Ryan wants Congress to vote on the updated health care bill on Thursday, before they know what its impact on constituents will be and before the CBO has a chance to make another assessment . He says that the unspecified changes would “help bring market freedom and regulatory relief to the insurance markets to dramatically lower the price of the plan for the 50- and 60-year-olds.” Other changes under discussion would impose work requirements for people receiving Medicaid benefits and increase tax credits for older Americans. But Ryan wants members of Congress to vote on the updated bill before they know what its impact on constituents will be. The House will still vote on Thursday, before the CBO has a chance to make another assessment. Nancy Pelosi wrote Ryan last week and demanded he give the CBO an opportunity to analyze the changesbefore any floor vote."