House Speaker Paul Ryan of Wis. listens to a question during a news conference in Janesville, Wis., Wednesday, Nov. 9, 2016. (Credit: AP) After some initial uncertainty as to how they would try and dismantle the Affordable Care Act, Republican leaders in Congress seem to be settling on a strategy: Vote to repeal the health reform law as soon as possible, but delay implementing the repeal for several years while they figure out what should replace it.