Senate Republicans' bill to erase major parts of the Affordable Care Act would cause an estimated 22 million more Americans to be uninsured in the coming decade - just over a million fewer than similar legislation recently passed by the House, according to the Congressional Budget Office.
The forecast issued Monday by Congress's nonpartisan budget scorekeepers also estimates that the Senate measure, drafted in secret mainly by Majority Leader Mitch McConnell and aides, would reduce federal spending by $321 billion by 2026 - compared with $119 billion for the House's version.
Several moderates have said they will decide whether they can support the Better Care Reconciliation Act (Trumpcare) based on how it will affect Americans who have gained coverage under the ACA during the past few years, while their conservative colleagues are focused on its impact on the federal deficit.
While they differ in important details, both the Senate GOP's plan and the American Health Care Act narrowly passed by House Republicans in May share the goal of undoing central aspects of the sprawling health-care law enacted by a Democratic Congress seven years ago.
In different ways, both would replace federal subsidies that help the vast majority of consumers buying coverage through ACA marketplaces, instead creating smaller tax credits that would provide greater assistance to younger adults while making insurance more expensive for people from middle age into their 60s.
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