But amid increased pressure from the White House to move forward with the plan to unravel the 2010 health care law, some conservatives have questions about the changes.
Donald Trump has no substantive legislative accomplishments to show for the first 100 days of his presidency, so Republicans in Congress are trying to resuscitate their attempt to repeal Obamacare and deliver some kind of win to Trump.
The agreement, brokered by House Freedom Caucus chairman Mark Meadows (R-NC) and Tuesday Group co-chairman Tom MacArthur (R-NJ), would allow states to eliminate Obamacare's community rating system, a rule that prohibits health insurers from pricing health care plans based on age, gender, or health status.
According to a draft of the amendment obtained by Politico, the plan allows states to apply for "limited waivers" to opt out of Obamacare insurance mandates-a change created to address conservatives' concerns with the legislation.
Moreover, while the bill putatively preserves the ban on denying people coverage for pre-existing conditions, which President Trump has repeatedly pledged to protect, most people would agree that this provision isn't worth much if insurers can charge sick people any amount. To get those waivers, states would need to have high-risk pools - government-backed insurance for the most seriously ill people, a mechanism that has often failed for lack of sufficient financing.
But these high-risk pools were nearly universally unsuccessful before the advent of Obamacare, and the new GOP proposals drew swift criticism from many patient advocates and others. One phrase in particular from the description on MacArthur's own Facebook page is worth considering (italics mine): "States have the option to obtain a waiver from some federal standards, but the state must attest that its goal is to reduce the cost of health care or increase the number of people with health care coverage".
"We are going to have a big win soon, because we are going to have health care and that's going to happen". So, what's changed? Well, according to the Huffington Post, conservative and moderate Republicans have struck a tentative agreement that could appease both wings of the party.
House Republicans have a conference call scheduled for Saturday where members will be briefed on the latest health care and government funding developments.
"My first instinct is that if you don't give me time to read something, there's probably something there that I'm not going to like, and that's why you're rushing it through", Rep. Andy Biggs, R-Ariz., told The Daily Signal.
He credited Vice President Mike Pence with coming up with a "great compromise" that has advanced progress on Republicans' plan.
"It's not really a new bill - it's the same fundamental bill, but a few pretty significant amendments to it", he said during an appearance on CNN's "New Day". Even if these junior high school antics manage to get a bill passed in the House, it still has to go to the Senate, where it won't sail through in 24 hours.
"I know that our team has continued to work with members of the House in particular to see if there's a way forward", Spicer said. "I'd like to say next week".
Mr Ryan sent a mixed message about the bill's prospects in remarks on Wednesday to reporters in London.