Senior White House officials say the health care bill is open for negotiation and could possibly be changed along the way to passage. And when the final bill is presented, the administration and the congressional leadership will make it a binary choice if you vote for it or you watch Obamacare collapse and insurance companies flee this year.
The question now is does President Trump have any leverage on skeptical Republicans or even some Democrats to push the health care bill across the finish line? Senior officials say the President will make a number of trips to push the healthcare bill. The White House is not yet confirming a trip Saturday but the "Louisville Courier Journal" is reporting officials there are preparing for a presidential visit to Kentucky.
Kentucky is, of course, home to Senator Rand Paul, one of the most vocal critics of the American Health Care Act as it stands today. Worth noting that candidate Donald Trump won 118 of Kentucky's 120 counties in November, six more counties than sitting Senator Rand Paul won in his reelection bid.
That election math may play out with House members too. For the Conservative Freedom Caucus, candidate Trump overwhelmingly won each member's district and their state as well. And Trump actually got more votes than several of the representatives in the caucus.
In Freedom Caucus Chairman Congressman Mark Meadows district--North Carolina's 11th congressional district-- President Trump won 16 of the 16 counties , 76 of 100 counties in North Carolina, and he came just shy of the congressman's vote total in that district.
In Florida's sixth district, candidate Trump got more votes than Freedom Caucus Congressman Ron DeSantis, winning all four of the four counties in that district, 58 of 67 in Florida.
In West Virginia's second district, candidate Trump got almost 20,000 more votes than Freedom Caucus Congressman Alex Mooney, overwhelmingly winning all 17 counties in that district in West Virginia.
It is not just the leverage on health care, but also on the Judge Gorsuch's nomination to the Supreme Court. The pressure will be on 11 Senate Democrats who are up for reelection in 2018 in states where candidate Donald Trump won more than 80 percent of the counties.
In Missouri candidate Trump won 111 out of 114 counties in the state where Democrat Senator Claire McCaskill is running for reelection.
In Montana, Democrat Jon Tester runs in a state where candidate Trump won 50 out of 56 counties.
West Virginia Democrat Senator Joe Manchin is running for reelection in the state where all 55 counties voted for the Republican Donald Trump.
And finally in Indiana, Democrat Joe Donnelly is running in a state where 88 of 92 Hoosier counties went to Donald Trump.
There are seven other states just like that which is why outside groups supporting the Trump administration are already running issue ads in many of these 11 states. One can be seen at the top of this post.