I mean, legitimately, they can't pass this bill if the parliamentarian rules against using budget reconciliation for aspects of the bill (which is extremely likely), and they're going to need to find 60 votes to pass this bill as a whole. I don't see them overruling the parliamentarian, so I don't see where they get the 60 votes for this bill.
I actually don't even know if they're going to get 50 votes here because of the Medicaid provisions. Like, I expect that the hard-right like Lee and Paul will fall in line, but the Medicaid provisions are going to be huge sticking points with those in the caucus that actually had states that passed Medicaid. And defunding Planned Parenthood is already a non-starter for Collins and Murkowski.
I think that something will pass, for sure. I do not think it will be this House bill.
Mitch will change the rules. If Ryan and the WH are pushing hard for this then I can see him breaking.
I mean, no, the whole point of them using budget reconciliation is explicitly to not do this.