"Unfortunately, the CBO estimates that 23 million Americans would lose insurance coverage over the next decade, and the impact would disproportionately affect older, low-income Americans," Collins wrote. "I urge my colleagues to support the comprehensive ACA replacement plan Senator Cassidy and I introduced that will allow more Americans to obtain health insurance, preserve significant consumer protections, and help moderate the cost of health care."
The new assessment from the non-partisan Congressional scorekeepers is similar to the report on the earlier version of the bill spiked by Republican leaders earlier this year due to lack of support. But significant changes were made to appease the most conservative members of the House. Notable among the changes was a provision that would allow states to opt out of offering robust health insurance plans that provide services such as maternity care, mental health services and emergency care.