It has to get passed by the Senate and then signed by the President to become law.
TOP 10 CHANGES TO HEALTH INSURANCE REFORM BILL
http://energycommerce.house.gov/Pres...3962_Top10.pdf
TOP 14 PROVISIONS THAT TAKE EFFECT IMMEDIATELY
http://energycommerce.house.gov/Pres...3962_Top14.pdf
Affordable Health Care For America Act
DETAILED SUMMARY
http://energycommerce.house.gov/Pres...LEDSUMMARY.pdf
America's Affordable Health Choices Act of 2009
Wikipedia:
http://en.wikipedia.org/wiki/America...es_Act_of_2009