Senator Rand Paul said that steps to repeal the Affordable Care Act could come as early as Tuesday morning, a move that is an important measure, he said.

The Bluegrass state's GOP senator discussed the state of health care in the U.S. as well as the strife between members of the party during a question-and-answer session with members of Louisville's suburban Rotary Club Monday.

"Are we going to get through the health care fiasco? I don't know," Paul said. "They're talking about voting on something tomorrow, but they haven't told us what we're voting on."

When asked if the GOP could unite to pass a reasonable health care bill, Paul said it is "to be determined."

Paul said he isn't sure which action the GOP will take to replace the Affordable Care Act.

Initially, there is the Senate leadership's decision, which includes more than $180 billion in insurance subsidies. But Paul said he wants action similar to the 2015 bill that was a clean repeal of the law. He added that 51 of 52 Republicans voted in favor of the action.

Paul said that the majority of Republicans are supporting the Senate leadership's plan, which he defined as an "insurance company bailout."

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Paul said he doesn't see why Republicans wouldn't be in favor of the 2015 repeal, and added he would vote in favor of the clean repeal if it's brought forth as an option this week.

During the presentation, Paul said he is not in favor of either the GOP's efforts or the democratic ideas behind the pending Senate health care bill. Monday's meeting with Louisville Rotary members is one of many local visits the senator has made to the River City as he attempts to pitch his solution: a full repeal of the Affordable Care Act and the ability for people to buy cheap insurance through associations.

Many local leaders attended, including Sen. Gerald A. Neal, D-District 33. Neal said while he respects Paul's ideas, his solution is too ideological.

"Paul is an ideologue on the issue of libertarianism," Neal said. "He said, 'let's let the marketplace take care of it,' but it can't take care of it alone. There has to be some government involvement."

Paul answered numerous questions from local Louisville leaders but highlighted the continued friction between Republicans and Democrats.

"Some say, 'You men and women would do better if you all could get along better'... My opinion on that may be evolving after I was shot this year at a baseball game by somebody who was very unhappy about politics," Paul said.

Reach Reporter Thomas Novelly at 502-216-1249 or by email at tnovelly@courier-journal.com.

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