J. Scott Applewhite / AP

A new draft of the GOP's Obamacare repeal and replacement bill has only small, incremental changes from a previously leaked version, Politico reports.

What you need to know: Not much has changed, especially not the most controversial provisions of the previous version of the bill. Among the new developments:

  • Although it still includes tax credits that vary by age, Republicans are considering not allowing wealthier people to qualify for the credits. There are no specifics about the cutoff, although as we reported this week, that could be in the next draft.
  • "Grandmothered" plans are no longer allowed to remain in the market indefinitely. These are plans that existed before Obamacare's implementation, but didn't meet its coverage requirements.
  • In addition to the "state innovation grants" in the earlier version of the bill, this draft creates a reinsurance fund. It would reimburse insurers for enrollees with medical claims above $50,000 and up to $350,000.

What comes next: Conservatives — and moderates — are going to have to decide if they can stomach this not-so-different version of the bill they previously complained about. Though it's probably safe to say this is not the last version we'll see.

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Why it matters: The directors, Tom Frieden, Jeffrey Koplan and David Satcher and acting head Richard Besser, served in parts of the Obama, Bush and Clinton administrations. They said they "cannot recall over our collective tenure a single time when political pressure led to a change in the interpretation of scientific evidence."

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