washington president donald trump brief friday house speaker paul ryan status vote republican bill replace obamacare white house say amid sign measure might enough support pass president ... speaker ryan come visit update bill white house spokesman sean spic tell brief continue discuss way forward speaker update efforts spic say vote schedule 3:30 p.m. edt/1930 gmt downplay prospect loss might undermine trump effort push tax reform u.s. congress house speaker ryan brief trump healthcare bill vote white house