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In this Dec. 4, 2017, photo, part of the Republican Senate bill "Tax Cuts and Jobs Act" is photographed in Washington. Republican tax legislation advancing toward final votes in Congress could undermine “Obamacare” health insurance markets, and add to the financial squeeze on Medicare over time. This week lawmakers will try to resolve differences between House and Senate versions in hopes of finishing around Christmas. Also in play are the tax deduction for people with high medical expenses, and a tax credit for drug makers that develop treatments for diseases affecting relatively few patients. (AP Photo/Jon Elswick) **FILE**

In this Dec. 4, 2017, photo, part of the Republican Senate bill "Tax Cuts and Jobs Act" is photographed in Washington. Republican tax legislation advancing toward final votes in Congress could undermine “Obamacare” health insurance markets, and add to the financial squeeze on Medicare over time. This week lawmakers will try to resolve differences between House and Senate versions in hopes of finishing around Christmas. Also in play are the tax deduction for people with high medical expenses, and a tax credit for drug makers that develop treatments for diseases affecting relatively few patients. (AP Photo/Jon Elswick) **FILE**

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