A coalition of health-care groups is calling on House and Senate leaders not to repeal ObamaCare’s individual mandate as part of the GOP tax-reform bill.

Hospitals, doctors and insurers urged Congress in a letter sent Tuesday to keep the individual mandate “unless and until Congress can enact a package of reforms to adequately assure a balanced risk pool and prevent extraordinary premium increases.”

The letter was sent by some of the top health groups in the country: America’s Health Insurance Plans (AHIP), the American Academy of Family Physicians, the American Hospital Association, the American Medical Association, the Blue Cross Blue Shield Association and the Federation of American Hospitals.

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The groups argued that “repealing the individual mandate without a workable alternative will reduce enrollment, further destabilizing an already fragile individual and small group health insurance market on which more than 10 million Americans rely.”

Senate Majority Leader Mitch McConnell Addison (Mitch) Mitchell McConnellMomentum growing among Republicans for Supreme Court vote before Election Day Trump expects to nominate woman to replace Ginsburg next week Video of Lindsey Graham arguing against nominating a Supreme Court justice in an election year goes viral MORE (R-Ky.) announced Tuesday afternoon that the Senate tax bill will include language to repeal ObamaCare’s individual mandate.

Sen. John Thune John Randolph ThuneWhat Senate Republicans have said about election-year Supreme Court vacancies The Hill's 12:30 Report - Presented by Facebook - Don't expect a government check anytime soon The Hill's Morning Report - Sponsored by The Air Line Pilots Association - Trump contradicts CDC director on vaccine, masks MORE (S.D.), the Senate's No. 3 Republican, told reporters there has been a whip count and he was confident Republicans could pass a tax bill that includes a measure to repeal the mandate.

Thune also said there was an agreement to pass a bipartisan market stabilization bill from Sens. Lamar Alexander Andrew (Lamar) Lamar AlexanderToobin: McConnell engaging in 'greatest act of hypocrisy in American political history' with Ginsburg replacement vote Chamber of Commerce endorses McSally for reelection Trump health officials grilled over reports of politics in COVID-19 response MORE (R-Tenn.) and Patty Murray Patricia (Patty) Lynn MurrayTrump health officials grilled over reports of politics in COVID-19 response CDC director pushes back on Caputo claim of 'resistance unit' at agency The Hill's Morning Report - Sponsored by The Air Line Pilots Association - Pence lauds Harris as 'experienced debater'; Trump, Biden diverge over debate prep MORE (D-Wash.) alongside the tax bill.

The goal would be to mitigate the negative impacts from repealing the ObamaCare requirement that everyone buy insurance or pay a penalty.

The Alexander-Murray legislation would fund two years of cost-sharing reduction payments to insurers, which the Trump administration stopped making last month. It would also broaden waivers to let states change certain ObamaCare requirements.

All of the groups that sent the letter Tuesday also endorsed the Alexander-Murray legislation. AHIP declined to comment if that legislation would satisfy the demands laid out in their letter.