The road ahead is not an easy one. With increased support in the House, Democrats should be OK when it comes to a vote today, but Republicans now have more influence in the Senate than they did last year. Even if the bill makes it past the Senate (Mitch McConnell could block it from hitting the floor at all), it would need a signature from President Trump (which seems even less likely). Congress could override the president’s authority to stop the bill, but it would require a majority the Democrats are unlikely to achieve. Even before the bill went to the house, opponents suggested changes that would exempt a variety of providers for various reasons. Those changes didn't make it into the bill, however.