opposed to the earlier draft said he was undecided on this version. senator susan collins of maine said she wanted to wait and see exactly what was in it and discuss it after the meeting and then

this forces democrats in the rust state like ohio, mib and wisconsin to take complete ownership much this issue. how will the blue collar voters in these states respond are forced to make their opposition to this a key plank of their campaign. was it smart to go ahead and admit that a major policy change potentially for the united states military was simply a way to win the midterms? >> i would like to think that they were that smart and calculating and certainly my friend karl rove was, but he's not in the white house right now. i think that was a change the conversation moment. anytime things aren't going well for you, let's change the conversation, move on to something else, whether it's uncomfortable or not. it also looked like it was a part of a bigger deal on the wall funding. it looked like it had all kind of mechanisms in it and then it was tweeted out. so the policy hadn't been given to the generals yet. the conversation, we're having it this morning, so maybe it does work. i think there's so many things out there right now for the midterms that this might just be one of the

specifically treatment of opioid addiction which has been of increasing importance for many senators in states like ohio and west virginia they are also adding funds to pay for higher risk individuals that will be buying plans on the exchanges under the affordable care act that have pre-existing conditions that, have certain needs. it's unclear exactly how much that funding will entail that's going to be a point of convention that is language that is originated from an amendment put forth by senators ted cruz and mike lee that will exempt insurers from offering all of their plans on the exchanges they'll be able to sort of create plans for people off of the exchanges so long as they offer one plan that is compliant. but senator mike lee tweeting earlier that the entirety of the amendment will not be in the bill he's withholding his judgement until he hears exactly which portions of it will be included. we're going to wait and see which senators are still nos or are still potentially waiting to see exactly how this plays out with the cbo score s we expect some of that sentiment to trickle out over the ne

problem, the opioid epidemic, $45 billion is being put in so that the people of many states like new hampshire, ohio, and so many others that have such a big problem can be helped and helped greatly when we are fighting this drug problem. it provides, among many other things, higher quality care and more flexibility for states to administer medicaid to better serve their poorest citizens. tomorrow the senate will vote on whether to allow this urgently needed bill to come to the senate floor for debate. the question for every senator, democrat or republican is whether they will side with obamacare's architect, which have been so destructive to our country, or with its forgotten victims. any senator who votes against starting debate is telling america that you are fine with the obamacare nightmare which is what it is. this is a chance to make up for the terrible harm they have inflicted on americans like those who are with us today. obamacare has been, for them, a nightmare. there is still time to do the right time, and for senate republicans, this is their chance to keep their promise. over and over

multiple chronic conditions he's on medicaid and i think a lot of those moderate senators states like nevada ohioest virginia those trillions of dollars of medicaid cuts are going to be very hard to remedy their concerns about that at least we all hope so and their constituents do. >> billy win, brent wilks thanks for coming in today. we appreciate it. >> thank you very much. >> is it important to move quickly and repeal and replace the affordable care act or already know the senate has decided they're not going on recess. the house is still on the fence. doesn't appear they'll take the same pace. they're going to take their recess. >> we brought in ronica cleary, we sent her out today to get the pulse of the people and find out what everyday folks think about this whole thing. i hear from people who say they're fed up because congress is not doing its job and they want everybody to work together. >> reporter: that's right, and you know, when the decision to delay the recess for 10 days occurred, you know, some people weighed in on social media much social and said whatare they going to 0 days th

amazon will be hiring people to sort and pack in states like tennessee, ohio and wisconsin beginningext week. the manager positions will be available. this is part of a larger plan to hire 100,000 more people by next summer. >> the sequel for the controversial netflix series "13 reasons why" was filming in martinez today. it's a story about suicide. you may remember the triggered debates during season one. many are critical of how it portrays teen suicide. various schools sent letters home warning them about the effect the show could have on young minds. look at today's set at court street and main street. the film what appears to be a demonstration while protesting. >>> okay. it's not a done deal yet. still ahead, the reason san francisco's flavored tobacco ban may go before voters. francisco ban on flavored tobacco products. >>> a big fight from big tobacco. they want to repeal a san francisco ban on flavored products. it was passed by the board of supervisors but let's be real san francisco is what it's called is working to get rid of the ban. it has two weeks to get 19,000 signat

they're going to wa wisconsin, indiana, all other attractive midwestern states like ohio because they've done a better job. that's an example. that's a cautionary tale for us on what not to do. the vita centers that mr. cabello mentioned provide real insight. i visited a couple of them in my .onstituency at a middle school going in and talking to the volunteers to gain real insight on this issue of complexity. situation where you are visiting a vita site, you are sitting down. i was asking volunteers, what is your average interview time for talking to someone? these are very modestly situated people and they said about 90 minutes. imagine that. going through the hassle of 90 minutes talking to some volunteer backing and forthing and so forth to finally come up with something in all this level of complexity that nobody up here interestingly is defending and nobody in the witness panel is defending. yet that is what this very constituency is burdened with. interesting an observation that i would like to make. if this yielded $.70 a day, if that was the bottom line and really the number, i

leaving illinois to go to wisconsin, going to indiana and all the other attractive midwestern states like ohiob-- because they have done a better job. that is a cautionary tale for us on what not to do. the vita centers provide real insight. i visited a couple of them in west chicago, illinois at a middle school there most recently. going in and talking to the volunteers you gain real insight on this issue of complexity. if you are in a situation where you are visiting a vita site you are sitting down and i was asking some of the volunteers what is your average interview time for talking to somebody and these are modestly situated people and they said about 90 minutes. imagine that. going through the hassle of 90 minutes talking to some volunteer back and forthing and finally coming up with something and all this level of complexity that nobody is defending and nobody at the witness panel is defending and that is what the constituents are burdened. if this yielded 70 cents a day, if that was really the number, i would not defend it. 70 cents a day per family? i don't think that is really where

[applause] >> and the senate healthcare bill gives states like ohio unprecedented freedom and flexibilityer coverage and better care and better outcomes to your most vulnerable. because president trump believes as republicans believe in state-based solutions, not one size fits all mandates from washington, d.c. [applause] >> let me also say the people in ohio should be proud in the senate healthcare bill, thanks to the leadership of senator rob portman, the legislation that will be considered next week, addresses an issue that hits so close to home in this state, in my home state, and so many other states, and that is the opioid abuse and addiction. thanks to senator portman the bill that will be taken up next week provides unprecedented resources to combat the opioid crisis that's ravaging our towns and families. and when this bill passes, we will put ohio communities and the country back on a road to healing. [applause] >> this week the senate will vote to begin the debate to repeal and replace obama care once and for all. the president and i are calling on every member of the senate to

this forces democrats in the rust belt state like ohio, michigan yerks and wisconsin to take ownershipll the voters respond when people are up for reelection. was it smart to go ahead and admit that a major policy change potentially for the united states military was simply a way to win the midterms? >> i would like to think they were that smart and calculating, and my friend karl rove was, but he's not in the white house right now. i think that was a change the conversation moment. any time things aren't going well, change the conversation, move onto something else, whether it's uncomfortable or not. it also looked like it was a part of a bigger deal on the wall funding. it looked like it had mechanisms in it, and then it was tweeted out. the policy hadn't been given to the generals yet. the conversation we're having it this morning. maybe it does work. i think there's so many things out there right now for the midterms, this might be one of the tag lines of what you want. the only thing i will give them they get credit for is any time a president looks like he's undoing something a d

but, in some blue states and purple states like pennsylvania, ohio, missouri and wisconsin, you have an interesting mix of new republican coalition. >> i'm going to read off my computer right now. the breaking news is coming so fast, i have to look down here. to salina's point, a senator from a purple state, maybe a reddish purple, but ohio, they are concerned with the idea of repeal only. he would not say how he would vote, but serious concerns about the way forward. serious concerns about repeal only from rob portman could mean the new effort is in new peril before this kicks off. >> that's not a surprise. getting to avotes for repeal only is an insurmountable pass. they recognize passing a repeal only bill, even though they pulled it off in 2015 is going to be extraordinarily difficult this time around. the consensus that is emerging among hill aides is they want to check the boxes, and when the repeal only process falls apart, which isn't guaranteed, but is possible, mcconnell can say, i did everything i could and move on to tax reform. another important concern for senators like

they're going to all the other attractive midwestern states like ohio. and because they've done a better job. that's a cautionary tale for us on what not to do. the vita centers that mr. cabela mentioned provide real insight. i visited a couple of them in my constituency most recently in west chicago, illinois, at a middle school there. going in and talking to the volunteers, gain real insight on this issue of complexity. if you're in a situation where you're visiting a vita site. you're sitting down and i was asking some of these volunteers. what's your average interview time for someone and they said about 90 minutes. going through the hassle of 90 who minutes, back and forthing and so far forth. finally to come up with, that nobody up here interestingly is defending. and nobody at the witness panel is defending. and yet that's what this constituency is burdened with. i think there's also an interesting observation that i'd like to make. if this yielded 70 cents a day. if that was really that number, i wouldn't defend it. 70 cents a day, i don't think

because there are states like west virginia, ohio, arizona. e states have always been desperate to fund their medicaid. paul: here is the key, dan, medicaid is traditionally funded on a 50/50. >> exactly. paul: this was a 90/10 deal. 90% of the cash to get new people on. >> republican governors like john kasich who took the money and now think are literally addicted to this medicaid money. and the problem is that if the medicaid reforms go, states who didn't take the money, say like florida, i think they are going to be obligated to buy in to the medicaid expansion and then it's game over. paul: the expansion of the medicaid, it wasn't just more money at a 90/10 rate. it was also extended up to 138% of poverty. >> right. paul: it came not just bill for the disabled and needy and poverty. it became essentially a slowly moving gradually upward middle class entitlement. >> absolutely. it's a huge -- i mean, really it's obamacade. when they talk about people health coverage it's mostly medicaid. one of the issues, medicaid is a great sort of crucib

states to consider innovative provisions. our report provides many examples of how to states, ohio and california, are tailoring their account the systems of each of the four areas i've mentioned. i'd like to highlight one example. to address the requirements that differentiating schools, ohio plans to tweak it six current indicators to assess school and student performance. some of these indicators would measure current performance while others would measure growth. schools would receive a letter grade on each indicator as well as an overall letter grade. while officials felt this approach would provide detailed information on various elements of their performance system as well as provide an easily understandable high-level overview of performance. california, the plainest he's a color-coded dashboard to differentiate school and students performance on each six indicators for each indicator when measure current performance as well as growth over time. unlike ohio, california does not plan to aggregate the indicators into an overall score. state officials said they chose not to aggregate because they feel doing so can mask individual problem areas. they also told us measuring current p

like fentanyl. host: your colleagues on the joint economic committee, the together, have put their analysis, and they say the $45 billion that you have pushed for, falls far short for all states, including ohioey say opioid treatment could by 2026.2 billion 40 $5 billion is a lot of money. it is historic and unprecedented. we have never tried something like this before. i am not sure what numbers they are talking about. i suppose with regard to treatment across the board, that is true. but this does not say there would not continue to be treatment, so i am not sure what number they are talking about. the $45 billion, if it were distributed to the states in the way the formula works under the cures act, which is the current $45 millionrovides a year, that formula would result in a state like ohio million aabout $240 year for this purpose. we have never had those kinds of funds before. let's be sure that we are using their money wisely. the one thing i think is really important is when you have a program like this that you ensure the funds are being used in evidence-based programs, that we are not just throwing money into a problem, that we are using it in a way that focuses on what works. the

did the gao conduct a compliance review on planned components or policy decisions made by states like ohio or california, did the gao make any value judgments concerning the planned developments or just and observation of those plans? >> just an observation of those plans, sir. we did not make a compliance judgment. >> thank you. and we heard complaints from some representatives of civil rights groups that flexibility could result in an abuse of -- of equity compliance. your plan didn't comment on equity as i understand it. did you contact representatives of parents, state level advocates, advocates of children with disabilities or civil rights groups? >> generally not for this work, sir. we were primarily engaged with national stakeholder gruns who were working with states. >> thank you. mr. lovell, the whole point of essa and to eliminate grasp providing educational opportunities. c you've kind of gone around this but can you show how subgroups so far have addressed equity? >> how states have addressed equity? >> yeah, with -- >> with accountability? thank you for the question. so, um, t

states to consider innovative revisions. our report provides many examples of how two states, ohio and california, are tailoring their accountability systems of each of the four areas i mentioned. i would like to highlight one example here. to agueddress essa's requiremen to differentiate the schools, they have six indicators to assess school performance. some of these would measure current performance while others measure growth. and schools would receive a letter grade on each indicator as well as an overall letter grade. ohio officials felt that this approach would provide detailed information on various elements of their performance system as well as provide an easily understandable high level overview of performance. in california the plan is to use a color-coded dashboard to differentiate school performance on each of six indicators. each indicator will measure current performance as well as growth overtime. unlike ohio, california does not plan toing aggragate the indicas into an official score. the state officials chose not to aggragate because they feel this can mask individual problem areas and also told us that measures current performance and growth for each indicator provides a

so you have a lot of people in states like west virginia, ohio, who are going home and recognize their constituents do not want their health care taken away from them. and we all know the story about the guy who was complaining about blood alcohol content, it's terrible, it's terrible. and someone else was like you have obamacare, and he was like no, i have the aca. so a lot of people don't understand it's obamacare, and they want to get rid of it. so i think they're going to be hearing some hard realities particular from medicaid coverage. >> say nothing of what can happen to rural hospitals, but that's going to be the subject of another night. james, i have something for you to react to. ten centers sent a letter. quote, our current senate calender shows, are you ready for this, only 33 potential working days remaining before the end of the fiscal year. this does not appear to give us enough time to adequately address the issues that demand immediate attention. james, you're with us from the bay states, so i'll localize this. go find the guy that's working in an auto shop all day and

. $45 billion is being po yut in people in states like new hampshire, ohio and so many others that haveuch a big problem can be helped and helped greatly. we'll be fighting the drug problems very, very seriously in my administration. it providing among many other things higher quality case and flexibility. tomorrow the senate will vote on whether to allow this urgently needed bill to come to the senate floor for debate. the question for every senator, democrat or resident, is whether they will side with obamacare's architect, so destructive to our country o. with with its forgotten senator. every senator that's voting again is telling america you are fine with the nightmare. this is a chance to vote for the -- like those who were with us today. obamacare has been for them a nightmare. there is still time to do the right thing, and for senate republicans, this is their chance to keep their promise over and over again, they said repeal and replate, repeat and replace, but they can now keep their promise to the american people, to provide emergency relief to those in desperate need of help

so you have a lot of republicans in states like west virginia, ohio, who are going home to the home districts who recognize that they're constituents do not want to have that health care taken away from them. and we all know the story about the guy who was complaining on social media saying i hate obamacare it's terrible. it's terrible. and his friends spoke up wait a second you have obamacare he said no i don't i have the a.c.a. i have the affordable care act. some people don't realize what thefr. they don't understand what they have is obamacare that they like and they don't want to get rid of it. i think that senators and congressman are going to be going home to home district and hearing some hard realities particularly also from people who don't want to lose medicaid coverage which is something we haven't discussed but greatly stripped out under the which will that is currently under discussion. >> say nothing of what can happen to rural hospitals but that's going to have to be a subject for forenight. james i have something for you to react to. ten senators sent a letter to the mcconnel

so that the people of many states like new hampshire, ohio, and so many others that have such a big problemlped greatly. >> seth: $45 billion sounds like a lot of money, but don't be fooled. because according to reports that number is drastically short of what would be needed to make up for the legislations deep cuts to medicaid, which has provided treatment for hundreds of thousands of people. so the money he's giving is less than the money he's taking away. basically, trump is saying, "we're going to give you bigger portions, but we're also going to burn down the restaurant." [ light laughter ] and it's not just the health care plan, trump's budget proposal would slash funding for drug treatment services and according to new hampshire senators jeanne shaheen and maggie hassan. trump's opioid commission has also delayed the implementation of existing recommendations from health experts that could save lives now if implemented. we even reached out to new hampshire senator shaheen's office to see if at the very least, any additional money has been given to the state as was promised. as of th

the opioid epidemic, $45 billion is being put in so that the people of many states like new hampshire, ohioo many others that have a big problem can be helped and helped greatly. going to be fighting the drug problems very, very seriously in my administration. it provides among many other things higher quality care and more flexibility for states to administer medicaid to better serve their poorer citizens. tomorrow the senate will vote on whether to allow this urgently-needed bill to come to the senate floor for debate. the question for every senator, democrat or republican, is whether they will side with obamacare's architects, which have been so destructive to our country, or with its forgotten victims. any senator that votes against starting debate is telling america that you are fine with the obamacare nightmare, which is what it is. for democrats, this vote is a chance to make up for the terrible harm they have inflicted on americans like those who are with us today. obamacare has been for them a nightmare. there is still time to do the right thing. for senate republicans, this is the

tremendous problem. .he opioid epidemic so billion is being put in that the people of many states like new hampshire, ohio, and so many others that have such a big problem, can be helped and helped greatly. they will be fighting the drug problems very seriously in my administration. the ministering medicaid to better serve their citizens. the senate will vote on whether to allow this urgently needed bill. democratic republican, if they be more constructive to our country. againsttor who votes starting debate is telling america that you are fine with .he obamacare nightmare terrible harm they have inflicted on americans like those. and for senate republicans, this is their chance to keep their promise. , they canver again now keep their promise. toprovide emergency relief those in desperate need of help and to improve health care for all americans. the american people have waited long enough. there has been enough talk. now is the time for action. obamacare has broken our health care system. it is collapsing. it is gone. it is up to us to get great health care for the american people. we must repeal and re

problem, the opioid epidemic, $45 billion is being put in so that the people in many states like new hampshire, ohio and so many others who have such a big problem can be helped and helped greatly. going to be fighting the drug problems very, very seriously in my administration. and it provides among many other things higher, quality care and more flexibility for states to administer medicaid to better serve their poorer citizens. tomorrow the senate will vote on whether to allow this urgently needed bill to come to the senate floor for debate. the question for every senator, democrat or republican, is whether they will side with obamacare's architects which have been so destructive to our country or with its forgot ten victims. any senator who votes against starting debate is telling america that you are fine with the obamacare nightmare, which is what it is. for democrats this vote is a chance to make up for the terrible harm they have inflicted on americans like those who are with us today. obamacare has been for them a nightmare. there is still time to do the right thing. and for senate republic

he didn't go to any of the states he won, like ohio and west virginia, to try to pressure those senators in those places who were skeptical about voting for this senate bill. he never really grasped the policy. he seemed sort of content to just sign anything that would come to his desk. if you listen to his words, he basically acknowledges this isn't really his deal. this is mitch mcconnell's deal. he said i'm waiting for mitch to send something to my desk. could have been anything, probably. he was ready to sign it. and the words over the last 24, 48 hours it was never we're trying to do this as republicans. it was they. i am waiting on the senate. i am surprised they couldn't get it done. mitch couldn't get it done. i am surprised. trump strategically distanced himself from this. >> eli, do the people who called the meeting don junior coordinated with the british music publicist to get dirt on hillary clinton feel like dopes when today we learn about yet another person at the meeting? their story being undermined by the hour. and we now know more about what we don't know. and it appear

they're going to have to make sure that these governs, in these states, that are on the fence or don't like this, like in the state of ohiostate of nevada, that if they can get the governors on board, they will be able to get some of these senators on board. >> although, you know, the polling shows that this bill is somewhere around 15 to 20%, support. i don't know -- i can't imagine that this change that mcconnell announced today is going to change those polling numbers. so how do you ask senators to support a bill that 80% of the public opposes? i just think that's -- politicians don't work that way in my experience. >> and speaking of things that could or could not happen, the president said today in paris that when he was asked about possibly re-entering the paris climate accord, caitlin, he said, something could happen, even though the white house had this huge announcement that we're pulling out of the paris climate accord, do you think the president could possibly come back to a position where, okay, maybe we'll renegotiate this or maybe we'll get back to this thing. >> as you and i both know, it would not be unusu

when you look at these interior states, west virginia, ohio, arkansas, other kentucky, states like that, the voters who would be hurt the most by these changes, these severe cuts in medicaid, are republican voters, and just no way to get around that. which you look at the role of medicaid responding to the opioid crisis, the role of medicaid supporting the economies of rural hospital. these are republican voters hurt the most and that is in the end i think a very big hill to ask some of these senators to kind of lay down their political lives on. >> so jonathan, you're nodding your head to that. you helped craft obamacare. if the gop can't find a way to repeal and replace, can the democrat along with perhaps some republicans actually come up with a way to fix the problems facing the affordable care act? >> well, i mean, listening to the previous speaker, i mean, diane roland was very kind. the previous speaker was just lying. this is is a huge cut to medicaid. it doesn't made medicaid safer or promote it, it dramatically reduces is. one of the reasons there is such opposition to the law

medicaid which have become absolutely crucial in responding to the opioid crisis in states like west virginia and ohiod be huge losers in the medicaid population. dean heller and, for that matter, cory gardner would be voting to reduce the medicaid population by almomost half. >> karoun, they say they have a solution to that opioid issue that so many people have raised. let's put up what we know to be true about the changes to the bill. option for cheaper plan with fewer benefits. that's what so many people have called for. why does john berman have to pay for maternity benefits when he isn't going to need it? then the hsa payment on premiums, your own spending accounts. here we go. $45 billion allotted for substance abuse, opioid treatment, they think that will fill the gap of what people need, no changes to medicaid from the previous bill. the previous bill had $772 billion cuts to medicaid over the next ten years. no repeal on the obamacare taxes on the wealthy. i think this is what rand paul objects to. karoun, what do you see? >> i think about two weeks ago, ohio governor john kasich said the $45

we're talking people on medicaid dependent states like alaska, west virginia, ohio, nevada.working hard with these senators to try to provide for them some assurances that people will not be kicked off of medicaid. now, don't forget, medicaid was expanded under obama care to include abled body adults up to 130% of the poverty level. the plan under the repeal and replace was to over time scale that back. and so that would be projected loss of income and they would give to it the states in a different form so that it would be reduced over time. states don't want to lose that growth in medicaid funding over time. and so that's what the fight is about here. fed kade funding. -- medicaid funding. what the republicans are trying to do is provide these states and assurances to these senators that these states will get additional medicaid funding. that's what is in the works as we speak. if they can come up with a compromise like that, where they get more money for medicaid in those key states, that's where the deal lies. i think you will get that 50 that we're looking for in the se

their states for medicaid expansion and this is especially important in states suffering from the opioid epidemic, places like ohio where john kasich is governor, they feel they need medicaid expansion to continue. one of the things that was surprising, last week we saw nevada's governor give a press conference where he sounded like a spokesperson for obamacare, a republican governor talking about how important this law has been and how great it has been and it is interesting to see this intraparty divide. robert: and sandoval is the one who pressured senator dean heller, not to back the bill. michael, you've written about the power of the g.o.p. governors. could they tilt the debate? michael: i think they already are. in nevada, you see rob portman hesitant. but i think that's having an impact. it's not just the medicaid expansion. one of the things that hasn't been fully debated because i think it hasn't been presented to the american people is that under the senate plan and in a different way under the house plan, after 2025, it's not just the medication expansion that goes away. it's that medicaid, as it has e

the merits of this bill, particularly as you have, interestingly, republican governors in states like nevada and ohioabout bill. the president hasn't really traveled around the country hosting these kinds of town halls that we've seen others do. but he is certainly trying to the put the pressure on here. i'm just not sure -- neil: yeah, well, everything hangs on it. >> right. neil: the market seems to think it's going to happen, that they'll find a way to do this. alexander, one of the issues that has come up and might be a reason for the markets to advance is the senator tim scott idea. look, trying to assuage conservatives that are concerned about keeping those tax cuts on the wealthy that paid for most of obamacare in place. but, but, but, assuring them there is a way to address those later on in tax reform, maybe rescinding them. how do you think that would go? >> you know, i think it's incredibly important that the republicans do pass health care reform. this is one of the main issues that every single republican campaigned on in the 2016 election including president trump. so i think it's criti