The Senate is set to take a vote next week on a Republican health care plan that is being seen as an attack on the Affordable Care Act, with Republicans hoping to capitalize on President Donald Trump’s election victory to take the measure up.
But if they pass it, the bill will be quickly blocked in the House and potentially face opposition from Democrats, who say it would undermine the law and force people to purchase private health insurance.
The Senate measure would end Medicaid expansion under the Affordable Act, which is expected to bring millions of people into the program.
A similar House bill also would phase out the program, while other proposals would keep it open.
If passed, the Senate plan would strip federal funds from Planned Parenthood, end Medicaid and force states to accept more patients through Medicaid.
The House measure would restore federal funding to Planned Parenthood and other health care providers but does not include any changes that could be considered a major change.
The two chambers have not yet set a date for a vote.
Democrats have criticized the bill for imposing steep cuts to Medicaid, calling it a major assault on the health care system and a violation of the U.N. Convention on the Rights of Persons with Disabilities.
The bill, known as the Better Care Reconciliation Act, has gained the support of Democrats and the influential business community in recent weeks.
It is a package of cuts and reforms designed to help states compete in the health insurance market and keep insurers from fleeing the market.
But it is also expected to face a major backlash from the GOP base, which has said it will reject any effort to dismantle the Affordable Health Care Act and instead demand the federal government pay for it.
Democrats, for their part, have expressed confidence that the Senate will pass the legislation, but they have cautioned that the bill’s Medicaid cuts and other changes could hurt those who are already struggling to pay for coverage.
The proposal would take $500 billion from Medicaid, which covers about 12 million people.
That amount is about 2 percent of the $4.2 trillion total spending on the program that year.
The money would be paid back by cutting off state funding to states that fail to comply with federal health care rules.
States would be required to offer at least one subsidized health insurance plan and to cover the same number of people.
The Medicaid program, which started in 1965, is the largest entitlement program in the U and the second-largest in the world.
It was expanded in the Affordable Community Reinvestment Act, or ACA, and was created to help low-income Americans afford coverage in the face of rising health care costs.
In addition to Medicaid cuts, the legislation would also make it harder for people to buy private insurance, impose higher deductibles and impose additional costs on some individuals who already have Medicaid.
Under the plan, states could opt out of providing subsidies for people who do not qualify for Medicaid, and insurers would have to charge higher premiums to help cover the costs.
It also would impose steep new tax penalties on insurers and impose limits on how much people can deduct from their premiums.
It would also force insurers to pay out-of-pocket costs of enrollees who did not receive coverage from their employers, and it would repeal a law that provides subsidies to low- and moderate-income people to help them afford premiums.
Republican leaders said the bill would be an economic stimulus for the states and create jobs.
But they also said it would help states retain some of the money that they lose from the Affordable Healthcare Act, known by its acronym ACA.
Under Obamacare, states had to provide coverage for about 18 million uninsured people.
Republicans said that in addition to cutting Medicaid, the plan would repeal the requirement that insurers offer the most affordable plans and make it easier for people with pre-existing conditions to buy insurance.
GOP lawmakers have said they want to help people afford health insurance, but have expressed skepticism about the effectiveness of the ACA, which they have said has led to rising health costs.
“It’s a terrible bill.
But we will try to get the job done,” said Sen. Lamar Alexander, R-Tenn.
“This is going to be an important first step in a much larger process.
The president is going take it up next week.
We’re going to have to work with him to get it passed.
We don’t want to be stuck in the middle of it.”
Democratic lawmakers say the legislation is a disaster for people and their families.
It provides states with more money to cover less people, but leaves more people uninsured and raises the cost of health insurance premiums for many lower-income and middle-class Americans, according to a new report from the Kaiser Family Foundation.