Democratic leaders in Pennsylvania hope to double the number of residents who receive state-sponsored health insurance, but Republicans fear the costs may be too high. The Pennsylvania House voted 104-98 in favor of HB 1 to increase the number of individuals receiving adultBasic from 45,000 to 90,000. Republican leaders in the Senate say they might oppose the effort. Carolyn Scanlan, president and CEO of the Hospital & Healthsystem Association of Pennsylvania, also expressed reservations.