The U.S. Senate dealt a devastating blow to the Republican efforts to repeal Obamacare, defeating a GOP scaled-down bill early Friday morning with Arizona Senator John McCain (R-Ariz.) providing the crucial vote against the bill.

The legislation, referred to as a “skinny repeal” bill, would repeal the Affordable Care Act’s individual and employer mandates and temporarily repeal the medical device tax. The bill would also give states more flexibility to allow insurance that doesn’t comply with Obamacare regulations.

The bill would mean 16 million more people would be uninsured by 2026 than under Obamacare, the Congressional Budget Office said in a report released late Thursday night.

Sens. John McCain, Lisa Murkowski and Susan Collins joined with Democrats to oppose the measure.

The bill was cast by Republicans as a way to keep their repeal hopes alive and get to negotiations with the House.

Vice President Mike Pence and several Republicans went to talk to Senator Mccain on the Senate floor while the preceding vote was held open long after it usually would have closed.

At one point, McCain went over to talk to a huddle of Democrats, who were in good spirits.

It is unclear what happens now, or where the GOP repeal effort can go. But one thing is certain: Trumpcare is dead. ShareTweet