and julie rovner is with "kaiser health news." lisa, let's start with pre-existing conditions. that became the phrase that pays all week long and even today. who is going to get left out of this? >> it is a very serious concern, according to ciezy family foundation, some 52 million americans have pre-existing conditions, adults, could have their insurance affected. the way this works, hari each state would decide if the they t a waiver so the states could opt out. now, republicans say this should not affect those with pre-existing conditions because if their premiums get too high, they've created what's called high-risk pools. they say that will help them, but i spent a lot of time talking to republicans about this today. they do not guarantee that your premium won't go up if you have pre-existing conditions. insurers can raise those premiums. the question is will states opt in to do this and also important, hari, it's easy to get these waivers under this particular version because if the state applies for it, if the government does nothing, it happens. the government has to ac

we just heard from julie rovner that the senate is saying it could take a month or longer for them to pass a bill. we are asking all of you to call in. join the conversation on facebook or twitter. tell us what you think. we will share reaction from around the country. here is paul ryan, speaker of the house, in wisconsin yesterday. he is celebrating with his colleagues and the president and vice president. [video clip] >> today was a big day. it is one step in this process. we still have a lot of work to do. i know our friends in the senate are eager to get to work. [laughter] >> they are. we're going to see that work through. the issues are just too important. the stakes are just too high. the problems facing american families are real. the problems facing american families as a result of obamacare are too dire and to urgent. just this week we learned of another state, iowa, where the last remaining health care plan is pulling out of 94 of their 99 counties, leaving most of their citizens with no plans on the obama market at all. what kind of protection is obamacare if there are no