Good Thursday morning, I'm Jake Sherman and welcome to your political playbook flash briefing, brought to you by United Health Group.

And I'm Anna Palmer. The big headline this morning is, it is all up to the White House now.

The health care bill is really down to a coin flip. The mood in the Capitol yesterday was tense.

Not because people were worried about failure, but because the situation

was so fluid, it was difficult to get a real read on what was transpiring. Even the smartest

and savviest vote counters, those who've been here for years, had no idea whether they will be

able to pass this bill. As of publishing time this morning, House Republicans planned to bring this

bill to the floor, no matter what

the vote count looked like, we wouldn't be surprised if it came after the market closed.

Could be a late night, Anna, I am not looking forward to that, but here's where things stand.

The Conservative House Freedom Caucus, which will meet with Donald Trump this morning at 1130 a.m.,

wants to not only eliminate coverage requirements for health

insurers in the health care bill, known as essential health benefits, they also want to repeal

Title I provisions, which include rules on coverage for pre-existing conditions, and allowing

children to remain on their parents' plans until age 26. As of early this morning, the leadership in White House were cool to that proposal.

All this horse trading has thrown the whipcout into serious flux.

House Republican leaders have now lost the support of moderates like Representative

Chris Smith and Frank Lobiondo of New Jersey, Charlie Dent of Pennsylvania, and David Young of Iowa.

Watch for other moderate Republicans who see

this is an opportunity to ditch the bill. The math here is pretty simple. There are 237 House Republicans

and 215 need to vote yes to pass this bill. They can lose 22 lawmakers. The stakes for every

faction of the House Republican conference

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