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Premiums. >> that's a very contention issue in the house and the senate. there's a number of conservatives including four that came out against the bill saying they need to do more to bring down costs. what they mean by that, they want to let states allow insurers to opt out of some of the affordable care act's regulations. that would let them offer a plan that would be less comprehensive, but likely cheaper. >> he says it's going to be -- he says it's going to be very difficult to get me to a yes. he says it's going to be a difficult lift to change this bill at this point. is there a belief t...

Whether senator rand paul will come around to this bill. so that means that the majority leader will have to win back senators cruz, paul and lee and prevent any other defections. there's concerns on the centrist side of the republican party as well. so that will be very difficult. >> shepard: susan collins of maine as one example. if you are able to make a change that would get one of these more far right republicans, you might lose some of the centrists like susan collins. >> exactly. that was the difficult dynamic in the house and now it's in the senate. the bill currently defunds planned p...

Fence. he has his hhs secretary, price, the cms secretary, all working with the legislative time, people on the hill trying to technically change the bill to make it as attractive as possible to pass it. again, they are moving extremely fast by senate standards hoping to get all of this done next week. again, when we heard from spicer that the president was working behind the scenes with his team, that was before the heller announcement. so the calculus may have just changed in a big way even in the last half an hour, shep. >> shepard: thanks. remember the politics here, this bill is unpopular...

Colleagues with his notes. he says he wants there to be more flexibility to buy and sell insurance across state lines, some more want more obamacare repeal. there's more question marks. might be higher than five in the republican party against this. portman has been on report as pushing for more money to combat the opioid epidemic. collins and murkowski say they don't want cuts to planned parenthood which this senate draft has a lot of. when people talk about tweaks to the bill to get it through, it's not just fine tuning one thing or in one area. it's a lot of different things. just got a lot...

Now a senate plan that as it stands is dead on arrival. peter doocy has the news on capitol hill. this senator dean heller is one of the more vulnerable republican senators and he would make this turn is not that surprising. give us the details that you have. >> we just heard heller stand next to the nevada governor, brian sandoval that is counselling him about how medicaid cuts would hurt nevada. he said it's going to be difficult to get him to a yes. that makes him different than the other four senators, lee, johnson, paul and cruz who all came out and said look, right now, this bill is not ...