Politically, taking on the Affordable Care Act or not taking it on are both risky. While many voters don't understand all that the federal health law does, some of its guidelines delight in broad assistance. That's particularly real of the securities for individuals with medical issues under the present law, insurance companies are disallowed from rejecting them for coverage or charging them more than people without such conditions.

Experts on both sides anticipate concerns about health costs and health law to play a large function once again in 2020. For Republicans, "the risk of not doing anything potentially leaves no port in a storm if the ACA is overturned legally," Rosen says. "However a more limited variation, which is what most Republicans are for, is likely to be fulfilled with the exact same issues.

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