WASHINGTON Moderate House Republicans are having a crisis of faith over the GOP plan to repeal and replace the Affordable Care Act : Do they take the plunge and support a bill that could leave 24 million people uninsured? Or do they break with their new president and vote against Trumpcare, potentially stirring re-election revenge?

After multiple meetings with President Donald Trump and House GOP leadership, a number of prominent moderates abandoned ship Wednesday night, announcing their opposition to Trumpcare. Moments after leaving the office of House Speaker Paul Ryan (R-Wis.), Rep. Charlie Dent (R-Pa.) announced he will vote against the bill. Dent leads the moderate Tuesday Group, which includes roughly 54 Republicans members.

I cannot support this bill and will oppose it, Dent said in a statement . I believe this bill, in its current form, will lead to the loss of coverage and make insurance unaffordable for too many Americans, particularly for low-to-moderate income and older individuals.

Dents decision came as members of the House Freedom Caucus huddled late into the night, engaging the White House directly in negotiations. A deal still hadnt been announced as a number of conservatives trekked over to the White House on Thursday morning for one final meeting with Trump before the vote. If Freedom Caucus members are successful in winning concessions from Trump by bypassing Ryan those tweaks would likely alienate moderates even more.

Indeed, as conservatives hinted they could be close to a deal, more moderates came out against the bill. New Jersey Republicans Frank LoBiondo and Chris Smith joined Dent in announcing the would oppose the plan even with the latest changes.

This bill does not meet the standards of what was promised; it is not as good as or better than what we currently have, LoBiondo said , admitting that the ACA is a better option.

A day earlier, Dent told Trump that efforts to defund family planning provider Planned Parenthood should be dealt with separately, and he expressed concern that the House bill doesnt make tax credits more generous for older and low-income people to offset increased insurance premiums. He also handed the president a letter that four Republican governors had sent to House Republicans saying they oppose the plan for its lack of flexibility and resources for states that expanded Medicaid.

It was a soft sell, not a hard sell, Dent said of Trumps talk with him and 12 other, primarily moderate, members on Tuesday. Whether or not minds are changed, I cant speak to that.