“I think they were largely left out. This was — from what I can tell and, I think, smartly — done behind closed doors,” said Tom Scully, a former administrator of the Centers for Medicare and Medicaid Services who works as a health-care lobbyist and at a New York private-equity firm. “You’re scaling back. It’s hard to negotiate. You’ve just got to do it.”
As GOP lawmakers move their bill through the House, plowing forward without each industry’s blessing may free them from special interests, allowing them to craft a policy that reflects the desires of their voters.
One potential risk is future opposition, signs of which are crystallizing already as powerful groups representing major health-care industries have begun sending lawmakers critical letters. Last week, two major hospital associations highlighted what they see as major problems with the bill.”