House Speaker Paul D. Ryan said Sunday that he feels “very good” about his Obamacare replacement’s prospects for passage this week but that negotiators are reaching for ways to help older Americans whose costs would soar under the plan as written.

Mr. Ryan, Wisconsin Republican, said President Trump is a terrific “closer” who persuaded a dozen conservatives to back the plan. The president will use his negating chops to reel in more Republican holdouts, he said.

Yet finding a way to help Americans ages 50 to 64 remains a key sticking point for Republicans coming to grips with the potential fallout of allowing insurers to charge five times what they charge younger adults. 

“That is among the things we’re looking at doing, yes,” Mr. Ryan told “Fox News Sunday.”

Centrist Republicans, whose votes will be needed to pass the plan, have been demanding more tax credit assistance for older constituents after the Congressional Budget Office said their costs could spike by thousands of dollars.

The CBO also estimated that the plan would save more than $300 billion but result in an eye-popping 24 million fewer people being insured a decade from now.

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