Speaker Paul Ryan is confident the American Health Care Act will pass the House this week, and he sent a veiled message to skeptical Republicans: If the bill fails, they’ll have to answer to their voters.

Ryan said on the Hugh Hewitt radio show he’s feeling good about the bill’s chances, but he didn’t break down a whip count on how many votes he thinks he can get to pass it. It’s up in the air whether enough conservative members of the House will vote with Democrats to kill the bill. A vote is expected Thursday.