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Senate Majority Leader Mitch McConnell walks through the Capitol on Thursday. Drew Angerer / Getty Images

In the rushed process of trying to come up with legislation, the non-partisan Congressional Budget Office released an analysis even later on Thursday night. Republicans only released the part of the score that analyzed only the impact on the deficit. Shortly afterward, Democrats and the CBO released the rest of the analysis, which found that 16 million people would lose their health insurance in 2018. Premiums would rise 20 percent each year over the next decade, the analysis found.

It's still unclear if Republicans have the 50 votes they need to pass it. A late-night concession from House Speaker Paul Ryan, promising to enter into negotiations with the Senate to produce a beefed-up version of a health care bill, secured the votes of many Republicans.

"If moving forward requires a conference committee, that is something the House is willing to do," House Speaker Paul Ryan said in a statement. "The reality, however, is that repealing and replacing Obamacare still ultimately requires the Senate to produce 51 votes for an actual plan."

Ryan's wobbly statement about a conference committee, however, didn't convince everyone. He spoke on the phone with more than half a dozen senators over the phone later in the evening, giving them his "assurances" that the House would enter into a conference committee. His statement, however, indicated that if an agreement is reached in House and Senate negotiations, the Senate would vote on it first.

But holdouts remain, including Sens. Susan Collins, R-Maine, and John McCain, R-Ariz., both of whom have been critical of the secretive process. The positions of Sens. Shelley Moore Capito, R-W.Va., and Lisa Murkowski, R-Alaska, are unknown.

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Republicans can only afford to lose the support of two Republicans in order for it to pass. Vice President Mike Pence is prepared to be the tie-breaking vote.

The vote is expected to take place at some point late into the night or early morning, in whats been called a "Vote-a-Rama," where senators will vote consecutively on as many amendments as they want.

The skinny repeal is far from Republicans campaign promise of also rolling back Medicaid expansion, insurance subsidies, taxes, and insurance regulations.

Over the past two days, Republicans rejected a plan that would have partially repealed and replaced Obamacare and a measure that would have just repealed it. The repeal vote was the same bill that passed the Senate and the House in 2015 when former President Barack Obama vetoed it.

"It was deeply disappointing to see those six Republicans who voted for repeal in 2015 to turn around and vote against it last night," said Tim Phillips, head of the Charles and David Koch-backed Americans for Prosperity.

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Republicans Release 'Skinny' Obamacare-Repeal Bill - NBCNews.com