The key to cracking that code was devising legislation that could scrap as much of Obamacare as possible while using special budget rules to circumvent the 60-vote, filibuster-proof threshold in the Senate. A bare majority of Republicans passed the bill in December, marking the first time that the Senate has approved legislation gutting the health-care law. Republicans have virtually no hope of winning 60 seats in November—they’ll be happy to keep the majority at all given the electoral landscape. But the mere fact that they have used the chamber’s reconciliation rules to repeal much of Obamacare now sets a precedent that they hope to repeat in the future. “We have now demonstrated that, if we elect a Republican president, we can use this same path to repeal Obamacare without 60 votes in the Senate,” Ryan said. “This is critical.”
The flip side is that Republicans have given up their oft-stated desire to rip out Obamacare “root and branch.” The bill Congress has sent to the president does not repeal every word of the Affordable Care Act, and some of the important—and most popular—provisions remain intact under the legislation, including the prohibition on insurance companies discriminating against people with pre-existing conditions, and the requirement that insurers allow adult children to stay on their parents’ plans through age 26. Doing more would require 60 votes in the Senate.
Not surprisingly, Democrats saw little of the same significance in the GOP’s latest move on Obamacare. When a reporter asked Josh Earnest, the White House press secretary, what Republicans had accomplished by finally placing a repeal bill on the president’s desk, he replied: “Nothing.”
There are, to be sure, plenty of caveats to the GOP’s grand plans. Supporting a measure that has no chance of becoming law is a consequence-free vote for lawmakers. Will those same Republicans really vote on legislation that strips health insurance for millions of people if they knew it would actually happen, particularly if they didn’t have a replacement law ready to go at the same time? That’s a much different dynamic.
Still, Ryan has said he is determined to make 2016 “a year of ideas,” and he wants to use the House to show voters how a fully Republican government might function. To that end, he wants to temporarily transform the GOP’s relatively safe and deeply conservative majority into a think tank, churning out policies for the party’s presidential nominee to adopt, in whole or in part. “If we want a mandate to do big things, if we want a mandate from our fellow Americans to fix this country’s problems and get us back on the right track, we’re going to have to offer a real agenda to the country,” Ryan said.
That begins with developing—and uniting around—the always-soon-but-never-quite-ready replacement plan for Obamacare, which has become the unicorn of Republican congressional policy. Ryan also wants to develop proposals for tax reform and overhauling poverty programs, among other issues—a tall task in the famously fractious House GOP. Even the speaker flinched on Thursday when reporters asked whether Republicans would actually vote on these measures this year.