2007 Winnebago Aspect 26A on 2006 Ford chassis. I use Tow haul quite a lot. Like the control it gives in traffic and in mountains. I don't know if using it will impact longer term maintenance issues of engine or transmission. So far at about 60,000 miles everything is working great no failures or noticeable changes in engine/transmission performance.
On the 2006 Ford chassis the scangauge shows about 38mpg down hill at 4000 rpm with tow haul on. Going downhill without tow haul at 2500 rpm the scangauge shows over 45 mpg. So I assume on the older Fords the fuel is not shut off during downhill coasting.
Interestingly my Chevy Motorhome would show 99 mpg when going down a long hill. I think 99mpg was its way of showing no fuel flow during coasting.
I notice more of an impact on mileage with different fuel grades than with towhaul. Get a little over 9 mpg with 89 octane. However at 87 octane I seem to get closer to 7 mpg.