washington u.s. senate proposal replace obamacare would cut spend government medicaid poor 35 percent come 2036 non-partisan congressional research office say thursday complicate republican efforts forge deal congressional budget office report request senate democrats provide longer-term look republican plan would affect medicaid spend senate majority leader mitch mcconnell search formula win conservative moderate elements republican caucus republican discussions thursday focus two proposals one moderate would keep 3.8 percent obamacare tax high earners investment income instead repeal republicans promise another conservative senator ted cruz would let insurers offer skimpy healthcare plan also offer plan choice obamacare compliant additional 45 billion decade combat opioid crisis also table source close talk tell reuters original draft republican bill oppose least nine republican senators mcconnell afford lose two 52 republican vote 100-seat senate pass bill vice president mike pence capitol hill push bill meet cruz moderate senators susan collins shelley moore capito dean heller oppose bill original form two factions yet seem agreement senator lisa murkowski say discussions continue see whether cruz proposal could make acceptable moderate like conservative senator pat toomey say would shock obamacare 3.8 percent tax repeal republican governor john kasich ohio opt expand medicaid obamacare say cbo late assessment validate concern bill propose phase obamacare medicaid expansion 2021 2024 make deep cut program overhaul 2025. cbo estimate current law medicaid spend would grow 5.1 percent year next two decades republican senate plan project growth 1.9 percent year 2026 3.5 percent per year subsequent 10 years cbo typically score legislation 10-year window bill longer-term affect assess thursday report early estimate senate bill would strip coverage 22 million americans next decade senate republican bill would slash medicaid 2036 complicate talk