I suspect Obama wants to grab all the Catholic hospitals and nursing homes and turn them into government facilities...I really think that is his endgame on this mandate...resulting in socialized medicine across the board after that has been accomplished. Then he will take over the affiliated industries - for example pharma (note the shortages.)
Actually he can count on a large number of dissident Catholics who actually own the hospitals. Sixty years ago, the bishops actually owned these facilities. Not any more.