Senate Republicans have just days to pass a bill that would repeal major chunks of the Affordable Care Act, scale back federal spending on health care and dramatically change health insurance in the United States. But they don’t know exactly how it will work. Named for cosponsors Sens. Lindsey Graham and Bill Cassidy, the Graham-Cassidy bill will not be scored by the nonpartisan Congressional Budget Office before the Senate faces an end-of-month deadline to pass it by a simple majority. While the broad outlines of the bill are known, that means senators will have to make a decision to vote for or against the bill without knowing how many millions of Americans could lose insurance, how much money their state could gain or lose under it and what effects it might have on insurance premiums, according to their own scorekeeper. Outside groups have made their own estimates, all of which say the bill will lead to millions fewer Americans having insurance.

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