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Speaker Paul D. Ryan, R-Wis., conducts a news conference after a meeting of the House Republican Conference in the Capitol on April 26. House Majority Leader Kevin McCarthy, R-Calif., and Rep. Cathy McMorris Rodgers, R-Wash., also appear. (Photo By Tom Williams/CQ Roll Call)
Speaker Paul D. Ryan, R-Wis., conducts a news conference after a meeting of the House Republican Conference in the Capitol on April 26. House Majority Leader Kevin McCarthy, R-Calif., and Rep. Cathy McMorris Rodgers, R-Wash., also appear. (Photo By Tom Williams/CQ Roll Call)

The new effort by Republicans to repeal and replace Obamacare helped secure conservative votes, says CQ Roll Call health editor Rebecca Adams, but it raises new issues for moderates: Of particular concern for many lawmakers is that it could allow states to permit insurers to sock people who have pre-existing conditions with huge premium increases.

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