The new Senate Republican health care bill is out. Its basically the same as the old one.

New legislative language unveiled by Senate Majority Leader Mitch McConnell (R-Ky.) Thursday does include some notable changes, including leaving in place Affordable Care Act taxes on wealthy individuals and giving in to conservative demands that health insurance be further deregulated, according to a summary .

At its core, however, the revised version of the Better Care Reconciliation Act which McConnell pulled two weeks ago because too few Republican senators planned to vote for it remains a vehicle for massive cuts to Medicaid, less financial assistance for people who buy private health insurance, and the return of skimpy junk insurance policies and discrimination against people with pre-existing conditions. Taxes on the rich would remain, but health care companies would enjoy a major tax cut.

The Congressional Budget Office projected the original bill would result in 49 million Americans being uninsured by 2026, compared with 28 million if the Affordable Care Act were left in place. Senate rules governing the legislative process McConnell is using to consider the bill require a new Congressional Budget Office score be completed before he can bring the measure to the floor. McConnell has said he wants to pass the legislation next week .

While the changes to the bill may bring that number of uninsured down, the modified GOP legislation still seeks to significantly scale back federal support for health coverage programs. The bill cuts overall Medicaid funding by more than 30 percent , eliminates the Affordable Care Acts expansion of that program and replaces Obamacares tax credit subsidies with smaller ones that would be available to fewer people.