GOP Sen. Susan Collins Firmly Opposes Senate Health Care Bill

The House passed its version of an Obamacare repeal bill in May.

Senate Majority Leader Mitch McConnell's office did not immediately respond to a request for comment.

Conservative GOP Sen. Rand Paul of Kentucky, one of senators to previously announce opposition to the plan as written, said Monday that he will not vote for the bill to proceed unless it changes, according to NBC News.

The current draft version of Senate healthcare bill has been opposed by Nevada senator Dean Heller.

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The tax cuts in the Senate bill are aimed primarily at high-income earners and investors.

The AMA said it was especially concerned with a proposal to put the Medicaid healthcare programme for the poor on a budget, saying this could "fail to take into account unanticipated costs of new medical innovations or the fiscal impact of public health epidemics, such as the crisis of opioid abuse now ravaging our nation".

The CBO found that the proposal would save the government $321 billion over the next decade, largely due to $772 billion in Medicaid cuts. Collins tweeted that the "CBO analysis shows Senate bill won't... fix the flaws in [the Affordable Care Act]". But Medicaid is so much more than that - which is why it's become the focal point of the battle in Washington to repeal and replace the Affordable Care Act. The CBO classifies these as "not directly related to health insurance coverage", since they involve repealing a tax on investment income and annual fees placed on health insurance companies.

The bill would also substantially reduce spending on Medicaid and reduce the value of tax credits that individuals use to buy health insurance, pricing many out of the market.

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Johnson wrote that the Senate bill is flawed in part because "it leaves in place the pre-existing-condition rules that drive up the cost of insurance for everyone".

Under the Senate plan, federal payments would be reduced for those enrollees beginning in 2021, and in 2024, federal support would be sharply curtailed, most likely causing many states to end the expansion. But they will probably embrace CBO's estimate that in the longer run BCRA will lower individual premiums significantly: "In 2020, average premiums for benchmark plans for single individuals would be about 30 percent lower than under current law".

Average premiums would decrease by 20 percent in 2026. But that's because the bill as presented to CBO abolished Obamacare's individual and employer purchasing mandates without providing any substitute provision to encourage young and healthy people to join or stay in the insurance market.

Who would pay less?

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