It is obvious that passing legislation on health care is going to be a heavy lift in Congress.

Republican proposals “exclude too many people, including immigrants,” Bishop Frank J. Dewane said in a statement.

The sisters say that they are “most troubled by the cuts it would make to Medicaid by ending the Medicaid expansion and instituting a per capita cap [on spending].”

Bishop Frank J. Dewane called both the House and Senate health care bills “seriously flawed.”

Catholic health care leaders said they hope Congress will work together, in small steps, to fix flaws in the current legislation.

The Catholic Health Association, meanwhile, said the revisions to the proposal “reinforces the fact that this bill cannot be fixed.”