Nonpartisan analysis from the Congressional Budget Office released today shows that 14 million Americans next year and 23 million by 2026 would lose health insurance under the American Health Care Act.

The measure, which is intended to repeal the Affordable Care Act and narrowly passed the House in May, would shift the cost of care to consumers through higher out-of-pocket expenses and increase the number of Americans who are underinsured. And while premiums may go down for some, premiums for low-income Americans and seniors could skyrocket.

“The Congressional Budget Office today confirmed what we knew all along, the House plan to dismantle the Affordable Care Act is dangerous, deadly and deeply flawed,” said Georges Benjamin, MD, executive director of APHA, in a statement. “This report sends a clear message to the Senate that if they want to meet their own stated goals, they need to start over and work on bipartisan solutions to strengthen the existing health law and protect the nation’s health.”

In addition to denying millions of Americans health insurance, raising premiums and weakening protections for consumers, the AHCA would eliminate the Prevention and Public Health Fund, which supports core public health activities in communities across the country such as increasing immunizations, preventing heart disease and stroke, and curbing tobacco use. Elimination of the fund would also devastate programs at the Centers for Disease Control and Prevention where the fund constitutes 12 percent of the agency’s budget.

“The House plan is a health policy disaster, and today’s CBO report reaffirms it,” said Benjamin. “The Senate must heed CBO’s analysis, reject the House bill and start over on a bipartisan plan to improve and build upon the Affordable Care Act.”