With revised legislation unveiled by Senate Republicans, this page has been updated to reflect the differences between the House and Senate attempts to roll back the Affordable Care Act. These updates do not include a Congressional Budget Office analysis of the revised bill. The latest CBO report focused on a "repeal-only" Senate plan. A previous version of this comparison erroneously included the "repeal-only" report.

More uninsured

The revised version of the Better Care Reconciliation Act (BCRA) maintains much of its original structure and intent. Like the House legislation, the Senate Republican bill introduced in June will produce major losses in insurance coverage that will mostly affect low- and moderate-income Americans, according to the CBO’s analysis of the bills. The centerpiece of the Senate bill is a series of major reductions in federal aid for poor Americans who rely on Medicaid and for consumers who currently qualify for federal subsidies to help them buy private health insurance through the Obamacare marketplace.

The CBO estimated that under the House bill, 23 million fewer people would have insurance over the next decade. The estimate is 22 million for the previous Senate version.

Percentage of uninsured could nearly double under GOP plans by 2026 version="1.0" encoding="utf-8"? 0 5 10 15 20% uninsu r ed 2 0 2 6 2 0 20 2 0 10 2000 1990 Pre-Affordable Care Act Pre-Affordable Care Act House Senate ACA 2010 ACA signed into law 2010 ACA signed into law 2010 ACA signed into law 10% 18% 19% Projected

Percentage of uninsured could nearly double under GOP plans by 2026 version="1.0" encoding="utf-8"? 0 5 10 15 20% uninsu r ed 2 0 2 6 2 0 20 2 0 10 2000 1990 House Senate ACA 10% 18% 19% Pre-Affordable Care Act Pre-Affordable Care Act 2010 ACA signed into law 2010 ACA signed into law 2010 ACA signed into law Projected

Note: Chart shows the percentage of U.S. residents under 65 who lack health insurance. Data from 1990 to 2016 come from the National Center for Health Statistics; projections for 2017 to 2026 come from the Congressional Budget Office.