Republican plans to overhaul health insurance seem to change almost every day. So it's understandable if you feel confused about how it all might affect you.

There is plenty of information. But it can quickly become overwhelming. The government agency tasked with providing answers to what it all means has been churning out reports quantifying the impact of the various GOP proposals.

The nonpartisan Congressional Budget Office (CBO) has analyzed five pieces of legislation since the start of the year to determine how many people would gain or lose coverage and how much costs would rise or fall. In just the past 24 hours, two new CBO reports came out.

The most recent was Thursday afternoon: An analysis of the latest version of the Republican Senate plan—the Better Care Reconciliation Act (BCRA)—to repeal and replace the ACA.

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GOP leaders in Congress say repealing the ACA is necessary because premiums are rising on the health insurance exchanges, and they want to curb federal spending on costly health insurance programs. Indeed, the CBO's latest analysis of the BCRA projects premiums would fall and that the federal deficit would drop by $420 billion in 10 years.

But 22 million people would lose health insurance by 2026. And even though premiums would drop, the annual deductible for a plan that qualifies for tax subsidies would surge to $13,000.

Under the ACA today, the deductible on a standard plan is about $5,000. And for someone who earns $26,500, the deductible is only about $800. That's more than a 1,500 percent increase.

This is important because you must pay your deductible before insurance starts to kick in to cover your medical bills. Such steep out-of-pocket costs could make insurance unusable or unaffordable for many Americans.

According to the CBO analysis, "Because a deductible of $13,000 would be a large share of their income, many people with low income would not purchase any plan even if it had very low premiums." Such a high deductible would also exceed the maximum $10,900 allowed in out-of-pocket costs and would actually be illegal unless the formula to calculate out-of-pocket costs is changed, according to the CBO.

The analyses, and acronyms, may make your eyes glaze over. But if these legislative proposals become law, they will have far-reaching effects for all Americans and will drastically change how insurance works, whether you get insurance through the individual market, Medicaid, your employer or Medicare.

After three attempts to bring legislation to the floor for a vote, Senate Republicans say they'll try again for a vote on some version of their proposed legislation next week.

Here's a quick summary of major findings of the CBO's analysis of not just BCRA but also the the House plan (the American Health Care Act, or AHCA) and the repeal-without-replace option (the Obamacare Repeal Reconciliation Act, or ORRA).

Number of Uninsured Americans by 2026

  • Under the Affordable Care Act (ACA): 28 million
  • Under the House plan (AHCA): 51 million, 23 million more than under the ACA
  • Under the Senate plan (BCRA): 50 million, 22 million more than under the ACA
  • Under repeal without replace (ORRA): 59 million, 32 million more than under the ACA

Percentage of Americans Under Age 65 Without Insurance by 2026

  • Under the Affordable Care Act (ACA): 10 percent
  • Under the House plan (AHCA): 18 percent
  • Under the Senate plan (BCRA): 18 percent
  • Under repeal without replace (ORRA): 21 percent  

Average Deductible in 2026

  • Under the Affordable Care Act (ACA): $5,000
  • Under the House plan (AHCA): Not available
  • Under the Senate plan (BCRA): $13,000
  • Under repeal without replace (ORRA): Not available

These figures are for standard, comparable plans analyzed by the CBO.  

Average Effect on Premiums in 2026, Compared With the ACA

  • Under the House plan (AHCA): 4 to 20 percent lower, depending on where you live
  • Under the Senate plan (BCRA): 25 percent lower
  • Under repeal without replace (ORRA): 100 percent higher

Note that the CBO says that the premiums would be slightly lower, on average, under the Senate's bill largely because the plans offered by insurance companies would be far skimpier, requiring people to pay more for their care out of their own pockets in the forms of higher co-pays for office visits and drugs and much higher co-pays. For example, as shown above, the average deductible for a benchmark plan under the Senate's plan would be $13,000, compared with less than $1,000 for that same person under the ACA.