And it would cut Medicaid, the health insurance program for the poor and disabled, including ending extra federal payments 31 states are accepting to expand Medicaid to cover more people.
The House bill would end the Obama law's fines on people who don't purchase policies and erase its taxes on health industry businesses and higher-earning people. They have already created chaos in the health insurance industry by refusing to honor the federal government's commitment to help offset losses, and with this vote they have created huge uncertainty about what the health-care marketplace will look like next year.
The group says it will emphasize the lawmakers' support for a House bill that's estimated to reduce coverage for 24 million people over 10 years and let insurance companies charge more for older people.
But its pathway through the Senate will be at least as bumpy. There already are laws to preclude any hospital or medical provider from withholding care due to lack of insurance in the US and North Carolina.
JEFF GREENFIELD, PBS NEWSHOUR WEEKEND SPECIAL CORRESPONDENT: Well, you can see the risks that have already emerged.
While Republicans praised the measure, Democrats had accused the GOP of ramming the bill through the House without fully understanding its provisions or its implications.
"They know that they will need [help] - especially for the 14 Republicans who voted yes and come from Hillary Clinton districts", Mattingly said. No Democrats backed the bill, but some 20 Republicans voted in opposition.
Whether the Senate will go along with the House measure is another story. But that means they can lose just two GOP senators assuming Democrats uniformly oppose scrapping Obama's signature domestic achievement. This bill was crafted to placate the Freedom Caucus and their extreme right wing agenda. And in the Senate, there are enough moderate Republicans to derail this.
After last week's victory in the House, now the Senate will weigh in and will likely come up with a very different version. Now, as the measure heads to the Senate for consideration, one of Alabama's Senators says that the Upper Chamber will take its time reviewing the healthcare proposal in hopes of "getting it right".
That helps explain why the American Medical Association and other medical organizations are anxious that many people will lose their coverage under the House bill. Of particular concern to millions of Americans is the fate of people with preexisting conditions. It's a byzantine picture.
A total of 52 million people would be uninsured in 2026, compared with 28 million if Obamacare were to continue, according to the CBO report, which was released in March. A lot of people are going to be hurt as a outcome.
The president's prognosis on the new healthcare bill sounds like it will be a cinch.
So, by the time the mid-terms happened in 2010, the unpopularity of that bill, which was not mitigated by any benefits by then, produced a 62-seat loss in the House for the Democrats. This is just one piece of legislation, one part of the history.
They broke it, they own it, and they have no idea whatsoever about how to put it back together with any semblance of functionality.
Experts agree that the bill fails to reach the objectives laid forth by Trump, which includes affordable coverage for everyone, lower deductibles and health care costs and better care. That crashed and burns, never even got to a vote, and the Democrats lost both the House and the Senate that year. "I think that the Republican Party will be rewarded". Conservatives have always anxious about entitlements. "They would say, 'Thank you, but you can give our slot to someone else, because my brother or my wife or my daughter has died, '" Figueroa recalled.
Ryan spoke with ABC's George Stephanopoulos about the health care legislation passed this week by the House and now before the Senate overhauling major aspects of Obamacare.
The bill has a long way to go to reach Trump's desk - starting with the Senate, which could present an even more hard process than the fits and starts the AHCA faced in the House.