Even as senators began grinding through a budget resolution that sets up a repeal of the 2010 health care law, the timeline for striking President Barack Obama’s biggest legislative legacy appeared to be slipping.

President-elect Donald Trump said at a news conference Wednesday in New York City that a plan to replace the Affordable Care Act would come once Secretary of Health and Human Services nominee Rep. Tom Price of Georgia wins confirmation.

But the chairman of a key committee involved in both the repeal-replace process and in confirming Price said his confirmation may not take place until around the President’s Day recess in February.- See more at: http://www.rollcall.com/news/policy/tom-price-might-not-confirmed-mid-february-says-key-senator#sthash.BSsYaVfW.dpuf

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Though Republicans are itching to start on their promises to “repeal and replace” the Affordable Care Act, many of them worry about repercussions if the process stalls or takes too long.

The GOP will most likely have to take a piecemeal approach to rolling back the health care legislation, a process Senate Majority Leader Mitch McConnell has said will be the first priority of the 115th Congress.

A new health care law might not take effect for up to three years, The Associated Press reported, in order to give Congress and President-elect Donald Trump enough time to come up with a feasible replacement.

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Repeal of the 2010 health care law is a top priority as soon as Donald Trump takes office in January, Vice President-elect Mike Pence said in a Sunday television interview.

“Decisions have been made, that, by the president-elect, that he wants to focus out of the gate on repealing Obamacare and beginning the process of replacing Obamacare with the kind of free-market solutions that he campaigned on,” Pence said on “Fox News Sunday.”

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Our constitutional system was carefully designed to prevent any one branch from seizing too much control over the entire government. Only Congress can write legislation; only the President can execute the laws; only the courts can judge whether the laws are constitutional.

This balance of powers, however, does not maintain itself. It is a dynamic equilibrium requiring each branch of government to protect and fully exercise its rightful authorities. When one branch encroaches on another, that balance is endangered — and so are the freedoms the separation of powers were intended to protect.

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Smaller insurers with experience in Medicaid, such as Centene Corp. and Molina Healthcare, are outperforming the broader insurance industry on the federal health exchanges. Their success is putting a spotlight on their business model as the Obama administration and other insurers seek to stabilize the fledgling individual market.

If Medicaid-like plan features become the norm, consumers and medical providers would be substantially affected. Such plans are often popular in the exchanges for their low premiums, but consumers have criticized limits on their access to medical providers such as doctors. And physicians fault the plans for low reimbursement rates.

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