Insurance-industry groups said Wednesday that they oppose a Republican proposal to repeal and replace the Affordable Care Act, joining health-care providers in asking Senators to reject the bill.

America’s Health Insurance Plans and the Blue Cross Blue Shield Association said they oppose the plan, backed by Republican Senators Lindsey Graham, Bill Cassidy, Dean Heller and Ron Johnson, because it would make it harder for individuals to get coverage and cut funding for Medicaid. In addition, unlike previous repeal attempts, the bill would leave a tax on health insurers in place.

The bill “would have real consequences on consumers and patients by further destabilizing the individual market; cutting Medicaid; pulling back on protections for pre-existing conditions,” AHIP said in its letter. The group said the GOP plan would backfire, “potentially allowing government-controlled single payer health care to grow.”

The plan would cut U.S. spending on the Affordable Care Act’s expansion of health coverage by about $81.6 billion through 2026, according to an analysis by consultancy Manatt Health. When the bill’s caps on the broader Medicaid program are included, spending would drop by $215 billion, according to consulting firm Avalere. 

The analyses and industry opposition present more obstacles for the renewed push to undo the Affordable Care Act ahead of a Sept. 30 legislative deadline. Late Tuesday, the talk-show host Jimmy Kimmel, whose emotional appeal helped crystallize opposition to an earlier repeal-and-replace bill, told viewers to oppose the new legislation. Kimmel said Cassidy, a medical doctor from Louisiana, lied when he previously promised on Kimmel’s program that any health overhaul would protect sick children.

“I’m sorry he doesn’t understand,” Cassidy said in an interview on CNN on Wednesday. “More people will have coverage, and we protect people with pre-existing conditions.” Cassidy said his law would have the same protections for sick people as Obamacare.

Broadly, the Graham-Cassidy bill keeps most of Obamacare’s taxes, while undoing the law’s insurance expansion and redirecting the funds to states as block grants. That would give the states broad discretion over how to use the funds. At least 20 million people have gained insurance coverage under Obamacare, mainly through the expansion of the Medicaid program to more low-income people.

The bill has drawn opposition from a broad swath of health-care groups, including the American Medical Association and the American Hospital Association. The groups largely backed Obamacare and opposed previous repeal attempts.

“We believe the Graham-Cassidy Amendment would result in millions of Americans losing their health insurance coverage, destabilize health insurance markets, and decrease access to affordable coverage and care,” the AMA said.

The nonpartisan Congressional Budget Office, which evaluates legislation for lawmakers, has said it won’t have time to evaluate the full effects of the repeal plan before a potential vote next week. CBO said it plans to publish a more limited analysis by early next week.

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