The Senate Health Care Bill Looks A Lot Like The House's

"Policies contained in the discussion draft will repeal the mandate so Americans are no longer forced to buy insurance they don't need or can't afford".

Senate Majority Leader Mitch McConnell, R-Ky., joined by, from left, Sen. Trump made Obamacare repeal a centrepiece of his 2016 election campaign.

"This is a tax bill disguised as a health bill", House Minority Leader Nancy Pelosi (D-California) told reporters on its release.

Kentucky GOP Senator Rand Paul said his office will be releasing a statement later today which could give voters a clue as to how he may vote, but he is said to be a likely "No" vote, calling the bill "Obamacare-lite".

The Senate would end the tax penalties Obama's law created for people not buying insurance and larger employers not offering coverage to workers. Republicans had been briefed on the plan behind closed doors. It will make families pay more for less care and increase the number of people who are uninsured. "I have a hard time believing that we would have that in such a short period of time", Sen.

"We live in the wealthiest country on Earth", he said.

While many moderate Republicans expressed concerns, it was a groups of conservative Republican senators who stated they would not vote for the bill as now written because it didn't go far enough in repealing Obamacare.

The bill would also slash Medicaid, which provides health insurance to one in five Americans.

On the other hand, Sens.

Cutting into those treatment funds is even a concern among some moderate Republicans in West Virginia and OH which, like Pennsylvania, are among the states hardest hit by the addiction crisis. And Susan Collins of ME reiterated her opposition to language blocking federal money for Planned Parenthood, which many Republicans oppose because it provides abortions. But that will not appease Democrats, who have chastised the GOP for going to extreme lengths to keep their proposals secret, a stark difference from the process used to craft the initial health care law that was widely criticized by Republicans for being too private.

Obama was more than skeptical. In a statement, he said the GOP bill is more about the rich than the poor.

While Trump reportedly called the House bill 'mean, ' Schumer said "the Senate bill may be meaner". The Congressional Budget Office (CBO) reported that the House-passed AHCA would cause 23 million Americans to lose health insurance over the next ten years while reducing the deficit by $119 billion. Senators expect that analysis to be done as early as Friday or perhaps Monday. They include the American Hospital Association and the American Academy of Pediatrics.

Ending Obama's expansion has caused major rifts among GOP senators. Republican senators from states that expanded Medicaid, such as Ohio's Rob Portman, want to extend that phase-out to seven years.

The Senate bill would also impose annual limits on the federal Medicaid funds that would go to each state. Rob Portman of OH and Shelley Moore Capito of West Virginia, have called for a more gradual phaseout of the Medicaid expansion included in the 2010 law that allowed states to cover a higher percentage of their population in the program with an enhanced federal match. Senate Republicans are keeping the income-based structure, while dialing back aid for middle-income consumers.

The House waiver allowing higher premiums for some people with pre-existing serious illnesses was added shortly before that chamber approved its bill last month and helped attract conservative support.

The Senate bill does not change current coverage for pre-existing conditions.

The new legislation would eliminate federal funding for Planned Parenthood, a non-profit health organization that Trump's administration has targeted for cuts because it provides abortion services.

The ACA tax credits continue in 2018 and 2019.

It is, notably, a "draft" bill, meaning that now Republicans will negotiate among themselves before an expected vote next week. Trump has been threatening to discontinue those payments, and some insurance companies have cited uncertainty as a reason they are abandoning some markets and boosting premiums.

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