The White House appeared Friday to not rule out altering a Republican-crafted health care overhaul measure by accelerating a Medicaid expansion roll back, a move that could garner more conservative votes, although it could jeopardize support from GOP moderates and senators from states who have used the program to cover the uninsured.

The bill, which has been approved by two key House committees, would nix the 2010 health law’s expansion of the entitlement program in 2020. That’s not soon enough for many House conservatives, and a reason why the White House and GOP leaders appear to lack the 218 votes needed to send the overhaul measure to the Senate.

“Right now, the date that’s in the bill is what the president supports,” White House Press Secretary Sean Spicer told reporters Friday. But President Donald Trump is willing to listen to other ideas, his top spokesman said.

Spicer’s answer to a follow-up question about whether Trump would negotiate the Medicaid provision was murky. At first, he replied simply, “Right.” But a moment later, he said “it’s not a question of negotiation – we have a date in the bill and that’s the date in the bill.” But he was empatic that the president continues to take suggestions from lawmakers, seeming to leave open the possibility of moving the expansion sunset date.