Republican senators released a revised version of a bill to repeal and replace the Affordable Care Act Thursday, which contains more flexibility for insurers, new funding to combat the opioid crisis and leaves some of the ObamaCare taxes intact. The new version comes after the Congressional Budget Office found that the original BCRA would in the next decade increase the uninsured population by 22 million over what it would otherwise be. The revised bill is broadly similar to the earlier measure that Senate leaders hoped to vote on before the Fourth of July recess, though the new version includes some additional provisions meant to entice reluctant Republican senators with varying policy concerns. Already, Senator Rand Paul of Kentucky has said he will vote against beginning debate next week, and Senator Susan Collins of Maine is viewed as likely to vote against it as well, though for different reasons. Here are some of those big changes that this new version of the bill would make to the original BCRA, and what they would mean:

Health savings accounts will be able to pay for premiums. But for people who would like to purchase plans that cover the essential health benefits mandated by the Affordable Care Act, including mental health coverage, addiction treatment, maternity care and prescription drug coverage, costs could go way up. The revised bill increases funding to states for addiction services, including $45 billion instead of the $2 billion in the initial version. That version was projected to lower the deficit by billions over 10 years — but that may have changed as the latest version offers billions more for state grants and also doesn't repeal as many of the Obamacare taxes. The taxes include a 3.8 percent tax on net investment income for high-income earners, a 0.9 percent Medicare surtax, and the “insurance executive tax break.”

The tax on net investment income imposes a 3.8 percent surtax on income a person gains from investments. As long as an insurer does offer a plan on the individual insurance exchanges that meets the demands of Obamacare's Title I (for example, covering certain areas like preventive care and protecting people with pre-existing conditions), that insurer will be allowed to offer additional plans off of the individual insurance exchanges that don't meet those criteria.
The U.S. Senate releases a revised version of the American Health Care Act, the Better Care Reconciliation Act.