Millions of Americans may soon be forced to choose between paying their medical bills or risking losing their job.

The House passed legislation Friday that would force insurers to cover more people with pre-existing conditions and require insurers to give people discounts if they have health problems that prevent them from getting coverage.

Republicans are hoping the bill will pass the Senate, which passed its version last week, and President Donald Trump is expected to sign it.

Democrats want the legislation to go to President Bernie Sanders for his signature.

Democrats say they want to ensure the legislation doesn’t increase premiums, as they have promised to do.

If it does, it could lead to higher premiums for some people.

Some of the Democratic members of the Senate bill’s co-sponsors, including Sen. Patty Murray (D-Wash.), said the bill would help people who cannot afford their own coverage and need a plan that would cover them without the government imposing steep costs on them.

But the Congressional Budget Office has estimated that a bill that would have raised premiums by $4,500 per family in 2020 would cost about $300 billion over a decade.