Paul criticised as "unseemly" Graham's and Cassidy's latest effort to tweak their legislation to sweeten the deal for states like Alaska, Arizona and ME in order to lure skeptical senators from those states.
The Maine moderate said in a statement that the legislation would make "devastating" cuts in the Medicaid program for poor and disabled people, drive up premiums for millions and weaken protections Obama's law gives people with pre-existing medical conditions.
Democrats seem unimpressed by the new revisions, calling the explanation provided for smaller funding in states like Alaska as misleading. But along with Senator McCain and Rand Paul saying they're opposed, there are a handful of other senators who are on the fence, most notably Senator Collins of Maine.
There are still lingering questions about protections for pre-existing conditions under the current bill, and those could stop the bill from being pushed through by September 30.
Senators, protesters come out against GOP health care bill
Graham Cassidy would take money spent on Medicaid and Obamacare and distribute it to states to create their own health systems.
"It is very hard for me to envision a scenario where I would end up voting for this bill", Collins said. Susan Collins of ME declared her opposition. Bill Cassidy, either sat or left the room until police removed the protesters.
McCain, who is battling an aggressive form of brain cancer, said last week that he would not vote for the Graham-Cassidy bill.
With 52 seats in the 100-member Senate, Republicans could afford only two "no" votes from their ranks if the health reform bill were to pass, given unified opposition from Democrats.
Republicans could only lose two senators for the bill to pass through the budget process of reconciliation, which allows for a majority vote instead of the 60-vote threshold ordinarily needed to end a filibuster.
Iowa Sen. Chuck Grassley summed up the GOP political calculation in a call with reporters last week. They're concerned - Medicaid actually covers many, numerous people with severe disabilities in this country. He says that increased taxes will be offset by the money saved in insurance and health costs. Bernie Sanders, I-Vt., defended Obamacare and promoted a universal health care system. Residents and citizens throughout the entire country say that their local and state politicians have their confidence more than their federal politicians.