Editor’s Note: After this article was penned, several additional Republican Senators have come out against Graham-Cassidy, and Majority Leader Mitch McConnell has canceled the bill’s vote. As a result of the impending Senate Reconciliation deadline on September 30, it appears that GOP efforts to replace Obamacare are dead for now.

Two Republican senators, Lindsey Graham (R-SC) and Bill Cassidy (R-LA), are working on a new approach to the G.O.P.’s ongoing effort to repeal and replace Obamacare, one that is aligned with the traditional conservative philosophy of decreased federal control. Known as the Graham-Cassidy plan, this approach has some similarities to the Better Care Reconciliation Act (BCRA) recently proposed by Senate Majority Leader Mitch McConnell, which failed to pass the Senate.

The Affordable Care Act, better known as Obamacare—the current health care plan—is basically a federal government deal with state governments that for the first ten years, the federal government will cover the full cost of health care. As time goes on, Washington will provide fewer resources as states are expected to take on the financial burden.

Graham-Cassidy proposes that state governments receive federal support and figure out how to use the money themselves. Many Republicans refer to this as “evening the playing field.” Graham-Cassidy—if enacted—would be detrimental to the state governments for whom Obamacare is the preferred method of distribution of federal money. Because the plan would entrust localized legislatures with the task of distribution, it would seem to leave many Americans with poor coverage.

The bill further strips away Obamacare protections such as a ban on adjusting prices based on pre-existing conditions.

A number of Republican senators, including Rand Paul (R-KY) and John McCain (R-AZ), have stated that they will vote “no” on Graham-Cassidy. Former Presidential candidate Ted Cruz (R-TX), usually a consistent conservative voter, stated on Sunday that “right now, they don’t have my vote.”