The Senate failed Wednesday to advance a bill that would have partially repealed Obamacare without replacing it, another step in the Senate health care debate that is likely heading toward a much more scaled-down bill.

It was the second defeat for the biggest Republican promises to uproot the 2010 health care law. On Tuesday night, the Senate’s repeal-and-replacement bill, the Better Care Reconciliation Act, failed on a procedural vote, with nine Republicans opposing it.

On Wednesday afternoon, a cleaner repeal bill, the Obamacare Repeal Reconciliation Act, also failed, 45 to 55, with seven Republicans and all Democrats voting to block it.

The legislation would have repealed Obamacare’s spending on insurance coverage and its taxes on the wealthy and health care industries; it would not have included any new provisions to replace the law. The projected outcome, according to the Congressional Budget Office, would have been 32 million fewer Americans with health insurance 10 years from now without such a replacement.

Conservatives, led by Sen. Rand Paul (R-KY), had pushed for a vote on a clean repeal bill, and now they’ve gotten it. It is clear that repealing Obamacare without replacing it is not a viable option, even as Republicans now control all the levers of government. A repeal-and-replace plan also looks significantly short on support, after Tuesday’s votes.

Neither result would be a surprise. Health care lobbyists and Senate aides believe the most likely destination is a skinny Obamacare repeal bill that undoes the individual mandate, the employer mandate, and a few of the law’s taxes. The text of that legislation has not yet been released or scored by the Congressional Budget Office.

The Senate health care debate is still ongoing, though

Debate will continue through Wednesday and into Thursday on the House health care bill, which is technically the bill that Republican senators voted to take up Tuesday.

Here’s what is still to come.