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As we all know, the Republican health care bill can’t survive a Democratic filibuster, so it’s being considered via reconciliation, which requires only 51 votes in the Senate. That means the bill has to obey reconciliation rules.
Normally, this is not a big problem. If some aspect of the House bill violates the rules, it gets removed in the Senate and life goes on. But what if the bill violates the prime rule of reconciliation—namely that it reduce the deficit? Then it’s dead and everyone has to start all over. This means the House has to be pretty careful that their bill does indeed reduce the deficit.
But how do they know if it reduces the deficit? Easy: the CBO scores the bill and tells them. But Paul Ryan famously rushed passage of the bill in the House before CBO had time to deliver a score, so no one knows for sure if it still reduces the deficit. Bloomberg reports on what this means:
House Speaker Paul Ryan hasn’t yet sent the bill to the Senate because there’s a chance that parts of it may need to be redone, depending on how the Congressional Budget Office estimates its effects….”I had no idea,” Dennis Ross of Florida, another member of the vote-counting team, said Thursday, adding that the prospect of another vote “does concern me.” GOP leaders never said publicly they were planning to hold on to the bill for two weeks or longer.
In the end, I imagine the bill will get scored as a deficit reduction and then be sent to the Senate. But the fact that Ryan is still holding onto the bill shows that he knew perfectly well how irresponsible it was to force a vote before the CBO delivers a score. In addition to being callous and malignant, the whole thing is also a massive FUBAR.