If either version is signed into law by President Trump, it will unshakably fix into place only one thing - the perception that the Republican Party simply doesn't care whether millions of Americans are healthy or hurting, breathing or wheezing, getting better or worse. It's possible that given the Republicans' small majority in the Senate that McConnell will have to entertain amendments. They might even have talked to a few Democrats so they wouldn't need those four posturing arch-conservative Republicans to pass it.
Facing uniform Democratic opposition, the Senate plan would fail if just three of the chamber's 52 Republicans defect.
Democrats gathered on the Senate floor and defended Mr Obama's 2010 overhaul. It's about the character of our country - who we are, and who we aspire to be.
The truth is, 22 million people now have health insurance who might not have had it; the federal deficit didn't explode, which Republicans predicted; and the ACA was paid for with taxes on the wealthiest Americans and on medical industry companies.
Sen. Dean Heller, R-Nev., who faces a competitive re-election race in 2018, says he has "serious concerns about the bill's impact on the Nevadans who depend on Medicaid".
At the White House on Thursday, Mr Trump expressed hope for quick action.
The proposal, which is dubbed the "Better Care Reconciliation Act", would change how states fund their Medicaid programs by shifting to block grants or per capita caps on spending. The program now gives states all the money needed to cover eligible recipients and procedures.
Wolf's administration said it expected that the Senate bill would inflict deeper Medicaid cuts on Pennsylvania than the $4.5 billion a year it had projected in lost federal health care dollars under the House bill. That would focus the aid more on people with lower incomes than the House legislation, which bases its subsidies on age. Younger people also might benefit by paying less toward coverage, helping boost their enrollment. Both versions also would repeal nearly all of the ACA's taxes, except for the so-called "Cadillac tax" on high-cost employer plans.
Under Obama's law, "many of those people would have gotten much more generous plans", she said. Almost a third of Ohioans getting coverage under the health care program have a substance abuse or dependence problem, the state says.
In a departure from the version the House approved last month, which President Donald Trump privately called "mean", the Senate plan would drop the House's waivers allowing states to let insurers boost premiums on some people with pre-existing conditions. "And policies contained in the discussion draft will repeal the individual mandates so Americans are no longer forced to buy insurance they don't need or can't afford", McConnell said.
Schumer concluded by claiming that many Republicans reject the notion that the government should provide health insurance to needy Americans.
-Repeal a tax penalty on larger employers not providing health insurance to workers, saving them $171 billion over the next decade.