Reality: House bill would transform American health care system.

[ProSense]

2) OPT-OUT.—In no case may an employer automatically enroll an employee in a plan under paragraph (1) if such employee makes an affirmative election to opt out of such plan or to elect coverage under an employment-based health benefits plan offered by such employer. An employer shall provide an employee with a 30-day period to make such an affirmative election before the employer may automatically enroll the employee in such a plan.

HR 3962 (full bill, PDF)

Once an individual or an employer enrolls in coverage through the Exchange, they remain eligible for Exchange coverage even if circumstances change that would otherwise exclude them.

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Chances are that once people are exposed to the health coverage after reform, they're going to love it. Just like the Mass. plan, which health reform critics mischaracterize as RomneyCare. There is no such thing:

In fall 2005 as the House and Senate each passed health care reform bills.

The legislature made a number of changes to Governor Romney's original proposal, including expanding MassHealth (Medicaid and SCHIP) coverage to low-income children and restoring funding for public health programs. The most controversial change was the addition of a provision which requires firms with 11 or more workers that do not provide "fair and reasonable" health coverage to their workers to pay an annual penalty. This contribution, initially $295 annually per worker, is intended to equalize the free care pool charges imposed on employers who do and do not cover their workers. The legislature also rejected Governor Romney's proposal to permit even higher-deductible, lower benefit health plans.

On April 12, 2006 Governor Mitt Romney signed the health legislation.<19> He vetoed 8 sections of the health care legislation, including the controversial employer assessment.<20><21> Romney also vetoed provisions providing dental benefits to poor residents on the Medicaid program, and providing health coverage to senior and disabled legal immigrants not eligible for federal Medicaid.<22><23> The legislature promptly overrode six of the eight gubernatorial section vetoes, on May 4, 2006, and by mid-June 2006 had overridden the remaining two.<24>

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Romney actually opposed most of the bill after the legislature improved it. Now, while it has it's flaws, people love it.

"Seven in 10 people in the state support the program, and no more than one in 10 would repeal it." said Robert Blendon with the Harvard University School of Public Health.

Unlike Democratic proposals that would give Americans the choice of joining a government-run health care plan, Massachusetts has no public option. Instead, people in the state are required to buy private insurance, and the poor get subsidies.

Summary: The status quo is not an option, and the House health bill is a vast improvement over modest reform. It's going to transform the American health care system, and people are going to love it.