Having tried and failed Thursday to corral enough “yes” votes to pass the House Republican health care overhaul, GOP leaders will give it another shot Friday.

Unless they still don’t have the votes

“I was ‘no’ before that, but that didn’t help.”

That is a distinct possibility, given the wide gulf between different ideological wings in the party. Republicans met Thursday night in a closed-door session to regroup on the American Health Care Act. Fox News and CNN both reported that administration officials delivered an ultimatum from President Donald Trump that he would walk away from the effort if the House does not pass the bill Friday.

“Disastrous #Obamacare has led to higher costs & fewer options,” Trump tweeted from his official POTUS account. “It will only continue to get worse! We must #RepealANDReplace. #PassTheBill.”

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On the way out of the closed-door session, Rep. Charlie Dent (R-Pa.) told CNN that he does not know whether the bill will pass. He criticized concessions made to the conservative House Freedom Caucus.

“I was ‘no’ before that, but that didn’t help,” he said.

On the other hand, Rep. Jeff Fortenberry (R-Neb.) — who has been undecided — told CNN that negotiations had improved the legislation. He indicated that he is inclined to vote “yes.”

But in a sign of continuing uncertainty, House Speaker Paul Ryan (R-Wis.) ignored reporters’ questions about whether he had the votes.

According to CNN’s whip count, 30 House Republicans were committed to voting “no” or were leaning against it. The New York Times, meanwhile, counted 33 “no” votes  and another 11 expressing concerns or leaning against. House leaders can afford to lose no more than 21 votes to ensure passage.

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Supporters of the bill got no help from the Congressional Budget Office, which on Thursday issued revised projections based on changes that have been made to the bill since the original report March 13.

[lz_table title=”Deficit Reduction Shrinking” source=”Congressional Budget Office”]Deficit projections original vs. revised forecast
|Fiscal Year,Original,Revised
2017,-$800M,$8.2B
2018,$24B,$44B
2019,$33B,$47.7B
2020,-$8.6B,$4.8B
2021,-$38.2B,-$22.8B
2022,-$51.3B,-$33.5B
2023,-$59.4B,-$42B
2024,-$63.5B,-$44.8B
2025,-$79.5B,-$47.7B
2026,-$92.4B,-$64.3B
Cumulative,-$336.5B,-$150.3B
[/lz_table]

The latest estimates forecast deficit reduction of $150 billion over 10 years. That is $186 billion less than the original $337 billion forecast. The budget office projects less savings because of changes to the Medicaid program and reducing the threshold at which taxpayers can deduct medical expenses.

At the same time, the new forecast projects virtually the same impact on insurance coverage, differing by no more than half a million people in any category in any year over the next decade. The bottom line is the same — 24 million fewer people with insurance by 2026 than under current law.

“Obviously, the score is very similar by the looks of it,” said Drew Gonshorowski, a senior policy analyst with The Heritage Foundation.

Gonshorowski said the deficit reduction is “something proponents can hang their hats on.” He said the new projection, like the old one, invites skepticism. He noted the report predicts 14 million fewer people on insurance by next year, including a 5 million fewer Medicaid recipients.

“Obviously, this isn’t just a snap your fingers and Medicaid is repealed,” he said.

The steep reduction in the Medicaid recipients in the first year comes from an anticipation that people will voluntarily give up coverage because the mandate requiring people to have insurance would be repealed, Gonshorowski said.

He noted that Doug Elmendorf, who led the Congressional Budget Office during the Obamacare debate, has acknowledged that the office got some things wrong in its forecast of that bill.

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“You look at these now, and it seems like they didn’t learn their lesson,” Gonshorowski said.

Democrats seized on the new report, focusing on the projection of 24 million fewer people with insurance.

“That’s a lot of people,” Rep. Elijah Cummings (D-Md.) told CNN. “We hear nothing about the moral issue.”

He criticized Republicans.

“It’s extremely upsetting that people trying to ram this bill down the throats of Americans,” he said.