WASHINGTON - After taking a largely symbolic stand on Wednesday, Republicans on Thursday will begin a new phase of their effort to overturn the sweeping 2010 health care law, pursuing a variety of strategies: court tests, funding cutoffs and piecemeal changes.
The GOP-led House of Representatives voted Wednesday 245-189 to repeal the law, but that effort is likely to go nowhere in a Senate still ruled by Democrats, and even if it passed there, repeal wouldn't survive a certain presidential veto.
That's one reason why on Thursday the House plans another vote directing its committees to look for specific changes they can make to the health care law.
Changes over the next two years could involve reducing paperwork burdens on businesses, permitting the sale of coverage across state lines, denying the government funds to implement the law, and denying funds for a series of grants and other health-related programs.
Still, many political hurdles stand between House Republicans and success in those endeavors, as one house of Congress generally needs to reach compromise with the other house - and the president - to achieve anything.