The Bill is intended to stuff the States and Insurance companies with more obligations. A few problems with that, the States are already toast and the insurance companies will just fold up shop.1) States pull out, and coverage drops2) States don't pull out, and they go bankrupt.
SS, Medicare, Mediaid, etc. are all ponzi schemes folks. You need to get off the Federal government ponzi scheme. How do you do that, cancel the agreements with the federal government and get them out of your lives.
If you fail to do that quickly your State will go down the hole. I assure you the Federal government will come in but not without strings.