This basically sounds like Obamacare light - pretty similar but minus the individual mandate and employer mandate, and will provide a smaller individual subsidy (making it less affordable for low income workers).  I don't think it will do anything to bring down excessive health care costs (which is sorely needed), or to make plans more available in marginal markets like Alaska.  Good for Murkowski for defending the medicaid expansion, but she also needs to go on record that she will not support defunding Planned Parenthood (which is currently in the bill).  If they take out the Planned Parenthood defunding provisions they might get some Democrats voting for it (and they will need them, because a lot of the Republican budget hawks are going to see this as being to expensive, and vote against it.)