According to Firedoglake, the vote on health care reform now comes down to the Stupak block. Without them they are very unlikely to get to 216 yes votes.

http://news.firedoglake.com/2010/03/19/teague-a-no-pelosi-would-have-to-run-the-table-without-stupak-bloc/

Of course to a degree the vote is more symbolic that anything else

Many of the provisions won’t take effect until 2014 or later

And with states ready to file lawsuits, it’s likely the rest will wait a year or two.