Excerpt: The health overhaul package passed by the House Sunday and sent to the Senate for final action is the most far-reaching health legislation since the creation of the Medicare and Medicaid programs. While the underlying Senate bill will become law as soon as President Barack Obama signs it, additional changes will occur if the Senate passes the reconciliation-bill part of the package. The [target page] is a look at the impact of the entire package, which would extend insurance coverage to 32 million additional Americans by 2019, but also have an an effect on almost every citizen.