Donald Trump warned House Republicans in a closed-door meeting Tuesday that many of them could lose their seats in the 2018 elections if they don’t pass their bill to replace Obamacare.

The president’s warning came a day after GOP leaders made several changes to their measure aimed at wooing reluctant Republicans, including limits to Medicaid enrollment and an accelerated phaseout of some taxes.

"Support it!" Trump told lawmakers, according to Representative Walter Jones of North Carolina, who said he still opposes the measure. He said Trump’s remarks contained "nothing in detail, except politically it’s the right thing to do."

Asked on his way into a closed-door GOP meeting whether they had the votes, Trump said, “I think so.”

But House conservatives said late Monday that they didn’t get the changes they were looking for and could block passage.

"Currently there are not enough votes to pass the legislation," House Freedom Caucus Chairman Mark Meadows said Monday night after a raucous caucus meeting. The group, which has opposed earlier versions, didn’t take an official position on the changes, but a spokeswoman said a whip count by the group showed it could defeat the bill.

And conservative Republican Mo Brooks of Alabama said he wasn’t impressed by Trump’s election threat.

"I think if we do vote for this we will lose the majority," Brooks said after the meeting.

The alterations are being proposed to help add Republican support for the bill, which is set to come up for a vote on the House floor Thursday, and House leaders sounded an optimistic note about the chance for passage. The changes would allow states to require people covered by Medicaid to work and block U.S. funds for any new efforts to expand the health program for the poor.

While it softens some measures that would make health coverage more expensive for older people, the Obamacare overhaul remains a threat to hospitals and some insurers, which would see fewer paying patients if it passed.

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