Every trump supporter said this bill would be different from the house bill but a lot of the same policies carry over to the senate version. Medicaid expansion will be ended by 2021. Medicaid will be capped at current levels which means over time there will be massive cuts to Medicaid and people will inevitably be thrown off as states restructure Medicaid based on the limited funds they have. Certain essential health benefits will no longer be required like mental health care, rehab, pregnancy, and several others. Employers will no longer be required to give their employees insurance. Insurance companies will be able to charge old people five times as much as younger people or more meaning older people will pay significantly more. Additionally people who are subsidized because they make less than 400 percent of the poverty line will have to pay about 16 percent of their income into healthcare instead of the 9 percent in ACA. There is no longer any individual mandate which means prices will likely go up across the board except for the youngest people. On top of that they may cover people with pre existing conditions but there is a waiver for states to bring back lifetime and annual limits. Meaning an insurance company can simply cut off a lot of people with pre existing conditions fairly quickly and the coverage won't do them much good. The only people better off in the plan are the youngest and healthiest people who likely won't even benefit much because due to price stickiness it's unlikely that prices will go down significantly for them. This piece of shit healthcare bill is making cuts to the poorest and sickest coverage simply to give the money away in tax cuts to the wealthiest people in this country.