washington republican leaders seek nail final vote need pass u.s. vice president mike pence thursday call last best chance repeal obamacare new analysis underscore democratic-leaning state stand lose large amount federal fund legislation senate majority leader mitch mcconnell plan bring bill introduce fellow republican senators lindsey graham bill cassidy vote next week party seek make good seven years promise erase democratic former president barack obama signature legislative achievement democratic support bill republicans remain handful vote short senate need 50 vote 100-seat chamber control 52-48 pence cast potential tie-breaking vote senator rand paul oppose least six others undecided john mccain susan collins lisa murkowski dan sullivan rob portman jerry moran ask whether legislation pass pence say see close republicans still reel failure july win senate passage previous legislation repeal replace obamacare set sept. 30 deadline passage bill may well last best chance stop turn around head america back direction kind healthcare reform base individual-choice state-based innovations pence tell fox new channel president donald trump push congress repeal replace obamacare would fulfill one top campaign promise last year current bill would take money federal government spend healthcare medicaid insurance program poor subsidies help americans buy private insurance distribute state block grant non-partisan congressional budget office yet assess bill effect independent analyse indicate would fundamentally redistribute federal healthcare money generally republican-leaning state benefit democratic-leaning state lose nonprofit kaiser family foundation healthcare research group estimate thursday state expand medicaid obamacare would lose 180 billion bill 2020 2026 non-expansion state would gain 73 billion time period graham-cassidy bill 2020 would end obamacare medicaid expansion many democratic-governed state carry many republican-governed state limit overall federal spend five-decade-old program regardless many americans qualify benefit republicans call obamacare formally know affordable care act federal overreach say block grant would give state discretion provide healthcare coverage accord kaiser family foundation analysis five state would stand lose 30 percent federal healthcare money 2020-2026 new york 35 percent oregon 32 percent connecticut 31 percent vermont 31 percent minnesota 30 percent democratic lean analysis find six republican-leaning state would get least 40 percent federal fund mississippi 148 percent texas 75 percent kansas 61 percent georgia 46 percent south dakota 45 percent tennessee 44 percent total dollars state large forecast loss fund california lose 56 billion big gainer would texas 34 billion increase california populous u.s. state democratic lean texas second populous state large republican-leaning one absolutely true say graham-cassidy bill time level per-person basis way distribute money healthcare think resonate americans pence say mccain collins murkowski three republicans vote last republican healthcare legislation bring senate fail 51-49 july paul vote favor bill previously express misgive thursday go twitter underscore criticism graham-cassidy bill go far enough erase obamacare insurance industry hospitals medical advocacy group american medical association american heart association american cancer society aarp advocacy group elderly consumer activists come bill urge bipartisan fix current law abandon week medical civil right advocacy group line graham-cassidy bill thursday include american psychological association american congress obstetricians gynecologists naacp center budget policy priorities liberal think tank estimate bill would cause 30 million people lose insurance graham-cassidy proposal would let state opt requirement insurers charge sick healthy people rat cause furor among advocacy group say could make health insurance unaffordable pre-existing condition state fund change spotlight republican healthcare bill