washington u.s. senate confirm president donald trump pick run government health program elderly poor disable monday fill critical role republicans fight repeal replace obamacare senate vote 55-43 approve seema verma run trillion center medicare medicaid service verma owner svc inc healthcare consult firm help redesign medicaid program several state include indiana vice president mike pence governor verma report u.s. health human service secretary tom price price verma expect make change many medicaid medicare program implement signature legislation former democratic president barack obama 2010 affordable care act often call obamacare republicans unveil plan repeal replace much obamacare last week proposal would roll back expansion medicaid program poor replace obamacare income-based tax credit flat age-based credit bill pass two house committees last week go house budget committee week study republican healthcare measure release monday nonpartisan u.s. congressional budget office find 14 million americans would lose medical insurance next year program approve say 24 million people would uninsured 2026 program price tell reporters white house administration strongly disagree find say cbo look full plan reform obamacare republican healthcare bill pass house senate sign law trump verma play major role implement law call american health care act verma work indiana expand medicaid include thousands additional low-income residents residents require make small monthly payments toward care health save account verma confirmation without controversy early initial committee hear democratic senator ron wyden oregon say help manage state indiana health program firm pay company provide service products program verma deny wrongdoing say would divest financial interest svc within 90 days confirmation senate confirm trump 's pick run medicare medicaid