Sen. Lamar Alexander (R., Tenn.), chairman of the Senate Republican Conference, says that the new CBO report is “an estimate of a concept, not a formal cost analysis of an actual bill.”

“What we know at this point is that the bill cuts Medicare, raises taxes, and increases insurance premiums for tens of millions of Americans,” says Alexander. “It imposes onerous new costs on states and is likely to increase the federal debt. We need to see the actual bill text and know its exact text before we begin a lengthy debate about whether it’s the right direction for our country.”