According the The Oregonian, Rep. Peter DeFazio (D-OR) is threatening to vote now, unless Medicare reimbursements are increased to states which receive lower payments, such as Oregon. Story here.
Whether or not his demand could be met under the rules of reconciliation are unclear. According to the report, he's been promised action on this issue later--but he's not buying it.
While I'm not old enough (yet) for Medicare, I notice that my doc here in Oregon won't take it.. or Medicaid.. or the Oregon Health Plan.
Given that DeFazio has long been a supporter of HCR, I kinda suspect he might be bluffing--when a guy goes public and says "I"m not bluffing", that's the first clue he is...