Hospital and insurer groups have spoken out against the Senate Republican approach, particularly proposed Medicaid cuts. The cuts would result in lower revenues for hospital companies like Community Health Systems and Medicaid insurance specialists like Molina Healthcare and Centene Corp.

Molina Healthcare, which has more than 1 million customers on the Obamacare individual exchanges and manages Medicaid health programs, said the changes would leave insurers competing for the least risky customers and would make plans for sick people unaffordable.

The American Hospital Association said the new version of the bill retained the “unacceptable flaws” of the previous version.

“Instead of merely putting forth an update, we again call on the Senate to put forth an upgrade,” Rick Pollack, president of the association, said in a statement.

Health-care stocks were mostly unmoved by the announcement, as Wall Street analysts described the core of the revised bill as largely unchanged from the earlier one.

The new bill includes another $45 billion for fighting the opioid addiction epidemic, on top of the $2 billion in the earlier version.

The nonpartisan Congressional Budget Office, which forecast that the previous version would have increased the number of Americans without health insurance by 22 million by 2026, is due to evaluate the new bill in coming days.

The Affordable Care Act, dubbed Obamacare, expanded health insurance coverage to some 20 million people, in large part by expanding Medicaid.

The House of Representatives on May 4 passed its own version of health-care legislation.

Republicans have a 52-48 Senate majority, with Vice President Mike Pence able to cast a potential tie-breaking vote. Any bill passed by the Senate would have to go back to the House for approval.

Repealing and replacing Obamacare, which Republicans fault as a costly government intrusion into the health-care system, was a top campaign promise for Trump, who was monitoring the Senate developments during his visit to Paris.

“I’d say the only thing more difficult than peace between Israel and the Palestinians is health care,” Trump told reporters on his flight to Paris.


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