House Republicans’ sweeping tax and spending cuts package would add $2.4 trillion to the deficit over the next decade, according to the Congressional Budget Office’s analysis of the bill that GOP lawmakers narrowly approved last month.

Nearly 11 million more people would be uninsured over the next decade if provisions that affect Medicaid and Obamacare health insurance plans are enacted under the Republican tax megabill, according to estimates released by the Congressional Budget Office on Wednesday.

Millions would lose Medicaid coverage. Millions would be left without health insurance. Signing up for health plans on the Affordable Care Act (ACA) marketplaces would be harder and more expensive.