Senate Republicans' efforts to repeal and replace the Affordable Care Act are once again floundering. The bill currently lacks enough support. But many times the effort has been called dead, only for it to reemerge. The bill would need to pass by Friday. Health groups are scrambling to find out the impact. The Kaiser Family Foundation found that the original version of the so-called Graham-Cassidy bill would have cost North Carolina more than 8 billion dollars in federal funding. Rachel Garfield is a senior researcher with Kaiser and one of the authors of the analysis. She spoke with BPR's Jeremy Loeb.