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Republicans in Congress plan to move almost immediately next month to repeal the Affordable Care Act, as President-elect Donald J. Trump promised. But they also are likely to delay the effective date so that they have several years to phase out President Obama’s signature achievement. This emerging “repeal and delay” strategy, which Speaker Paul D. Ryan discussed this week with Vice President-elect Mike Pence, underscores a growing recognition that replacing the health care law will be technically complicated and could be politically explosive. (Pear, Steinhauer and Kaplan, 12/3)

The next Congress will begin work immediately next year toward repealing President Barack Obama's health care law but delay the changes as Republicans try to come up with an alternative, Senate Majority Leader Mitch McConnell said Saturday. (Schreiner, 12/3)

Repealing Obamacare will be the first priority of congressional Republicans when Donald Trump takes office in January, House Speaker Paul Ryan told CBS's "60 Minutes." "Well, the first bill we're going to be working on is our Obamacare legislation," he said in an interview airing Sunday night, though he declined to offer a timetable.  (Hellmann, 12/4)

House Speaker Paul Ryan discussed a path to repeal and replace the Affordable Care Act during a closed-door conference meeting with House Republicans on Friday. “The speaker walked members through the process for delivering on our promise of repealing and replacing Obamacare,” AshLee Strong, a spokeswoman for Ryan, said in a statement. “He told members this is one of the President-elect’s top priorities for Congress and one of the first things we will do in the House.” ... While a formal timeline hasn’t been laid out, Rep. Tom Cole guessed a bill repealing the law may be passed in February. (McIntire, 12/2)

Sen. John Barrasso (R-Wyo.) on Saturday highlighted the Republicans' mission to repeal and replace ObamaCare during the weekly GOP address. Barrasso underscored the importance of "revers[ing] the damage done by ObamaCare" through a smooth transition. ... Barrasso promised that the process of repealing and replacing the law would mean eliminating the health insurance mandate in order to ensure "more freedom and flexibility" for businesses and individuals. (Vladimirov, 12/3)

U.S. House Majority Leader Kevin McCarthy wants to repeal the Affordable Care Act first and replace it sometime later. That doesn’t sit well with Victoria Barton, who lives in McCarthy’s rural California district. “It’s like they dangled the carrot and now they’re taking it away,” said Barton, 38, of Bakersfield, an unpaid photographer and stay-at-home mother of two. (Bartolone and Bazar, 12/5)

As Republicans gear up to overhaul the federal health law, they face pushback from a couple unexpected corners over one of their goals: Giving health insurers greater ability to sell policies to consumers across state lines. Republicans for some time have billed interstate sales of insurance as a way to heighten competition and lower costs. It is one of the few specific health initiatives displayed on President-elect Donald Trump’s transition website. (Armour and Wilde Mathews, 12/5)

Hospital and insurance executives Thursday reminded First Coast lawmakers that even the smallest changes to policy could affect millions of patients. Health insurers and providers don't always get along. For proof, last session’s balance billing debate pitted emergency room physicians against insurers in a fight for who picks up an out-of-network patient’s tab. But on Thursday, two major leaders, in different parts of the continuum of care, shared a common request that Tallahassee commit to increasing patient access to health care overall. (Benk, 12/2)

One of the most vocal insurers about the problems with the Affordable Care Act marketplace made nearly $400 million in one state already this year, documents show. Blue Cross Blue Shield of North Carolina lost about $400 million on ACA individual plans sold on Healthcare.gov in 2014 and 2015. After raising rates by about 32% for 2016, the company made nearly the same amount for the first three quarters of 2016 for all individual plans sold on and off the exchange, data filed with the state department of insurance show. (O'Donnell, 12/4)