The House Energy and Commerce Committee, tasked with unpacking the portions of the bill that deal with Medicaid, was still debating the legislation after more than 24 hours on Thursday morning.

Among the amendments the panel is considering is a proposal to freeze Medicaid expansion two years earlier than AHCA currently prescribes. President Donald Trump reportedly seemed open to such a change during a meeting with right-wingers on Wednesday, and the Republican Study Committee is backing the amendment, according to Politico.

Of the bill as a whole, the Huffington Post noted, “approval in Energy and Commerce seems virtually certain—it’s just a matter of when. Afterward, legislation would go to the House Budget Committee and then finally to the House as a whole.”

House Speaker Paul Ryan (R-Wis.), who remains convinced he has the support to pass the bill, wants that vote to happen this month so the Senate can take up the measure before Easter recess. Senate Majority Leader Mitch McConnell (R-Ky.) said this week he intends to bring the bill directly to the Senate floor, bypassing committees.

All this legislative work is taking place in the continued absence of a “score” from the Congressional Budget Office (CBO), meaning lawmakers (and the public) have no way of knowing exactly how much the proposal will cost nor how many people will lose coverage if it is enacted. “This is decision-making without the facts,” House Minority Leader Nancy Pelosi (D-Calif.) told reporters on Wednesday.

Meanwhile, “[t]alking points politely trashing the CBO appear to have been distributed to important Republicans,” Slate staff writer Jim Newell wrote Wednesday. “What, pray tell, could be the reason for such a preemptive strike against these nonpartisan bean counters? Could it be that CBO will ultimately be unable to identify the nonexistent revenue sources in the American Health Care Act?”

Political observers point out that the debate over the Affordable Care Act (ACA), or Obamacare, took place “with CBO estimates guiding discussion at every step,” as the Huffington Post put it. 

Furthermore, though Republicans have claimed over the years that the ACA was pushed through in the dead of night, the facts suggest otherwise—and now, it is the GOP that is in fact plowing forward with sweeping healthcare legislation.

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