A Republican bill that would turn Obamacare into a block grant program for states would reduce overall federal healthcare funding to states by $215 billion through 2026, and could reduce spending by as much as $4 trillion over 20 years, a new analysis found.

The Graham-Cassidy bill, which many Republicans hope can get a vote in the Senate next week, would take Obamacare funding for the Medicaid expansion and subsidies on the individual market and distribute it to states through block grants. It would provide around $1.2 trillion to states from 2020 to 2026, and then after that the funding would have to be reauthorized again by Congress.

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