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Unemployment isn't going to skyrocket. Most companies provide healthcare for their full-time employees anyways. Besides, there is a bare minimum of employees a business needs to run itself profitably. If you think most business don't already hire as few people as possible already, I've got a bridge you might be interested in buying...
All full-time employees that retain their full-time status will keep their healthcare. Some full-time employees will be given the choice to loose their job or convert to part-time work at no more than 25 hours. Some will just be part of a layoff, and their job will be replaced by a part-time employee. Companies that choose this path anticipate problems asking employees. Some companies will reduce their work force. A very small number of businesses can absorb the additional cost and will try to,make it work.