A Senate Republican push to repeal the Affordable Care Act would cause 32 million more people to be without insurance coverage by 2026 and decrease the federal deficit by $473 billion, according to a new federal report released Wednesday. The estimate also projects that repealing the ACA would double premium increases by 2026.

The analysis by the Congressional Budget Office on the ACA repeal, a move championed by President Donald Trump, largely mirrors an earlier analysis the nonpartisan organization conducted when Republicans voted to repeal most of the health law in 2015.