"The one thing I'm certain will happen is that CBO will say, 'Well, gosh, not as many people will get coverage, '" House Speaker Paul Ryan said on "Face the Nation".
If that threshold had not been met, the House would have had to vote again on a new bill.
"Today's updated CBO score reaffirms the disturbing reality of Trumpcare: tens of millions of Americans would lose their health insurance and millions more would be forced to pay dramatically more for less coverage", said Rep. Richard Neal of MA, the top Democrat on the House Ways & Means Committee. Republicans have opted to try to move their bill under special budget rules and intend to pass it in the Senate with only GOP votes.
That's because under the AHCA, states could get waivers exempting them from some Obamacare provisions, including what are called "essential health benefits" - a list of basics like mental health and prescription drugs that the Affordable Care Act required plans to cover.
That number is 1 million fewer than an analysis of a March draft version of the bill that was predicted to leave 24 million fewer people with health insurance than the current law would cover.
The analysis says that under the bill, premiums would vary significantly according to health status, but that "less healthy people would face extremely high premiums" despite provisions in the bill created to reduce them. The bill now moves to the Senate, but GOP senators have said that they will write their own version of the bill. Insurers in these states would be allowed to charge higher premiums to those with pre-existing conditions if they let their coverage lapse. The report notes that premiums would go up an average of 20 percent by 2018 and 5 percent in 2019. The most recent score of the bill was that the deficit would be cut by $150 billion. "The report makes clear Trumpcare would be a cancer on the American healthcare system", Senate Democratic leader Chuck Schumer said at a news conference. At first, moderate Republicans balked at the last-minute addition of the waiver option to the legislation, as it threatened protections for people with pre-existing conditions.Many came back on when an additional $8 billion over 10 years was added to a $100 billion-plus fund for states to set up high risk pools and other programs for high-cost individuals. Republicans need to keep the bill within the dictates of the budget reconciliation process to move the bill with a simple majority in the Senate.
The nonpartisan office also says that compared with Obama's 2010 overhaul, average premiums for people buying individual policies would be lower.
"We'll probably have a slightly different glide path for expansion states for a phaseout, " Thune said.