Opponents of the Affordable Care Act have all but given up on repealing the law and have instead focused on impeding implementation. Some states will allow the federal government to operate their insurance exchanges.
Employers and unions that have negotiated generous health care benefits say they want Congress to repeal the Affordable Care Act's excise tax on health plans costing more than $10,200 for individuals and $27,500 for families.
Congressional Republicans are considering a proposal to extend Affordable Care Act tax credits through 2017 but repeal the law's individual and employer mandates if the Supreme Court rules tax credits are available only through state-run exchanges.
The government shutdown and debt-ceiling battle in Congress took attention away from problems with the new health exchanges, observers say. With those issues resolved for now, scrutiny and criticism of the delays in signing people up for insurance is intensifying among opponents and defenders of the Affordable Care Act.
Some Democrats said they could no longer support a bill to repeal the Medicare Independent Payment Advisory Board after Republicans said they would add provisions to cap medical malpractice awards as a way to offset the cost of the repeal.
"Even if Republicans could not get the president to sign anything into law, by forcing votes and vetoes Republicans would drive home an important point: If the American people really want repeal, they will need to vote for a Republican president in 2012," William McGurn writes in The Wall Street Journal editorial.