A recent report by the Congressional Budget Office said the fight has continued to provide health insurance affordable for all Americans. Health care reform legislation recently passed by the Senate will cost over 800 billion dollars, while major structural and regulatory changes in the current system of health insurance. Although the goal of developers is to cover the entire U.S. population to grow, it seems they are far in the adoption of universal health care. Shockingly, only about 92% of those under 65% will be insured by 2018. Many radical changes such as a highly regulated market for health insurance with federal subsidies for low-and middle-income does not take effect for several years. The nonpartisan Office estimates that currently about 31 million uninsured Americans have access to affordable health insurance based on the invoice. Nevertheless, the estimates are Democrats sobering, they also provide ammunition to Republican politicians that the costs are much too high to call for a strategy that does not even do an effective job. The White House points the finger at conservatives in Congress to block further expansion of coverage, while praised by the Senate bill as an improvement over the status quo. The main question that many have is how he came so not many people uninsured, and families fall through the cracks? Despite the length of the bill the Senate pointing to more than 2,000 pages, some groups are released, either accidentally or deliberately. The first group consists mainly of young people – as people under 30 – are in good health, a demographic group often chooses to waive coverage, even if affordable health insurance available to them. legislation health care reform includes a mandate that this choice will soon be more expensive. From 2014, persons convicted of a certain income level, to refuse to buy health insurance. The objective is to ensure not only is it necessary to prevent a possible financial loss in case of medical disaster, but their inclusion in the pool of insurance is also necessary to reduce medical costs. Massachusetts has a similar law for several years, the percentage of uninsured people in this small population. There are about 13 million in this group on a national scale, so that only a fingerprint will be useful. However, some people prefer annual fines (pay hundreds of insurance to a range of thousands of dollars) instead of buying. This explains some of those Americans who remain insured after the reform. It is not even close to these people that Medicare would cost more than eight per cent of their annual income is exempt from the health insurance mandate in its entirety. Another group has access to affordable health insurance, but is not used. Hundreds of thousands of Americans eligible for Medicaid, the Federal Republic of health insurance for the poor. With the new Senate bill, individuals and families living in households making less than $ 30,000 per year to qualify for this plan. For various reasons it has not signed. Explanations for this range of difficulties in completing forms for the embarrassment and lack of advertising. More households will be under the existing program, some experts predict further reduce the population of insured persons are covered. Advocates argue that the reform there are a handful of late – and the European countries with universal and free health care socialized below opposite the 100%. On the other hand, were deliberately excluded illegal immigrants from the legislation. The coverage for the millions of people in America without legal status is a very controversial issue among both politicians and the public. The bill was expensive and somewhat complicated to go with U.S. citizens and legal residents only. While some Liberal Democrats and activists fighting against exclusion, it remained intact in the Senate as the House of Representatives. Illegal immigrants are already using Medicaid or any other type of insurance prohibited, but they are often in hospital emergency rooms to see. Often, they are conditions that could be treated cost far more to treatment by a doctor, but governments access to the emergency room at a high price for the state and local governments. Neither party is willing to affordable health insurance subsidy for illegal immigrants or allow them to offer an existing program such as Medicaid. The Senate bill goes further and hold, however: It is to them by the use of health care markets discounted insurance exchange, legislation to prohibit the establishment. In contrast, the House version allows illegal immigrants to care in these markets is to buy, as long as their money. The future of this provision should be negotiated in committee, it is not known if the ban takes effect. There is another major concern to the Latino population, if they have legal biased, younger than the general U.S. population – many of them in the younger age groups have shown that less likely to buy insurance. Therefore, the amount of illegal immigrants who actually use their increased access to affordable health insurance would be questioned.