Senators Brown (R-MA) and Wyden (D-OR) plan to introduce legislation which would allow states to request waivers from the federal HCR bill in 2014 provided those states can create their own plans which would meet the same coverage benchmarks as the federal plan (for raw coverage numbers, pre-existing conditions, preventative care, etc). Technically, this option is open to the states in the existing legislation but isn't available until 2017. Since most provisions go into effect by 2014, this means states would have to gear up for the federal rules then re-do it all three years later. This bill attempts to make it easier, or even encourage, states to develop their own strategies.
The idea here is that if a state thinks the federal plan is a crock and it can do better via heavy tort reform and free market ideals, they're welcome to try so long as they meet the goals. If a state thinks the best way to go is a state-wide single payer option, they can try that as well. Senator Sanders (I-VT) wants Vermont to switch to a "true" universal, single-payer option. If its successful, other states can say "Hey, that's cost effective and works". If a state finds a free-market solution and wants to skip any mandates or whatever and they can meet goals then other states can choose to emulate that as well. Essentially, it makes the federal plan a framework for states to either met or simply use the federal plan.
Understandably, if someone's objection is to the government (at any level) being involved at all then this won't make them happier but I'm curious if anyone, especially those of a conservative bent, think this has merit. Or I suppose if anyone is horrified by the idea that states might not be bound by the existing legislation. Everyone in Congress kept agreeing that health care needed to be "fixed" and this would allow the plans with the most merit in practice to win.