WASHINGTON, DC - MARCH 16:  U.S. Speaker of the House Paul Ryan (R-WI) answers questions during his weekly news conference at the U.S. Capitol March 16, 2017 in Washington, DC. Ryan answered a range of questions relating to the American Health Care Act.  (Photo by Win McNamee/Getty Images)
Win McNamee/Getty Images
WASHINGTON, DC - MARCH 16: U.S. Speaker of the House Paul Ryan (R-WI) answers questions during his weekly news conference at the U.S. Capitol March 16, 2017 in Washington, DC. Ryan answered a range of questions relating to the American Health Care Act. (Photo by Win McNamee/Getty Images)
Now playing
01:06
Ryan delivers bad news to Trump on health care
CNN
Now playing
00:50
Tom Price: Individuals will not lose coverage
Ohio Gov. John Kasich ISO for State of the Union.
CNN
Ohio Gov. John Kasich ISO for State of the Union.
Now playing
00:54
Kasich: 'Unless it gets fixed, I'm against it'
Tom Price sotu 6/25
CNN
Tom Price sotu 6/25
Now playing
02:39
Price won't say if health bill cuts his taxes
Fox News Exclusive
Now playing
01:15
Trump admits he called GOP health bill 'mean'
Senate TV
Now playing
01:24
Senator: GOP making decisions 'in a back room'
trump cbs
"Face the Nation"/CBS
trump cbs
Now playing
02:32
Trump: GOP plan covers pre-existing conditions
US President Donald Trump delivers a statement on Syria from the Mar-a-Lago estate in West Palm Beach, Florida, on April 6, 2017.
Trump ordered a massive military strike against a Syria Thursday in retaliation for a chemical weapons attack they blame on President Bashar al-Assad. A US official said 59 precision guided missiles hit Shayrat Airfield in Syria, where Washington believes Tuesday's deadly attack was launched.
 / AFP PHOTO / JIM WATSON        (Photo credit should read JIM WATSON/AFP/Getty Images)
JIM WATSON/AFP/AFP/Getty Images
US President Donald Trump delivers a statement on Syria from the Mar-a-Lago estate in West Palm Beach, Florida, on April 6, 2017. Trump ordered a massive military strike against a Syria Thursday in retaliation for a chemical weapons attack they blame on President Bashar al-Assad. A US official said 59 precision guided missiles hit Shayrat Airfield in Syria, where Washington believes Tuesday's deadly attack was launched. / AFP PHOTO / JIM WATSON (Photo credit should read JIM WATSON/AFP/Getty Images)
Now playing
01:32
Trump: 'No particular rush' on health care
Donald Trump
CNN
Donald Trump
Now playing
01:14
President Trump guarantees health care deal
Now playing
01:35
GOP congressman: Greater risk, greater premium
Paul Ryan
CNN
Paul Ryan
Now playing
02:39
Race for health care votes is on, again
TRUMP VOTERS
CNN
TRUMP VOTERS
Now playing
02:47
Health care failure won't deter Trump voters
Republican Congressman Charlie Dent speaks during an interview at his campaign office in  Allentown, Pennsylvania on November 2, 2016.
EDUARDO MUNOZ ALVAREZ/AFP/Getty Images
Republican Congressman Charlie Dent speaks during an interview at his campaign office in Allentown, Pennsylvania on November 2, 2016.
Now playing
01:21
GOP Rep.: Health law failure on Freedom Caucus
Kasich pathetic health care bill bipartisanship sotu_00000000.jpg
CNN
Kasich pathetic health care bill bipartisanship sotu_00000000.jpg
Now playing
01:47
Kasich: GOP, Dems not working together is pathetic
Senator Bernard Sanders asks questions to Betsy DeVos during her confirmation hearing for Secretary of Education before the Senate Health, Education, Labor, and Pensions Committee on Capitol Hill January 17, 2017 in Washington, DC.
Brendan Smialowski/AFP/Getty Images
Senator Bernard Sanders asks questions to Betsy DeVos during her confirmation hearing for Secretary of Education before the Senate Health, Education, Labor, and Pensions Committee on Capitol Hill January 17, 2017 in Washington, DC.
Now playing
00:55
Sanders urges Trump to join him on drug bill
Paul Ryan health care bill presser_00000000.jpg
Paul Ryan health care bill presser_00000000.jpg
Now playing
01:32
Ryan: This is a disappointing day for us
CNN
Now playing
01:21
Ryan: Obamacare is the law of the land
WASHINGTON, DC - MARCH 09: Australian Prime Minister Julia Gillard addresses a joint meeting of the U.S. Congress from the floor of the House of Representatives at the U.S. Capitol March 9, 2011 in Washington, DC. Gillard emphasized the long and strong bond between her country and the United States. (Photo by Chip Somodevilla/Getty Images)
Chip Somodevilla/Getty Images/File
WASHINGTON, DC - MARCH 09: Australian Prime Minister Julia Gillard addresses a joint meeting of the U.S. Congress from the floor of the House of Representatives at the U.S. Capitol March 9, 2011 in Washington, DC. Gillard emphasized the long and strong bond between her country and the United States. (Photo by Chip Somodevilla/Getty Images)
Now playing
01:38
House Republicans pull health care bill
John Lewis health care bill speech sot_00001310.jpg
John Lewis health care bill speech sot_00001310.jpg
Now playing
02:28
Rep. Lewis' passionate speech against GOP bill
WASHINGTON, DC - MARCH 21:  U.S. President Donald Trump speaks during a bill signing ceremony in the Oval Office of the White House March 21, 2017 in Washington, DC. President Trump has signed S.442 - National Aeronautics and Space Administration Transition Authorization Act of 2017 into law.  (Photo by Alex Wong/Getty Images)
Alex Wong/Getty Images
WASHINGTON, DC - MARCH 21: U.S. President Donald Trump speaks during a bill signing ceremony in the Oval Office of the White House March 21, 2017 in Washington, DC. President Trump has signed S.442 - National Aeronautics and Space Administration Transition Authorization Act of 2017 into law. (Photo by Alex Wong/Getty Images)
Now playing
00:26
White House on health care bill: 'This is it'

Story highlights

GOP leaders are struggling to convince moderate Republicans to vote for the bill

For some moderates, a last-minute deal to attract conservatives went too far

Washington CNN —  

The Republican Party’s reputation was on the line, but a group of moderates were prepared to defy not only House Speaker Paul Ryan but President Donald Trump on the GOP’s first major legislative priority to repeal Obamacare.

In the end, they didn’t have to vote at all.

Just hours before the bill to repeal and replace the Affordable Care Act was pulled from the floor Friday, moderates were still coming out to publicly oppose it, a sign to leadership that some of their more loyal foot soldiers wouldn’t be with them in the end.

Newly-minted House Appropriations Chairman Rodney Frelinghuysen’s said on Facebook he was against the bill. Rep. Barbara Comstock, a party stalwart, also announced she was opposed Friday.

As it became clearer throughout the day that House leaders didn’t have the votes, moderates become less and less willing to walk the plank for a bill they feared would die in the House or be killed in the Senate.

Changes appealed to conservatives, and scared moderates

For some moderates, the last-minute deal hatched between the White House and the conservative House Freedom Caucus Wednesday night to repeal the essential benefits that insurers are required to offer consumers had gone too far.

One GOP source told CNN that while leaders had gotten a few firm commitments coming from conservatives, they’d seen an exodus of moderates in part because of the deal.

For moderates in tough districts back home, the campaign ads would have written themselves. The overhauled GOP repeal bill included a provision that stripped away federal requirements that insurers provide benefits like maternity care, prescription drug coverage and hospital stays and delegated those decisions to the states.

Rep. Leonard Lance, a New Jersey Republican, told CNN Friday morning that without a doubt, the decision to concede the repeal of essential health benefits to the Freedom Caucus had moved some of his colleagues to “no.”

“I suspect some became a ‘no’ because of that,” Lance said. “That certainly didn’t help.”

While so much of the focus over the last week had centered on the louder, more visible House Freedom Caucus, the fear that moderates would abandon House leaders en masse had been a top concern behind the scenes.

Rep. Charlie Dent, a consistent ally for leaders, came out against the bill after a tense meeting in Ryan’s office Wednesday night and there were more members who never said publicly where they stood on the bill.

Because Republicans chose to make the change to the benefits so late in the game, moderates feared that they were walking in blind to what the effects of repealing them could be.

“A lot of people don’t realize what the implications of that are,” one moderate member said of stripping out essential health benefits Thursday. “So we’re going to railroad this thing through and there’s going to be even more people pissed off – our constituents, stakeholders.”

Members would have been voting without an analysis from the non-partisan Congressional Budget Office of what the budgetary and coverage impact of repealing essential health benefits would have been and moderates had already been spooked by the CBO analysis the first time around, which showed 24 million more people would have been without insurance by 2026 if the GOP leadership’s bill had passed.

On Friday morning, just off the House floor, Rep. Mark Amodei, a Nevada Republican who announced his opposition to the bill Thursday, said he had felt “calm” about his plan to vote against the bill. No phone call, leadership pep talk nor Trump strong-arming would have convinced him to get to “yes.”

If his voters disagreed with him at the ballot box in 2018, so be it.

“I don’t know if they will or they won’t. That book is still to be written. But obviously, I’m willing to take that risk,” Amodei said. “Listen, I’m taking my refuge in the impacts in my district in Nevada.”

Amodei added that he didn’t understand the rush to jam the bill through so quickly.

“I don’t know that there’s a time limit on it,” he said. “The same way that some people here want to say it’s got to be done by the anniversary date of signing it. Really? Are we in the Hallmark Card Business? Come on.”

Ryan met with his rank and file Friday afternoon. A somber line of members trod into the basement conference room where less than 24 hours before they’d been implored one last time to vote for the bill.

They didn’t have the votes, Ryan told them.

The bill would be pulled.

Moderates who’d been on the fence would never have to decide what to do and those moderates who’d come out as a ‘yes’ wondered about what would happen to them now.

“I’m really for it,” Rep. Mike Coffman, a Republican from Colorado told CNN.

Asked if his public “yes on a bill that never made it to the floor could hurt him, he was frank.

“I have no idea ultimately,” he said adding he didn’t think it would. “I have a certain style of politics that seems to work for my district. I have a district that Hillary Clinton won by 9 points and I won by 8.5.”

CNN’s Phil Mattingly contributed to this report.