WASHINGTON Senators return to Washington Monday, with health care repeal now squarely in their laps after House Republicans managed to come up with a bill that a majority of their majority was willing to support or at least willing to vote for to make it all the Senates problem.

Many GOP senators have already expressed reservations about the American Health Care Act, making it clear it will go through significant changes if it ever reaches President Donald Trump s desk.

Ive already made clear that I dont support the House bill as currently constructed because I continue to have concerns that this bill does not do enough to protect Ohios Medicaid expansion population, especially those who are receiving treatment for heroin and prescription drug abuse, Sen. Rob Portman (R-Ohio) said after the bill passed on May 4.

Sen. Shelley Moore Capito (R-W.Va.) has also said there could be tragic consequences if Medicaid expansion goes away, particularly on the issue of opioid funding.

But the House GOP bill would slash federal spending on Medicaid and wind down the expansion that was enacted under Obamacare and that 31 states plus the District of Columbia took advantage of.

The AHCA has put a handful of House GOP members considering running for Senate in 2018 in a tricky spot: They need to back repeal, because thats the party line and its what theyve been promising for years. But they now may also be at odds with what the GOP senators from their state are saying.

Ohio is a prime example. Portman is denouncing the House bill for which Rep. Pat Tiberi (R-Ohio) who is reportedly weighing a challenge to Sen. Sherrod Brown (D-Ohio) voted. He has justified voting for the measure by claiming that cuts to the program will ultimately save the program.