It took a Democrat, Jim Miceli of Wilmington, to give the most impassioned speech against, what the Boston Business Journal termed, "Soviet style" health cost control legislation. While the Republican leadership of the house was suggesting that their members vote for the legislation, Miceli lead the charge of the conservative wing of the house. Here is the video of the speech.
18 Republicans joined Miceli in voting against the legislation. On the day that Governor Deval Patrick signed the legislation, Moody's set a negative credit outlook on every hospital in the Commonwealth.