A new analysis  from the bipartisan Committee for a Responsible Federal Budget found that Donald Trump’s plan to repeal and replace the Affordable Care Act would nearly double the number of Americans without health insurance.

Mr. Trump wants to repeal the ACA and replace it with several new policies, including  converting Medicaid to a block grant program for each state to determine how to spend.

Becker’s Hospital Review says that “with current policies in place, 27 million Americans will lack health insurance coverage in 2018, according to projections from the Congressional Budget Office. Fully repealing the ACA would increase that number by another 22 million. Using previous CBO estimates, the CRFB said Mr. Trump’s replacement plan would only cover 5 percent of those 22 million people, meaning about 21 million would lose insurance coverage.”

“The CRFB said block granting could lead to a wide range of savings, but more details are needed to evaluate that portion of Mr. Trump’s plan. The plan calls for converting Medicaid into block grants, but it does not include details on how big the block grants would be.”