GOP gets expanded coverage choices in health law

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WASHINGTON — At the prodding of business organizations, House Republicans quietly secured a recent change in President Obama’s health law to expand coverage choices, a striking, one-of-a-kind departure from dozens of high-decibel attempts to repeal or dismember it.

Democrats describe the change involving small-business coverage options as a straightforward improvement of the type they are eager to make, and Obama signed it into law. Republicans are loath to agree, given the strong sentiment among the rank and file that the only fix the law deserves is a burial.

‘‘Maybe you say it helps [the Obama law], but it really helps the small businessman,’’ said Representative Phil Roe, Republican of Tennessee, one of several physician-lawmakers among Republicans and an advocate of repeal.

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