President Donald Trump is now more likely than ever to end his first year in office without a single major legislative accomplishment.

The GOP's health bill failed as defections by Mike Lee of Utah and Jerry Moran of Kansas, in addition to previous opposition by Senators Rand Paul of Kentucky and Susan Collins of Maine, sank the measure. What's next? Repeal.

Besides the delay in the CBO's release of financial estimates of the revised health bill's impact, a senator's medical emergency adds a complication -- will it buy McConnell time to persuade the holdouts?

The change comes on top of $112 billion provided for the same purpose in an earlier measure by Senate Majority Leader Mitch McConnell.

Republican leaders are now planning to retain the ACA's 3.8 percent tax on net investment income for people who earn more than $200,000 and couples with incomes over $250,000, as well as a 0.9 percent Medicare surtax on the same incomes.

President Donald Trump has called on lawmakers to complete health care legislation before going on recess.

Donald Trump said if Republican senators cant strike a deal on their health bill, they should immediately repeal the Affordable Care Act and replace it later, a reversal of his earlier position.

Mitch McConnells plan to pass a bill this week fell apart amid opposition from both the conservative and moderate wings of his party.