Obamacare foes still vocal

Even with President Obama set for a second term, he will continue to face challenges implementing the Affordable Care Act.

Some Republican governors have maintained their states will not participate in health-insurance exchanges and Medicaid expansion called for by the ACA, according to The Hill. States must decide by Nov. 16 whether to run their own insurance exchanges or allow for federal oversight.

The Republican-led House is likely to present a roadblock to the ACA, which is expected to receive resistance during congressional deficit talks later this month. But efforts to block funding for the ACA may be limited, as many of the law’s provisions have already received funding approval.

Despite conservative resistance, full repeal of the ACA is seen as highly unlikely now that Obama has been re-elected.