WASHINGTON (AP) — Senate Majority Leader Mitch McConnell fended off criticism Tuesday that a working group of Republican senators he's asked to craft a health care bill lacks women, saying all 52 GOP senators were shaping the legislation.
The all-male makeup of the 13-member group was clearly an irritant among some of the chamber's five GOP women. It also became a target for Democrats eager to paint the evolving Republican legislation as a measure that's damaging to women needing medical care, even as key decisions are being made by men.
"That's really up to the leadership," Sen. Susan Collins, R-Maine, the longest-serving female GOP senator in her 21st year in the chamber, said of the group's lack of women. "It seems to me they've already made their decision. The panel has apparently been meeting for some time, and I'm not a member of it."
Asked about the group, Sen. Lisa Murkowski, R-Alaska, said, "I just want to make sure we have some women on it."
"We know it makes a difference when women are in the room, and we know it makes a difference when women aren't in the room on what is brought up, how it's seen and how it's put together," said Sen. Patty Murray, D-Wash., the No. 3 Senate Democratic leader.
GOP efforts to repeal former President Barack Obama's health care law have shifted to the Senate, five days after Republicans pushed a version of the legislation through the House.
GOP senators have made clear they will likely make substantial changes in the House bill. Some have criticized that measure's cuts in the Medicaid program for poor and disabled people, the federal subsidies that would leave many consumers with higher out-of-pocket costs and the estimated 24 million people who'd lose coverage.
The 13 senators McConnell appointed to the informal group include himself and other party leaders and committee chairmen, conservative mavericks, lawmakers from states that expanded Medicaid under the Affordable Care Act and others.
Facing solid Democratic opposition and controlling the Senate 52-48, Republicans can lose only two GOP senators' votes but prevail with Vice President Mike Pence breaking a 50-50 tie. McConnell said all GOP senators are meeting daily and discussing the health care effort.
"The working group that counts is all 52 of us, and we're having extensive meetings" daily, said McConnell, R-Ky. "Nobody's being excluded based on gender."
Pressed by reporters, McConnell added, "You need to write about what's actually happening, and we're having extensive discussions about the real issues. Everybody's at the table."
White House spokesman Sean Spicer distanced the Trump administration from the group's membership.
"I think the more voices that we can put on a panel to help get this done, the better. So, to the extent — I'm not going to tell Leader McConnell or the White House is not going to tell him how to conduct a panel," Spicer said.
Senate Minority Leader Chuck Schumer, D-N.Y., said the House bill "is so discriminatory against women." He cited a provision that could let insurers levy higher premiums on some people with pre-existing medical conditions, which in the past has included pregnancy.
"It's a very, very bad thing" to exclude women from the working group. "They're more than half the population."
One of the Senate's most moderate Republicans, Collins, 64, has at times been a problem for party leaders, such as opposing a cutoff of federal payments to Planned Parenthood. She's viewed as one who might vote against the GOP bill.
Collins is the 15th longest-serving current senator and hasn't missed a roll call vote since entering the chamber, a streak her office says reached 6,352 votes Tuesday.
Collins told reporters that GOP women senators "are not afraid to make their voices heard" and said she was not worried they would have no input. She said she's working with Sen. Bill Cassidy, R-La., on an alternative health care overhaul and with other senators on how to revamp Medicaid.
She said she'd spent 15 minutes at Tuesday's Senate GOP lunch describing a high-risk pool Maine uses to help cover costs for people with serious diseases who are expensive to treat. She said to replicate Maine's program nationally would cost $15 billion yearly, "which I do not see in the House bill."
Sen. Deb Fischer, R-Neb., said she was unconcerned about the panel's roster, saying, "Every senator has their say."
The working group met Tuesday and members said they discussed how to handle the House's plan to phase out the current law's expansion of Medicaid to more low earners.
Sen. Shelley Moore Capito, R-W.Va., who's criticized those Medicaid cuts, attended the private meeting, senators said. Her state is among the 31 that has accepted additional money to expand Medicaid.
Associated Press writers Mary Clare Jalonick, Darlene Superville and Matthew Daly contributed to this report.