Paul Ryan has not been able fulfill the Republicans promise to repeal Obamacare.

As Speaker of the House, it’s his job to push through legislation and set the agenda.

So when he appeared at a meeting of Senate Republicans, he was not prepared for what went down.

Senator Rand Paul has taken the lead with conservatives on repealing Obamacare and offering a conservative, free-market replacement.

But what he heard from Ryan was anything but conservative.

In fact, he believed what Ryan was proposing would be Obamacare-lite.

So he walked out.

Breitbart reports:

“Senator Rand Paul (R-KY) walked out of an Obamacare meeting with Speaker Ryan over Medicaid expansion and the lack of progress to repeal Obamacare.

Speaker Ryan spoke with Senate Republicans Tuesday to assure everyone that an Obamacare repeal is under way. Paul stormed out of the meeting, frustrated about keeping Medicaid expansion and creating new tax credits that Paul argues would create a new “new entitlement program.”

Paul said, “I hear things that are unacceptable to me.” He continued, “If they don’t seem to care what conservatives think about complete repeal of Obamacare, they’re going to be shocked when they count the votes.”

Paul left the meeting and then attended a press conference with the House Freedom Caucus where they presented a united front behind his conservative plan to repeal and replace Obamacare.

Breitbart also reports:

“This is a big, big day for conservative Republicans,” said Paul, who was flanked by members of the House Freedom Caucus.

The senator, who has been a physician and eye surgeon for more than two decades, said that for the last six years, Republicans have promised voters that they would repeal and replace Obamacare.

In 2010, Republicans won the House of Representatives; and in 2014, Republicans won the Senate; and in 2016, Republicans won the White House–all based on that promise to unwind President Barack Obama’s landmark health care reform legislation, he said. “We owe this to the conservatives across the country to repeal–to completely repeal Obamacare.”

Former South Carolina governor Rep. Mark Sanford (R.-S.C.) said he was proud to offer the House companion bill to the 180-page Obamacare replacement bill written by Paul.

“I have long admired his stance toward liberty and individual freedom, and to maximizing both,” Sanford said. “I particularly like the way he’s taken his real life experience as a physician and applied them to bring liberty to ultimately patients and citizens alike across this country in terms of what comes next in health care.”

Paul’s plan allows for unlimited contributions to health savings accounts, permits Americans who do not receive health insurance from their employers to deduct the cost of their premiums from their income taxes, band together to form high risk pools, and buy health insurance across state lines.

These proposals will increase choice, competition, and most importantly, decrease the cost of insurance for everyday Americans.

But Paul Ryan has not been able to keep wayward members of his caucus in line.

Rather, he has accommodated them by adopting a plan that largely leaves Obamacare in place.

However, since the House Freedom Caucus has united around Rand Paul’s proposal, Ryan’s Obamacare-lite plan will lack the votes needed to pass the House.