"The Senate parliamentarian said Friday that major provisions of the Republican legislation would require 60 votes to advance, putting the already troubled legislation in further peril." Key aspects that will require 60 votes: - The plan to defund Planned Parenthood - A provision that would restrict the use of tax credits for abortions. - Getting rid of the essential health benefits for Medicaid in 2020. - How the bill deals with cost-sharing subsidies - The section that locks individuals out of the insurance marketplace for six months if they don't have continuous coverage. - The medical loss ratio. - The provision that allows states that haven't used all of their block grants for health coverage for non-health purposes. - Changes to the Medicaid waiver system by prioritizing HCBS waivers. - A provision that requires a report regarding CMS-64 and Transformed Medicaid Statistical Information System data. * Regs for Association Plans for Small Businesses are still "under review". GOP healthcare bill provisions violate Senate Byrd rules - Business Insider Here is the full list: https://www.budget.senate.gov/imo/media/doc/Background on Byrd Rule decisions_7.21.pdf No way they get 60 votes on all this. It seems that TrumpCare in its current form is dead.