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NEW RINGGOLD, Pa. (AP) — Older Americans who have not yet reached Medicare age are among the groups hardest hit by the Republican plan to replace the Affordable Care Act.

An analysis by The Associated Press shows that many of those who buy their own health insurance stand to pay thousands of dollars more.

That is especially true for the nearly 3.4 million older Americans who have enrolled through the government marketplaces, many of whom receive generous federal subsidies through the health care law enacted under former President Barack Obama.

The Republican plan replaces those subsidies with a flat tax credit that does not take into account income or local insurance prices. The plan is still evolving, and many GOP lawmakers have said they want to see changes that reduce the impact on older consumers.