US Senator Tammy Baldwin, D-Wisconsin, is getting targeted by a new Facebook ad campaign by the National Republican Senatorial Committee. The quotes Senator Elizabeth Warren, D-Massachusetts, saying, “The next step is single payer” and then claims Baldwin votes with Warren 95 percent of the time. The ad then asks everyone to sign a petition against government-run health care.

An email from NRSC Communications Director Katie Martin clarifies that Baldwin also supported single payer health care as a member of the House of Representatives, even though that is not clear from the brief web ad. The Urban Institute estimates a Single Payer plan like the one proposed by Senator Bernie Sanders (D-Vermont) would increase federal spending “by about $32.0 trillion (232.7 percent) between 2017 and 2026.”