The tax bill that looks like it's about to become law would strike a blow to a fundamental part of Obamacare

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The tax bill that looks like it's about to become law would strike a blow to a fundamental part of Obamacare

barack obama

Steve Helber/AP Images

Former President Barack Obama

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  • The House on Tuesday passed the Republican tax bill in a 227-203 vote.
  • If passed into law, the bill would make significant changes to the Affordable Care Act.
  • The Senate is expected to vote on the bill on Tuesday.

The GOP is on the brink of passing its massive tax reform bill.

On Tuesday, the House voted in favor of the bill, sending it to the Senate, which is expected to vote on the bill later in the day. If it passes - and after the House revotes on the bill on Wednesday - Trump could sign the bill as soon as Wednesday.

The bill would cut the corporate tax rate to 21% from 35% and overhaul the way individuals pay for taxes. If passed into law, it would also make significant changes to the Affordable Care Act, a bill the GOP unsuccessfully tried to repeal earlier this year.

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Ending the individual mandate

The bill would repeal the individual mandate, the provision in the ACA that requires individuals to have health insurance or face a penalty fee.

Without the individual mandate, healthy people may opt out of getting insurance, and the number of uninsured Americans would increase by 13 million, according to the Congressional Budget Office.

Initially, the tax bill included a provision that would repeal an itemized deduction of healthcare expenses. Cutting that deduction would hit people with high medical costs hard. That was later taken out during a Senate vote on an earlier version of the bill.

Republican Sen. Susan Collins of Maine had voted against all versions of the ACA repeal bill over the summer, but ultimately is expected to vote in favor of the tax bill. Collins, who was concerned the individual mandate repeal would increase premiums, said she got Senate Majority Leader Mitch McConnell to support two pieces of legislation that would stabilize the ACA.

"While this legislation is by no means perfect, on balance, it will provide much-needed tax relief," Collins said in a statement Monday.

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