Brace Yourself: The One Thousandth Cut Could Unravel the Rural Safety Net Research Update – June 2017 The Congressional Budget Office (CBO) projects the House-approved H.R.1628 – American Health Care Act of 2017 (AHCA) bill will reduce the federal deficit by $323B through 2026 but reduce access to healthcare insurance for 23 million Americans in the same period.[1] And, the CBO estimates that the Senate version of this legislation, H.R. 1628, Better Care Reconciliation Act of