White House press secretary Sean Spicer gestures while speaking to the media during the daily briefing in the Brady Press Briefing Room of the White House in Washington, Friday, March 24, 2017. (AP Photo/Pablo Martinez Monsivais)

Updated 5 p.m.: WASHINGTON — President Donald Trump and GOP leaders pulled their “Obamacare” repeal bill off the House floor Friday after it became clear the measure would fail badly.

It was a stunning defeat for the new president after he had demanded House Republicans vote on the legislation Friday, threatening to leave “Obamacare” in place and move on to other issues if the vote failed. The bill was withdrawn minutes before the vote was to occur.

The president’s gamble failed. Instead Trump, who campaigned as a master deal-maker and claimed that he alone could fix the nation’s health care system, saw his ultimatum rejected by Republican lawmakers who made clear they answer to their own voters, not to the president.

Republicans have spent seven years campaigning against former President Barack Obama’s health care law, and cast dozens of votes to repeal it in full or in part. But when they finally got the chance to pass a repeal bill that actually had a chance to get signed, they couldn’t pull it off.

What happens next is unclear, but the path ahead on other priorities, such as overhauling the tax code, can only grow more daunting.

And Trump is certain to be weakened politically, a big early congressional defeat adding to the continuing inquiries into his presidential campaign’s Russia connections and his unfounded wiretapping allegations against Obama.

The development came on the afternoon of a day when the bill, which had been delayed a day earlier, was supposed to come to a vote, come what may. But instead of picking up support as Friday wore on, the bill went the other direction, with some key lawmakers coming out in opposition.

Congressman Rodney Frelinghuysen of New Jersey, chairman of a major committee, Appropriations, said the bill would raise costs unacceptably on his constituents. Rep. Barbara Comstock of Virginia, a key moderate Republican, and GOP Rep. David Joyce of Ohio also announced “no” votes.

The defections raised the possibility that the bill would not only lose on the floor, but lose big.

In the face of that evidence, and despite insistences from White House officials and Ryan that Friday was the day to vote, leadership pulled back from the brink.

The GOP bill would have eliminated the Obama statute’s unpopular fines on people who do not obtain coverage and would also have removed the often-generous subsidies for those who purchase insurance.

Republican tax credits would have been based on age, not income like Obama’s, and the tax boosts Obama imposed on higher-earning people and health care companies would have been repealed. The bill would have ended Obama’s Medicaid expansion and trimmed future federal financing for the federal-state program, letting states impose work requirements on some of the 70 million beneficiaries.

The nonpartisan Congressional Budget Office said the Republican bill would have resulted in 24 million additional uninsured people in a decade and lead to higher out-of-pocket medical costs for many lower-income and people just shy of age 65 when they would become eligible for Medicare. The bill would have blocked federal payments for a year to Planned Parenthood.

Democrats were uniformly opposed. “This bill is pure greed, and real people will suffer and die from it,” said Rep. Pramila Jayapal of Washington state.

Associated Press writers Matthew Daly, Kevin Freking, Mary Clare Jalonick, Richard Lardner, Stephen Ohlemacher, Vivian Salama, Ricardo Alonso-Zaldivar and Ken Thomas contributed to this report.

WASHINGTON (AP) — The coverage of an effort in Congress to pass a health care bill (all times local):

Spicer says White House is optimistic

Updated 1:30 p.m.: The White House says it still remains optimistic about a troubled Republican-led health care bill to repeal and replace “Obamacare.”

White House press secretary Sean Spicer says President Donald Trump is looking forward to the House passing the bill and it expects the House to vote on the bill later Friday.

Spicer says the president is meeting with House Speaker Paul Ryan to “discuss the way forward” on the bill.

He says the president has “left everything on the field” on the bill.

According to GOP lawmakers and congressional aides, House Republican leaders were short of the votes needed for the bill to pass.

House Speaker Paul Ryan of Wisc., walks from the House Chamber to his office on Capitol Hill in Washington, Friday, March 24, 2017, as the House nears a vote on their health care overhaul. (AP Photo/Cliff Owen)

Ryan says AHCA doesn’t have the votes to pass House

Updated 1:20 p.m.: House Republican leaders were short of the votes needed for their health care overhaul bill hours ahead of a vote demanded by President Donald Trump.

That’s the word Friday from GOP lawmakers and congressional aides as Speaker Paul Ryan met with the president at the White House to deliver the sobering news.

Separately, Vice President Mike Pence was meeting near the Capitol with recalcitrant members of the conservative House Freedom Caucus in a last-ditch effort to secure support.

Rep. Mark Walker, R-N.C., told reporters, “As of right now, I’m not sure that we are across the finish line. We’ve still got three or four hours and there’s still discussions happening.”

Democrats say AHCA would hurt veterans

Updated 12:40 p.m.: Democrats and some veterans groups say a provision of the Republican health care bill could raise costs for millions of veterans who use tax credits to buy private insurance. An amendment to the bill would make veterans who are not enrolled in government care ineligible for health-care tax credits.

Republicans said the veterans’ provision could be added back into the bill later.

Democratic Sen. Tammy Duckworth of Illinois, who lost both legs in combat in Iraq, said Republicans either were “intentionally sacrificing veterans and putting them on a chopping block” or wrote the bill so “haphazardly” they don’t know what’s in it.

Minnesota Rep. Tim Walz, the top Democrat on the House Veterans Affairs panel, called the GOP plan “shameful” and said it would leave many veterans without affordable insurance options.

Ryan briefs Trump on AHCA status

Updated 12:30 p.m.: House Speaker Paul Ryan is at the White House to brief President Donald Trump on the state of play on the health care bill.

The visit comes ahead of a planned showdown vote on the legislation later in the day Friday.

The outcome was looking dicey with the legislation apparently still short of votes around midday, and few public signs that the situation was changing.

A group of conservative hold-outs had yet to swing in favor despite lobbying from Trump and others, while opposition also came from moderate-leaning and rank-and-file Republicans.

The legislation is the GOP’s long-promised bill to repeal and replace former President Barack Obama’s health care law. Trump decided Thursday that negotiations were over and it was time to vote.

Democrats cite coverage losses in floor debate

Updated 12:25 p.m.: House Democrats are trying to make the vote on the House GOP health plan personal for their Republican counterparts.

After each Republican speaks on the House floor in favor of the bill, Rep. John Yarmuth, D-Ky., cites the number of people in their congressional district who will lose health insurance under the bill.

Under the bill, 24 million fewer people will have health insurance by 2026, according to congressional estimates.

Rep. Clay Higgins, a Republican from Louisiana, proclaimed that a vote against the bill is “a vote against freedom.”

Yarmuth replied that the bill would result in 50,100 people from his Higgins’ congressional district losing health coverage.

Republicans disputed the numbers. They noted that Yarmuth got his congressional district estimates from the Center for American Progress, a liberal advocacy group.

U.S. House gets closer to a vote

Updated 11:05 a.m.: Republicans have pushed the GOP health care overhaul past an initial procedural hurdle in the House. That moves the chamber toward a climactic final vote that’s a big gamble for President Donald Trump and congressional leaders.

Friday’s procedural vote was 230-194.

The early vote inserted changes into the measure that leaders hoped would win over unhappy Republicans. It would improve Medicaid benefits for some older and handicapped people and abolish coverage requirements President Barack Obama’s 2010 law imposes on insurers.

It remained uncertain whether GOP leaders had enough votes to prevail on final passage.

Conservatives complain the Republican bill doesn’t do enough to erase Obama’s law. GOP moderates are unhappy that it would cause millions of voters to lose coverage and boost medical costs for others.

Democrats were solidly opposed.

Trump: ‘we’ll see what happens’

Updated 10:45 a.m.: President Donald Trump says, “we’ll see what happens,” in response to a question about what happens if the vote on the Republican-backed health care bill fails in the House.

Trump is offering his support for House Speaker Paul Ryan at a White House event announcing the presidential permit about the Keystone XL pipeline. Asked if Ryan should remain as speaker if the bill fails, Trump says, “Yes.”

The administration is trying to steer a GOP-backed health care bill through the House. The White House and Republican leaders say the vote will be tight and it’s unclear if the legislation will pass.

Trump: A vote against the AHCA is a vote for Planned Parenthood

Updated 8:40 a.m.: President Donald Trump is telling lawmakers who oppose abortion that a vote against the health care bill would favor Planned Parenthood.

The president tweeted Friday, “the irony is that the Freedom Caucus, which is very pro-life and against Planned Parenthood, allows P.P. to continue if they stop this plan!”

In a bid to coax support from conservatives, House leaders proposed a fresh amendment repealing Obama’s requirement that insurers cover 10 specified services like maternity and mental health care.

Lawmakers will vote later Friday.

Conservatives have demanded the removal of those and other conditions the law imposes on insurers, arguing they drive up premiums.

The president met with members of the Freedom Caucus Thursday in an effort to win them over. But the vote was postponed after administration officials fell short.

Trump: GOP has ‘a great plan’

Updated 8:25 a.m.: President Donald Trump is endorsing the Republican proposal on health care as “a great plan,” ahead of a make-or-break vote in the House.

The president tweeted Friday that “After seven horrible years of ObamaCare (skyrocketing premiums & deductibles, bad healthcare), this is finally your chance for a great plan!”

The vote had been scheduled for late Thursday but was postponed after administration officials failed to convince skeptical conservative Republicans to support the bill.

Trump claimed he was finished negotiating with GOP holdouts and determined to pursue the rest of his agenda, win or lose.

Barring any further delays, the vote is expected to take place later Friday.

Mulvaney has confindence Trump can get deal done

Updated 7:50 a.m.: White House budget chief Mick Mulvaney says he has “a lot of confidence” in President Donald Trump’s ability to salvage a congressional Republican health care plan, but warns that Trump “also wants to move on” if the deal collapses.

Mulvaney said Friday on ABC’s “Good Morning America” of the president: “He’s a tremendous closer. I wouldn’t count him out.”

Mulvaney delivered a similar message to House Republicans Thursday night, warning that Trump would turn to other priorities such as a tax overhaul if the health plan pushed by House Speaker Paul Ryan is rejected by rebels in his own party.

Mulvaney also rejected a new Congressional Budget Office analysis that warns the latest health plan version would reduce cost savings by $200 billion. “The CBO score is just wrong on that,” Mulvaney said.

Male-only negotiations draw fire

Updated 7:55 a.m.: A lack of women in a photo of negotiations over the GOP health care bill that was tweeted out by Vice President Mike Pence is drawing criticism from Democrats.

The photo shows Pence at the center of a conference table during negotiations with the House Freedom Caucus. About two dozen men can be seen in the photo and not a single woman.

Washington U.S. Sen. Patty Murray drew attention to the absence of women in the room by retweeting the photo and sarcastically adding, “A rare look inside the GOP’s women’s health caucus.”

A repeal of a maternity care requirement is among the concessions the Freedom Caucus is demanding in exchange for support of the bill.

President Donald Trump announces the approval of a permit to build the Keystone XL pipeline, clearing the way for the $8 billion project, Friday, March 24, 2017, in the Oval Office of the White House in Washington. House Energy and Commerce Committee Chairman Rep. Greg Walden, R-Ore., one of the stewards of the Republican health care legislation, carries a binder labeled “Essential Health Benefits” as he leaves the Capitol Hill office of House Speaker Paul Ryan, Friday, March 24, 2017, as the House nears a vote on their health care overhaul. (AP Photo/Cliff Owen)House Energy and Commerce Committee Chairman Rep. Greg Walden, R-Ore., one of the stewards of the Republican health care legislation, leaves the Capitol Hill office of House Speaker Paul Ryan of Wis., Friday, March 24, 2017, as the House nears a vote on their health care overhaul.

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