Republicans revamp U.S. health bill, boost benefits to older AmericansWASHINGTON (Reuters) - U.S. House Republicans are working on changes to their healthcare overhaul bill to provide more generous tax credits for older Americans and add a work requirement for the Medicaid program for the poor, House Speaker Paul Ryan said on Sunday. Ryan said Republican leaders still planned to bring the healthcare bill to a vote on the House of Representatives floor on Thursday. Speaking on the “Fox News Sunday” television program, he said leaders were working to address concerns that had been raised by rank-and-file Republicans to the legislation. Republicans remain deeply divided over the healthcare overhaul, which is President Donald Trump’s first major legislative initiative. It aims to fulfill his campaign pledge to repeal and replace the Affordable Care Act, popularly known as Obamacare, the signature healthcare program of his Democratic predecessor, Barack Obama. Democrats say the Republican plan could throw millions off health insurance and hurt the elderly, poor and working families while giving tax cuts to the rich. “We think we should be offering even more assistance than the bill currently does” for lower-income people age 50 to 64, Ryan, the top Republican in Congress, said of the tax credits for health insurance that are proposed in the legislation. Ryan also said Republicans were working on changes that would allow federal block grants to states for Medicaid and permit states to impose a work requirement for able-bodied Medicaid recipients. Trump told reporters in a brief conversation aboard Air Force One that he had meetings about healthcare reform in Florida at the weekend and that the effort to sell the proposal was going well. He has been wooing lawmakers to vote for the bill and won the backing of a dozen conservative lawmakers on Friday after an Oval Office meeting in which the president endorsed a work requirement and block-grant option for Medicaid. Trump is set to meet Ezekiel Emanuel, a health policy special adviser under Obama who helped shape the Affordable Care Acton, at the White House on Monday, along with Ryan and Health and Human Services Secretary Tom Price. Block grants would give states a set amount of money to cover people on the Medicaid program and provide flexibility in spending decisions. However, there is no guarantee funding would keep up with future demands. While Ryan said he felt “very good” about the health bill’s prospects in the House, a leading conservative lawmaker, Representative Mark Meadows, told the C-Span “Newsmakers” program that there were currently 40 Republican “no” votes in the House. Republicans hold a majority in the chamber but cannot afford to have more than 21 defections for the measure to pass.  Meadows and two other Republican opponents of the bill, Senators Mike Lee of Utah and Ted Cruz of Texas, met at Trump’s Mar-a-Lago estate in Florida on Saturday “negotiating with the president’s team, trying to fix this bill,” Cruz told CBS’ “Face the Nation.” North Carolina Republican Meadows said the changes being considered for the Medicaid program would not go far enough if they left it up to states to decide whether to put in place a work requirement. Price acknowledged the tough negotiations, telling ABC’s “This Week”: “It’s a fine needle that needs to be thread, there’s no doubt about it.”   The healthcare bill would face significant challenges in the Senate even if it were to pass the House. Senator Tom Cotton, a conservative Arkansas Republican, said the bill would not reduce premiums for people on the private insurance market. “It’s fixable, but it’s going to take a lot of work,” Cotton said on CNN’s “State of the Union.” Moderate Republicans have also expressed concerns about the bill, and their worries are often not the same as that of conservatives. Speaking on NBC’s “Meet the Press,” Republican Senator Susan Collins of Maine worried the bill would harm older Americans, and shift Medicaid costs to states - something critics say a block-grant approach would only make worse. Collins said coverage issues must also be dealt with, citing a report from the Congressional Budget Office that said 14 million people would lose health coverage under the House bill over the next year and 24 million over the next decade. Affordability has been one of the bigger concerns that insurers and hospital groups have raised about the legislation. To the extent that a change in tax credits makes healthcare more affordable for some people, insurers and hospitals could stand to benefit. The BlueCross BlueShield Association emphasized the need for the replacement to be affordable when the draft of the healthcare bill was released earlier this month. The association represents BCBS insurers that cover the vast majority of the roughly 10 million people enrolled in 2017 Obamacare plans.politicsNews
republicans revamp health bill boost benefits older americanswashington reuters house republicans working changes healthcare overhaul bill provide generous tax credits older americans add work requirement medical program poor house speaker paul ryan said sunday ryan said republican leaders still planned bring healthcare bill vote house representatives floor thursday speaking fox news sunday television program said leaders working address concerns raised republicans legislation republicans remain deeply divided healthcare overhaul president donald trump first major legislative initiative it aims fulfill campaign pledge repeal replace affordable care act popularly known obamacare signature healthcare program democratic predecessor barack obama democrats say republican plan could throw millions health insurance hurt elderly poor working families giving tax cuts rich we think offering even assistance bill currently people age ryan top republican congress said tax credits health insurance proposed legislation ryan also said republicans working changes would allow federal block grants states medical permit states impose work requirement medical recipients trump told reporters brief conversation aboard air force one meetings healthcare reform florida weekend effort sell proposal going well he woong lawmakers vote bill backing dozen conservative lawmakers friday oval office meeting president endorsed work requirement option medical trump set meet ezekiel manuel health policy special adviser obama helped shape affordable care action white house monday along ryan health human services secretary tom price block grants would give states set amount money cover people medical program provide flexibility spending decisions however guarantee funding would keep future demands while ryan said felt good health bill prospects house leading conservative lawmaker representative mark meadows told newspapers program currently republican votes house republicans hold majority chamber afford defection measure pass meadows two republican opponents bill senators mike lee utah ted cruz texas met trump estate florida saturday negotiating president team trying fix bill cruz told cbs face north carolina republican meadows said changes considered medical program would go far enough left states decide whether put place work requirement price acknowledged tough negotiations telling abc this week it fine needle needs thread doubt the healthcare bill would face significant challenges senate even pass house senator tom cotton conservative arkansas republican said bill would reduce premiums people private insurance market it fixable going take lot work cotton said cnn state moderate republicans also expressed concerns bill worries often conservatives speaking nbc meet press republican senator susan collins maine worried bill would harm older americans shift medical costs states something critics say approach would make worse collins said coverage issues must also dealt citing report congressional budget office said million people would lose health coverage house bill next year million next decade affordability one bigger concerns insurers hospital groups raised legislation to extent change tax credits makes healthcare affordable people insurers hospitals could stand benefit the bluegrass blueshield association emphasized need replacement affordable draft healthcare bill released earlier month the association represents cbs insurers cover vast majority roughly million people enrolled obamacare
Your task is to classify the provided input as real or fake news. Label 0 is meant for fake news, Label 1 is for real news. TEXT: Republicans revamp U.S. health bill, boost benefits to older AmericansWASHINGTON (Reuters) - U.S. House Republicans are working on changes to their healthcare overhaul bill to provide more generous tax credits for older Americans and add a work requirement for the Medicaid program for the poor, House Speaker Paul Ryan said on Sunday. Ryan said Republican leaders still planned to bring the healthcare bill to a vote on the House of Representatives floor on Thursday. Speaking on the “Fox News Sunday” television program, he said leaders were working to address concerns that had been raised by rank-and-file Republicans to the legislation. Republicans remain deeply divided over the healthcare overhaul, which is President Donald Trump’s first major legislative initiative. It aims to fulfill his campaign pledge to repeal and replace the Affordable Care Act, popularly known as Obamacare, the signature healthcare program of his Democratic predecessor, Barack Obama. Democrats say the Republican plan could throw millions off health insurance and hurt the elderly, poor and working families while giving tax cuts to the rich. “We think we should be offering even more assistance than the bill currently does” for lower-income people age 50 to 64, Ryan, the top Republican in Congress, said of the tax credits for health insurance that are proposed in the legislation. Ryan also said Republicans were working on changes that would allow federal block grants to states for Medicaid and permit states to impose a work requirement for able-bodied Medicaid recipients. Trump told reporters in a brief conversation aboard Air Force One that he had meetings about healthcare reform in Florida at the weekend and that the effort to sell the proposal was going well. He has been wooing lawmakers to vote for the bill and won the backing of a dozen conservative lawmakers on Friday after an Oval Office meeting in which the president endorsed a work requirement and block-grant option for Medicaid. Trump is set to meet Ezekiel Emanuel, a health policy special adviser under Obama who helped shape the Affordable Care Acton, at the White House on Monday, along with Ryan and Health and Human Services Secretary Tom Price. Block grants would give states a set amount of money to cover people on the Medicaid program and provide flexibility in spending decisions. However, there is no guarantee funding would keep up with future demands. While Ryan said he felt “very good” about the health bill’s prospects in the House, a leading conservative lawmaker, Representative Mark Meadows, told the C-Span “Newsmakers” program that there were currently 40 Republican “no” votes in the House. Republicans hold a majority in the chamber but cannot afford to have more than 21 defections for the measure to pass.  Meadows and two other Republican opponents of the bill, Senators Mike Lee of Utah and Ted Cruz of Texas, met at Trump’s Mar-a-Lago estate in Florida on Saturday “negotiating with the president’s team, trying to fix this bill,” Cruz told CBS’ “Face the Nation.” North Carolina Republican Meadows said the changes being considered for the Medicaid program would not go far enough if they left it up to states to decide whether to put in place a work requirement. Price acknowledged the tough negotiations, telling ABC’s “This Week”: “It’s a fine needle that needs to be thread, there’s no doubt about it.”   The healthcare bill would face significant challenges in the Senate even if it were to pass the House. Senator Tom Cotton, a conservative Arkansas Republican, said the bill would not reduce premiums for people on the private insurance market. “It’s fixable, but it’s going to take a lot of work,” Cotton said on CNN’s “State of the Union.” Moderate Republicans have also expressed concerns about the bill, and their worries are often not the same as that of conservatives. Speaking on NBC’s “Meet the Press,” Republican Senator Susan Collins of Maine worried the bill would harm older Americans, and shift Medicaid costs to states - something critics say a block-grant approach would only make worse. Collins said coverage issues must also be dealt with, citing a report from the Congressional Budget Office that said 14 million people would lose health coverage under the House bill over the next year and 24 million over the next decade. Affordability has been one of the bigger concerns that insurers and hospital groups have raised about the legislation. To the extent that a change in tax credits makes healthcare more affordable for some people, insurers and hospitals could stand to benefit. The BlueCross BlueShield Association emphasized the need for the replacement to be affordable when the draft of the healthcare bill was released earlier this month. The association represents BCBS insurers that cover the vast majority of the roughly 10 million people enrolled in 2017 Obamacare plans.politicsNews
Your task is to classify the provided input as real or fake news. Label 0 is meant for fake news, Label 1 is for real news. TEXT: republicans revamp health bill boost benefits older americanswashington reuters house republicans working changes healthcare overhaul bill provide generous tax credits older americans add work requirement medical program poor house speaker paul ryan said sunday ryan said republican leaders still planned bring healthcare bill vote house representatives floor thursday speaking fox news sunday television program said leaders working address concerns raised republicans legislation republicans remain deeply divided healthcare overhaul president donald trump first major legislative initiative it aims fulfill campaign pledge repeal replace affordable care act popularly known obamacare signature healthcare program democratic predecessor barack obama democrats say republican plan could throw millions health insurance hurt elderly poor working families giving tax cuts rich we think offering even assistance bill currently people age ryan top republican congress said tax credits health insurance proposed legislation ryan also said republicans working changes would allow federal block grants states medical permit states impose work requirement medical recipients trump told reporters brief conversation aboard air force one meetings healthcare reform florida weekend effort sell proposal going well he woong lawmakers vote bill backing dozen conservative lawmakers friday oval office meeting president endorsed work requirement option medical trump set meet ezekiel manuel health policy special adviser obama helped shape affordable care action white house monday along ryan health human services secretary tom price block grants would give states set amount money cover people medical program provide flexibility spending decisions however guarantee funding would keep future demands while ryan said felt good health bill prospects house leading conservative lawmaker representative mark meadows told newspapers program currently republican votes house republicans hold majority chamber afford defection measure pass meadows two republican opponents bill senators mike lee utah ted cruz texas met trump estate florida saturday negotiating president team trying fix bill cruz told cbs face north carolina republican meadows said changes considered medical program would go far enough left states decide whether put place work requirement price acknowledged tough negotiations telling abc this week it fine needle needs thread doubt the healthcare bill would face significant challenges senate even pass house senator tom cotton conservative arkansas republican said bill would reduce premiums people private insurance market it fixable going take lot work cotton said cnn state moderate republicans also expressed concerns bill worries often conservatives speaking nbc meet press republican senator susan collins maine worried bill would harm older americans shift medical costs states something critics say approach would make worse collins said coverage issues must also dealt citing report congressional budget office said million people would lose health coverage house bill next year million next decade affordability one bigger concerns insurers hospital groups raised legislation to extent change tax credits makes healthcare affordable people insurers hospitals could stand benefit the bluegrass blueshield association emphasized need replacement affordable draft healthcare bill released earlier month the association represents cbs insurers cover vast majority roughly million people enrolled obamacare