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WASHINGTON — The Senate parliamentarian added a new complication to Republican hopes for their floundering health care bill, ruling the GOP would need to win an all-but-impossible 60 votes to retain anti-abortion provisions in the measure, Democrats said late Friday.

Democrats said the parliamentarian decided another provision providing Medicaid savings for upstate New York counties would also need 60 votes to survive. Democrats said they believed that means other bill language benefiting Alaska and other states — which Senate Majority Leader Mitch McConnell put into the legislation to try winning support from those states’ senators — is in jeopardy.

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