It does not matter. The only pertinent part of this entire bill is for the government to get full control of all (or absolute majority) of monies circulating in the Healthcare system, make it just another tax that will make the government omnipotent over people's lives.
Everything else - terms, definitions, language, promises, assurances, etc - optional.
The pushy b@stard wants our medical records. He wants anyone on antidepressants or with any medical "encumbrance" to have their guns taken away. The American-hating little b!tch wants to disarm America. The poofter pushster can't push his CrapTM on an America that can (in his mind,) ultimately "push back."