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President Trump tweeted from Paris Friday morning that he has his “pen in hand” and will be ready to sign the health care bill designed to repeal and replace Obamacare.

Trump wrote that Vice President Mike Pence has worked hard with the Republican senators to “do what is right for the people.”

The latest version of the health care bill, released Thursday, includes several changes that are intended to sway support in its direction. These changes include an additional $45 billion over 10 years to address the opioid epidemic and an additional $70 billion for states to address problems in their local insurance markets.

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The new bill still has Medicaid cuts reaching nearly $800 billion over 10 years, which will leave approximately 15 million people uninsured by 2026.

Trump added in his tweets that it is important for the senators to work together under Senate Majority Leader Mitch McConnell to get the health care bill passed.

Trump also sent a message to Senate Republicans in his tweets, telling them they must “come through as they have promised”.


Felicia Gans can be reached at felicia.gans@globe.com. Follow her on Twitter @FeliciaGans.