Among other things being discussed and negotiated, AP reports this:
On another high-profile issue, the negotiators are discussing a hybrid of a proposed national insurance exchange contained in the House bill and the state-by-state approach favored by the Senate. House Democrats are pressing for a national system to apply pressure to the insurance industry after their proposal for a new government-run insurance option was ruled out due to opposition from Senate moderates.
I still think the Federal government shouldn’t be mucking around trying to control insurance when the Constitution doesn’t give them that power (and thus it is a State level issue, according to the 10th Amendment). A state could require you to buy insurance, but not the Federal government. See “Why the Health-Care Bills Are Unconstitutional” (WSJ)