To get the healthcare bill out of the Senate,  Republicans need 50 votes, with Vice President Mike Pence casting the tiebreaker vote.

The problem for Republicans is they are two votes short as Four Senate Republicans oppose draft of GOP health plan.

Sen. Rand Paul of Kentucky, Ron Johnson of Wisconsin, Ted Cruz of Texas and Mike Lee of Utah said they opposed the draft legislation for a "variety of reasons," but they're still open to negotiation before the bill hits the floor.
"There are provisions in this draft that represent an improvement to our current health care system but it does not appear this draft as written will accomplish the most important promise that we made to Americans: to repeal Obamacare and lower their health care costs," they said in a joint statement.