group dozen republican governors push set national healthcare reform flex considerable muscle national debate future obamacare u.s. senate begin write bill lead governor john kasich ohio governors use nine-page proposal craft february platform shape think critical portion obamacare replacement law look like accord half dozen people help write plan among group recommendations senate include maintain expansion medicaid government health insurance program poor disable also limit federal spend certain populations accord copy proposal members group include governors utah tennessee michigan also look form bipartisan coalition state propose reform individual insurance market accord one source hope senate also use see graphic click tmsnrt.rs/2qozscv yet meet decide specific reform individual insurance market goal address issue make insurance affordable stabilize market house representatives narrowly pass national healthcare bill early month call american health care act would slash federal medicaid fund 800 billion next decade prompt fierce criticism republican democratic governors kasich recently call bill inadequate say would leave millions people without affordable coverage live emergency room again pressure build constituents reuters/ipsos poll track public opinion health care issue past several years find republicans supportive 2013 benefit include expand medicaid insurance subsidies low-income families government requirement small businesses provide insurance employees late reuters/ipsos poll conduct online english across unite state gather responses 2,126 adults include 887 republicans credibility interval measure accuracy percentage point entire group percentage point republicans governors group look senate massive change begin write bill several group insurers hospitals medical group patient advocate try influence senate governors carry extra weight ultimately responsible implement whatever healthcare overhaul sign law republicans congress repeatedly speak need few federal regulations apply medicaid commercial insurance obamacare 30 state include dozen republican-led state expand medicaid one thorny issue republicans grapple treat expansion non-expansion state equally governors type state unite craft medicaid proposals hope voice would carry add weight provide sure path lawmakers governors also boat politically u.s. senators elect statewide rather small district house representatives many governors senators good align healthcare reform look like several source say several governors staff say regular contact senators push senate use governors set reform framework write bill senator rob portman ohio write op-ed monday senators task write healthcare bill continue engage governors many share concern medicaid also want flexibility ensure design health care program meet individual need state add senate continue work governors healthcare reform definitely hear concern question attentive interest say nathan checketts deputy director utah department health group republican governors work unify voice reconcile need among diverse set state include arizona illinois wisconsin arkansas nevada leaders also include governor rick snyder michigan governor doug ducey arizona deliberately choose participants state influential republican senators would become key players federal healthcare overhaul 13-member senate panel task write healthcare bill least five senators state republican governors group include portman orrin hatch utah mike lee utah lamar alexander tennessee republican senators governors group include dean heller nevada jeff flake arizona reelection 2018. senate republicans take bill one complicate policy political issue must grapple medicaid reform state expand medicaid ohio michigan say healthcare overhaul must protect gain coverage obamacare non-expansion state meanwhile say want penalize less federal fund expand therefore cover few people governors proposal recommend maintain obamacare medicaid expansion give state opportunity expand cap federal spend certain populations either block grant per capita cap would provide state option phase group parent children per capita cap block grant recommend reduce federal regulations state medicaid program u.s. governors work senate new power broke obamacare repeal