Julie Rovner

Democrats control the new Congress by such a slim margin that passing health laws will be daunting. Instead Biden may have to use executive authority to advance his health care vision.

Both sides say they want the high court to quickly weigh in on a case that could invalidate the federal health law. Whatever the court decides will likely have consequences in 2020 elections.

A federal court in New Orleans has declared a portion of the health law unconstitutional, asking the lower court to reconsider the rest. This leaves the future of the law in limbo.

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Republicans in Congress have dropped their attempts to repeal the health law for now. But Obamacare supporters say the Trump administration is still undercutting the law in ways that could damage it.

Just three "no" votes by Senate Republicans would likely be enough to sink the GOP health bill. Democrats who lost the battle in the House are still convinced they can win the political war.

Democrat Hillary Clinton has proposed policy changes that would cap how much insured people have to pay for prescription drugs and put limits on the share of costs beyond premiums that consumers bear.

The Obama administration is shifting the start date of next year's sign-ups for health insurance from October to November. That gives insurance companies more time to prepare. But it also conveniently moves potential bad news about premium increases until after the midterm elections.

The idea was that Medicaid would expand to include people not covered under the Affordable Care Act. But many states have chosen not to expand coverage, despite financial incentives from the federal government. That may leave millions of people without any health coverage at all.