As i understand it the House passed the Senate version of the legislation, which means that it will become law as soon as the President signs it.
Certainly this extends health care provisions to Americans that have never had it before, and regulates some of the more predatory practices of the insurance companies.. like withdrawing coverage if someone gets sick, or limiting coverage to a maximum amount, or rejecting anyone with a pre-existing condition.
The promises of cost savings overall have likely been crippled by the lack a 'public option'. This could well be a boon to insurance companies, as public money will be siphoned through them with little incentive or oversight to control costs.
The Executive Order to exclude all abortion coverage, is a shell game. It has no force in law. It will allow states and private insurance companies move the government inputs around providing a facade of exclusion, while fully funding it.