"Moran said he was concerned the bill wouldn't lower overall consumer costs and wouldn't provide adequate protection for those with pre-existing conditions. He also expressed concerns that deep cuts in Medicaid over the next decade could threaten the survival of already struggling rural hospitals and nursing homes," Jim McLean reports for NPR.
Many Republican governors expanded Medicaid under the ACA and have worried in recent months about how to keep their constituents covered if the Senate bill passed. Moderate Republicans such as Susan Collins of the very rural state of Maine, who was one of four to publicly oppose the bill, said she had been inundated by messages from Republican voters who urged her not to support the plan.
McConnell did not follow through on the warning he gave Republicans last month, that if they couldn't pass a comprehensive bill on their own, they would have to join with Democrats to stabilize the market for private health insurance. Instead, he said he would use the bill the House passed May 4 as a vehicle for a repeal-now, replace-later strategy advocated President Trump. But that strategy fell apart Tuesday, as three senators from rural states -- Collins, Shelley Moore Capito of West Virginia and Lisa Murkowski of Alaska -- said they could not support it, the Times reports.