Republicans are gearing up to launch a major new plan to replace the Affordable Care Act.
The new plan, unveiled Thursday by House Speaker Paul Ryan, would make the average Medicare beneficiary ineligible for private health insurance, according to the Congressional Budget Office.
That would leave millions of Americans unable to afford care in the private sector, which has become a key battleground for the Republican Party in the 2020 presidential campaign.
Republicans have said they would use the savings from cutting federal spending to pay for the plan.
The plan is part of a larger effort by Ryan to try to reverse a political backlash that has helped propel Democrats to the White House in the 2018 midterm elections.
It would cut Medicaid by more than $700 billion over a decade and eliminate taxes on individuals making more than about $200,000 a year, according the CBO.
But many of the plans’ provisions have been criticized by the White Houses chief of staff, who told reporters Thursday that the proposal would likely be too large.
Ryan has said the proposal will help stabilize the economy and would help keep Medicare solvent in the long term.
Republicans have also touted the plan as a way to boost tax revenue by eliminating loopholes that would allow the rich to avoid paying taxes.
The plan also includes a plan to increase the number of people covered by Medicare by allowing them to purchase private insurance or Medicaid.
Democrats have accused Republicans of playing politics with the health care system, arguing that the GOP plan would leave tens of millions of people uninsured.
Democrats have also slammed the plan for leaving millions of seniors without health insurance and pushing up premiums.
The new proposal, if enacted, would require a lot of work to get through Congress, according a senior administration official who spoke on the condition of anonymity because the official was not authorized to publicly discuss the matter.
The official said that the administration has been working with congressional Democrats and with the American Medical Association to address concerns over the impact on seniors and people with pre-existing conditions.
However, the official said, the administration is committed to working with Democrats to make sure that the plan is a fair and reasonable one.
“I think we’ll have a very, very constructive relationship,” the official added.
There are about 4.4 million Americans who are eligible for private insurance through the federal government, and there are about 1.5 million who qualify for Medicaid.
They make up roughly 25 percent of the population, according Census Bureau data.
This story was updated at 2:06 p.m.