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Politically, taking on the Affordable Care Act or not taking it on are both risky. While lots of voters do not comprehend all that the federal health law does, some of its guidelines enjoy broad assistance. That's particularly true of the protections for individuals with medical problems under the current law, insurers are barred from rejecting them for coverage or charging them more than individuals without such conditions.

Analysts on both sides anticipate concerns about health costs and health law to play a big function once again in 2020. For Republicans, "the risk of doing absolutely nothing possibly leaves no port in a storm if the ACA is overturned lawfully," Rosen says. "But a more restricted variation, which is what most Republicans are for, is likely to be consulted with the exact same issues.