The pressure is on for Republican senators to rework the Affordable Care Act, but what GOP leaders and conservative groups want is not necessarily in line with what state leaders need.

Republican governors are warning their fellow U.S. congressional members to do no harm in their haste to pass long-promised GOP healthcare reform.

Key Republican governors, including Arizona’s Doug Ducey, called on U.S. senators with reality checks from the front lines, warning state budgets could hemorrhage if the federal repeal and replace measure passes the responsibility onto states.

Ducey urged fellow Republican senators Jeff Flake and John McCain to shield more than a quarter of Arizona’s residents, who rely on the healthcare plan. Neither senator has indicated how he will vote on the GOP bill.