“It has been a concern for us,” said Congressional Progressive Caucus Chair Pramila Jayapal (D-Wash.). ”You can see it with the number of Democrats in vulnerable districts across the country who want to be able to go back and tell people that we’ve lowered their costs for child care, for pre-K, for elder care, for drug pricing, for health care.”

President Biden’s roughly $2 trillion social spending bill includes an array of Democrats’ health-care policy ambitions, yet the package’s prospects remain in peril after Sen. Joe Manchin III (D-W.Va.) said he couldn’t vote for it. The legislation represents Democrats’ best opportunity to further expand health care and make changes to the complex system in more than a decade. And they don’t expect to get any help from Republicans, whose main effort on health care has been trying — and failing — to repeal the 2010 Affordable Care Act…

Advocates say the health care portions included in the House-passed sweeping economic package are some of its more popular provisions, and they are hopeful they’d remain in any further iterations of the bill. This includes efforts like boosting in-home care for seniors and the disabled, extending Medicaid to 2.2 million poor adults and granting Medicare the power to negotiate prescription drug prices.