The welfare and illegal crowds use the emergency room because they get a free ambulance ride and immediate care. This bill will not stop that, because they're not going to start driving themselves or paying for a taxi, and they're not going to wait 2-4 weeks to see a doctor like the rest of us will have to.
This bill is just a massive tax increase designed to pay for another massive entitlement program that will make welfare and food stamps look small in comparison.
It is not entirely clear to me what happens
If a state chooses not to participate and grow Medicaid.
It may be that the uninsured poor end those states end up being on the hook a considerable portion of what they “make” now in refundable tax credits in order to “pay” for their new “insurance” policies.