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On 6 May 2017, a spokeswoman for House Speaker Paul Ryan tweeted that the American Health Care Act (AHCA) had been scored by the Congressional Budget Office and had been through four committees, implying this scrutiny had taken place before it was voted on by the House of Representatives largely along party lines on 4 May 2017: The Congressional Budget Office has not yet scored the current version of the bill that was passed by the House of Representatives, according to CBO spokeswoman Deborah Kilroe, who told us in an e-mail: White House spokeswoman Sarah Huckabee Sanders confirmed during a press briefing on 4 May 2017 that the bill hadn't yet been scored when the House voted on it, saying: CBO did score previous iterations of the bill on 13 March and 23 March and both times determined that if passed as-is, both versions would have resulted in increased numbers of people lacking health insurance in comparison with the current legislation, the Affordable Care Act (ACA). The bill is now headed to the Senate. Strong clarified her remarks in an e-mail, noting a CBO score will still be needed for lawmakers to move it forward: According to its web site, CBO is required by law to produce a formal cost estimate for nearly every bill that is approved by a full committee of either the House or the Senate: The Senate seems poised to take a more cautious approach than its peers, with Sen. Lindsay Graham (R-South Carolina) tweeting that although he wants to replace the ACA, he is concerned that the House bill was hastily advanced without a CBO report and said it should be viewed with caution, while Sen. Roy Blunt (R-Missouri) said during a 7 May 2017 Meet the Press interview that the Senate would wait for a CBO score before proceeding.
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