From what I understand, the upcoming vote in the senate is a procedural vote to move the Repeal and Replacement of the ACA legislation to the floor of Senate for open discussion? If the Senate votes to take up the bill on the Senate floor, the bill will be open for amendment and discussion by both Democrats and Republicans. My hope, is the legislation will move forward and while on the floor of the Senate, appropriate modifications can be made to ACA that will allow bipartisan support and passage. The end goal is to make adjustments and changes to improve ACA so that we can have a health care system that meets the needs of all Americans.