The Senate's legislation would reduce the deficit over 10 years by $321 billion, more than the House bill does, while also spending more to delay the end to the Medicaid expansion under the ACA. It accomplishes that by gouging even deeper into Medicaid in the later years — cutting $772 billion from projected spending during that time — and slashing the subsidies the government pays to help low-income consumers purchase health insurance. That $408 million cut means, for example, that net premiums would more than double for a 40-year-old who buys the cheapest plan and earns $26,500. A 64-year-old who earns $56,800 a year would see premiums for either a bronze or silver plan more than triple. Yet in all cases, the percentage of medical costs the plans cover would decline, meaning that not only are the premiums more expensive but out-of-pocket costs for co-pays, deductibles and co-insurance would go up, too.