The Trump administration on Wednesday unveiled its version of the American Health Care Act, a sweeping overhaul of how the nation’s healthcare system works.
The White House said the legislation would cut federal spending by $200 billion and eliminate a third of the Medicaid expansion that Trump has repeatedly said is essential to the American health system.
It also would replace Obamacare’s employer mandate with a tax on people who buy insurance on the federal marketplace.
But the president has not said he will sign the bill into law.
The House of Representatives passed its version in a 217-205 vote Wednesday, with the Senate approving it by a vote of 98-1.
Trump, who is expected to sign the legislation before the end of the week, said he would consider signing the bill but said he didn’t want to make any promises.
“I will tell you, we will see what happens with healthcare,” Trump told reporters after the vote.
“We’re working on that.
We’re working to make sure we get it right.”
The Senate voted along party lines, with all Republicans voting to pass the bill.
Republicans voted along ideological lines, as they did when they approved the House bill.
But most of the conservatives in the Senate voted to approve the House version, including the most conservative senators on the Health, Education, Labor and Pensions Committee.
The legislation would repeal many of the Affordable Care Act’s mandates, including a mandate that most Americans buy health insurance and the prohibition on insurers from charging higher premiums to older people.
It would also expand Medicaid and lower the federal government’s funding for it.
The bill also would reduce federal funding for the Children’s Health Insurance Program and allow states to expand Medicaid.
It would eliminate federal funding from Medicaid expansion and expand funding for children’s health insurance through the Children, Infants and Preschool programs.
Under the legislation, insurance companies would be able to charge younger people a higher premium if they didn’t have coverage.
The GOP bill would also allow insurers to charge people older than 65 an annual premium of $6,200, and to increase the premium for older adults to $10,000.
It includes a provision that would allow insurers with 10 or more enrollees to charge older people an annual price of $7,500.
Democrats and some conservative Republicans have long argued that the ACA’s mandates are a drag on the American economy, while the Republicans say the program works well for the middle class.
Trump’s administration is expected take steps to shore up protections for older Americans, including expanding the Medicare eligibility age and raising the cap on out-of-pocket costs for people over 65.
The administration has also said it will not let insurance companies deny coverage for people with pre-existing conditions.
The Senate version would extend a program that allows people who are 65 and older to stay on their parents’ insurance until age 26.