On the one hand, the CBO score provides an opportunity for the bill’s sponsors to bolster support amongst conservatives, some of whom have been critical of the congressional leadership’s approach — but whose backing will likely be needed if the bill is to pass the GOP-controlled House.
This conservative support may come, however, at the expense of moderates, who will be vocal when debate over the bill reaches the Senate. They might only support the legislation with changes that will improve upon CBO estimates of how many people it will leave uninsured.
For starters, the American Health Care Act (AHCA) is estimated to reduce deficits by $337 billion over the next 10 years — an important selling point for fiscal conservatives and those concerned about the sustainability of the health care system (and particularly Medicaid) going forward.
Furthermore, the legislation includes almost $600 billion in tax cuts over the next ten years by repealing many of Obamacare’s taxes.