Paul Ryan says the 2018 midterm elections will be a 'bloodbath' if Republicans don't deliver on their promise to repeal and replace the Affordable Care Act.

The bill would cut taxes to the tune of about $575 billion over a decade, mainly on the wealthy and health-insurance companies. It would limit money channeled to low-income people, raise costs for older Americans and wind down the expansion of Medicaid.

The American Medical Association and the American Hospital Association have both said they cannot support the American Health Care Act in its current form.

President Trump took to Twitter to tout the new plan: 'Our wonderful new Healthcare Bill is now out for review and negotiation. ObamaCare is a complete and total disaster - is imploding fast!'

Republicans unveiled their long-awaited legislation to repeal and replace the Affordable Care Act, taking them a step closer to fulfilling a vow theyve been repeating since the health laws passage in 2010.

Some proposals to replace the ACA would result in 'forever restructuring the Medicaid program to cut expansion and cap who receives benefits,' said Andy Slavitt, the former head of the CMS.

Trump has called the Affordable Care Act a failure, and said hell replace it with a plan providing better, cheaper coverage, without giving details.

New details of the ACA replacement plan are beginning to emerge, described by lawmakers and their aides.