Even as Ryan said he felt "very good" about the health bill's prospects in the House, a leading conservative lawmaker told the C-Span "Newsmakers" program that there were now 40 Republican "no" votes in the House.
"I can not vote for any bill that keeps premiums rising", Cruz said, echoing the concerns of other hard-line lawmakers who want the legislation to undo more of the Affordable Care Act's insurance mandates. "He's the one who has helped negotiate changes to this bill with members from all over our caucus".
The analysis released last week by the nonpartisan Congressional Budget Office said that the House Republican plan would provide less assistance to older, low-income Americans than Obamacare while allowing insurers to charge older customers up to five times more than younger consumers.
The bill is set to hit the House floor on Thursday.
Part of the confidence stems from President Trump's involvement in "helping us close this bill", Ryan said.
"If Republicans hold a big press conference and pat ourselves on the back that we've repealed Obamacare and everyone's premiums keep going up, people will be ready to tar and feather us on the streets and quite rightly", Cruz said.
"That may be the case and that's why as it works through this legislative process, we're looking at it and working with our legislative colleagues to make certain that we've got the kind of plan that actually works for people in the real world - something that the previous administration didn't do", Price said responding to Cassidy's concerns.
Ryan at one point said that his party faced the "binary choice" of backing the GOP replacement plan that he and his lieutenants crafted or sticking with an Obamacare health insurance system that was fast collapsing of its own weight and driving up premiums for millions of Americans.
"It's coming together beautifully", Trump said.
"It's exactly where we want to be", he said". Per Reuters, Ryan says that Republicans are massaging the bill to include work requirements for able-bodied Medicaid recipients and allow federal block grants.
"I think there are enough conservatives that do not want Obamacare Lite", Paul said on ABC's This Week. Lawmakers need to slow down and solve this problem, he said.
"It's fixable, but it's going to take a lot of work", Cotton said on CNN's "State of the Union".