Senate Republicans unveiled their version of a health care bill [text, PDF] Thursday, proposing numerous changes to the Affordable Care Act (ACA) [text]. The bill will repeal many of the ACA’s measures [WP report] including the tax increases it enforced to pay for itself and Medicaid [official website], essentially giving tax cuts to the wealthiest Americans. The fines imposed by the individual mandate [NYT report] will also be eliminated. The 142-page bill is expected to be voted on next week. Many Senators have expressed reluctance [TIME report] to vote affirmatively on the bill with so little time to review all of its provisions. Amassing enough votes to pass the bill in the Senate will be a challenge, as Democrats have unanimously criticized the small committee who put the bill together behind closed doors and have openly opposed its passing. Without support from any Democrats, the bill will fail if just three Republican senators vote against it.

Repealing the ACA has been a significant priority for President Donald Trump and Republican lawmakers. Last month the US House of Representatives voted 217-213 to repeal portions of the ACA and replace them [JURIST report]. Also in May more than a dozen Democratic attorneys general filed a motion to intervene [JURIST report] in a lawsuit that threatens key parts of the ACA. In March an earlier version of the proposed American Health Care Act was withdrawn from consideration [JURIST report] after failing to get enough support to pass. Earlier that month, Republican lawmakers released two amendments [JURIST report] to the AHCA in an effort to appeal to both conservative and liberal critics. Senators proposed [JURIST report] the initial ACA replacement bill at the end of January. This came after Trump signed an executive order [JURIST report] aimed at repealing the ACA, shortly after being sworn in. The Senate had prepared for the repealing of the ACA earlier that month when it voted 51-48 [JURIST report] to prevent the process from being subject to a filibuster.