Senate opposition to Obamacare bill grows

A proposal by US Republicans to repeal and replace the Obamacare health insurance program suffered serious new setbacks when Senator Ted Cruz expressed his opposition and Senator Susan Collins dug in with strong criticisms of the legislation.

Phil Novack, a spokesman for Cruz, confirmed that the Republican senator said at an event in Texas: "Right now, they don't have my vote, and I don't think they have (Senator) Mike Lee's vote, either."

Aides to Lee, a conservative Republican and close ally of Cruz, were not immediately available for comment.

Politico reported that Cruz complained that the latest Obamacare repeal bill did not address his concerns about bringing down the costs of healthcare.

Despite President Donald Trump's pressure on his fellow Republicans for quick passage, Senator Susan Collins also appeared poised to oppose her party's latest replacement plan for the Affordable Care Act, former President Barack Obama's signature achievement.

Collins, who just two days ago said she was "leaning against" the legislation, on Sunday declared in an interview on CNN "it is very difficult for me to envision a scenario where I would end up voting for this bill."

Collins said her concerns centred on the impact the legislation would have on the federal Medicaid program, which helps disabled children and low-income elderly people get healthcare.

Trump and Senate Majority Leader Mitch McConnell can afford to lose the support of only two Republicans, assuming all Democrats vote against the measure to repeal and replace Obamacare.

Last week, Senator John McCain, who was one of three Republicans voting in July against an earlier version, joined Senator Rand Paul in opposition.

The Senate faces a September 30 deadline for deciding on the bill under an expiring rule that lets the healthcare proposal pass with just a simple majority, instead of the 60-vote threshold needed for most legislation.