Now, its fate rests in the hands of moderate House Republicans, whose ultimate decision to support or reject the newest version of the bill could not only affect the future of health care but could irrevocably reshape moderates' bargaining power throughout Donald Trump's presidency.
But Republican leaders, still licking their wounds from a failed ObamaCare repeal-and-replace effort last month and hoping to get President Trump a big victory within his first 100 days, are trying to rally the GOP support for a newly released version of the healthcare overhaul.
The new amendment that won over the Freedom Caucus, written with Rep. Tom MacArthur (R., N.J.), a leader of the more centrist Tuesday Group, would allow states to apply for federal waivers to requirements in the Affordable Care Act, including that insurance plans cover a set list of essential health benefits, that prices have to be the same for people with pre-existing conditions, and caps on annual out-of-pocket costs.
But there is still little proof that the amendment will finally be the breakthrough that gets the health care bill passed in the House.
House Minority Leader Nancy Pelosi, a California Democrat, denounced this portion of the bill. The majority of the Freedom Caucus' support is a substantial gain for leadership, but does not provide enough votes for it to pass without the help of moderates.
Ryan told reporters that leaders were making progress but added, "We're going to go when we have the votes".
Watch the Call of Duty: WWII reveal livestream here, 6pm BST
Activision has announced that Call of Duty: WWII will be released for PC, PlayStation 4, and Xbox One on November 3, 2017. There's also War , a new narrative-backed game mode - the full reveal of that is coming at a later date.
Leaving the Capitol Tuesday night, Meadows told reporters that he was still working with his group to garner support for the amendment.
Collins said it's evident the different factions of the party have managed to bridge the divide on a number of key issues, noting Meadows was the sole member of the conference to give MacArthur a standing ovation when the amendment was brought up during their morning meeting.
It follows the firestorm that erupted after Sarah Kliff of Vox news reported the loophole on Tuesday, and traced it back to an amendment offered by Republican Rep. Tom MacArthur of New Jersey. Enten calculates that 29 Republican senators, more than half the caucus, are more moderate on balance than the average House Republican, and yet those senators are now on the verge of being handed a bill that's more conservative than the first unpopular iteration was.
Some people agree. A 51-year-old Republican businessman in CT, who recently sold a group of restaurants, said that his dishwashers and servers were able to buy relatively skimpy, low-cost "catastrophic" health plans before the ACA. "Nobody should take any vote for granted".
But Rep. Andy Biggs, R-Ariz., remained a "no". "I think certainly for the Freedom Caucus people, it moves them closer, but for somebody like me, it doesn't". It would also let insurers hike premiums for those in their 50s and early 60s. And its community rating measure prevents insurers from charging more to people based on health history or gender. "These include an obligation that they charge seriously ill and healthy customers the same premiums and that they cover specified services like maternity care". The original GOP repeal bill would have widened that ratio to five-to-one. Already a handful of other moderates have said they remain a no vote on the bill, including Reps. That would make it harder for the sick to find comprehensive policies that cover their treatments. But once the law required more comprehensive coverage, "what happened was, nobody took it", he said, speaking on condition of anonymity to protect his former employees' privacy.