After the Senate voted Tuesday to repeal the Affordable Care Act, Republicans in the House are set to take up a bill to replace it.
The bill, which would allow states to use vouchers to cover more of their uninsured residents, would come with a few notable caveats.
The plan would also create a new entitlement program that would be financed through an increase in payroll taxes.
House Speaker Paul Ryan has promised that states would be able to use the money to provide health care to their residents, but not at the expense of taxpayers.
If passed, the bill could also lead to a wave of states adopting vouchers, a key element of the Affordable Act.
In addition, Republicans have said they intend to roll back some of the tax increases on businesses that were originally part of the ACA, which is known as Obamacare.
“The goal of this bill is to get rid of the taxes that were part of Obamacare and replace it instead with a single-payer health care system,” said Rep. Tom Cole (R-Okla.).
“We are going to take a look at all of those taxes and the amount of money we’re going to get back, and then we’re really going to work with the states to see what we can do with that money to help them better care for their residents.”
As for the $1.2 trillion bill, some Republicans are skeptical it will pass.
Rep. Mark Sanford (R, S.C.), a former health care aide to then-President George W. Bush, said he expects a number of Republican senators and House members to vote for the measure.
“It’s been over three years since I was a member of Congress, so it’s pretty hard to know what’s going to happen and what’s not,” he said.
“If they’re going for a plan that’s so unpopular, I’d be surprised if they’re not going for it.”
The repeal bill could have a major impact on the health care debate in the coming weeks.
Many states have passed similar legislation, and they have also been trying to expand their Medicaid programs under the ACA.
While Medicaid expansion has been a huge success for states, it has been controversial and a source of frustration for some Republicans, who are eager to see the number of people enrolled rise.